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    OpenPayerNPI Medicare & MedicaidArvind Madaan
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    Arvind Madaan — Billing Profile & Reimbursement Data

    NPI 1699854307 · Charlottesville, VA · Allergy & Immunology Physician

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    Arvind Madaan is a allergy & immunology physician provider located in Charlottesville, Virginia. This profile covers 15 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationArvind Madaan
    Address1532 Insurance Ln
    CityCharlottesville
    StateVA
    ZIP22911
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedNovember 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$177.7K
    Medicaid$5.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95180Code 95180 is in the Medicine section; subsection Allergy and Clinical Immunology/Allergen Immunotherapy. An allergenic extract is a protein containing an extract purified from a substance to which a…510$110$54.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…430$90$40.6K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.1,680$10$18.5K
    94070In this procedure, the provider deliberately induces bronchospasm by controlled and measurable exposure to a specific stimulant. He then performs spirometry multiple times to evaluate the lung…280$50$13.2K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.3,120$1$9.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.1,140$10$9.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…150$60$9K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.1,140$10$6.9K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…160$30$4.7K
    95012The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…330$10$4.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95180110100$110$22.6K
    9516543130840$10$22K
    992142,40212,890140$80$21K
    992134,19812,44090$60$10K
    992043,8906,85040$110$5.9K
    9511729170300$10$5.7K
    95004191201,280$1$5.2K
    950241570470$10$4.6K
    9407011020$50$3.4K
    9406016823060$20$2.2K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…50$70$3.5K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.220$10$2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2,8023,520370$70$280.7K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.83110860$10$41.2K

    Nearby Providers

    Other providers in the same ZIP code as Arvind Madaan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Compass Youth ServicesVACommunity/Behavioral Health Agency$0$63.5M
    Martha Jefferson HospitalVAGeneral Acute Care Hospital$0$26.9M
    Addiction Recovery Systems LLCVAMethadone Clinic$127.5K$11.5M
    Children's Dentistry Of Charlottesville, P.C.VADentist$0$11M
    Mohit NandaVARetina Specialist (Ophthalmology) Physician$4.6M$0
    Jacob MeyerVARetina Specialist (Ophthalmology) Physician$3.8M$0
    Scott ChirichettiVAPain Medicine Physician$1.1M$0
    Stephen VanceVAMOHS-Micrographic Surgery Physician$924.6K$0
    Vandana NandaVAMOHS-Micrographic Surgery Physician$912.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Arvind Madaan — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Arvind Madaan — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia