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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNiyati Nathwani
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    Niyati Nathwani — Billing Profile & Reimbursement Data

    NPI 1730200031 · Lancaster, SC · Hematology & Oncology Physician

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    Niyati Nathwani is a hematology & oncology physician provider located in Lancaster, South Carolina. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNiyati Nathwani
    Address902 W Meeting St
    CityLancaster
    StateSC
    ZIP29720
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 3, 2007

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

    Payer SourceTotal Paid
    Medicare$152.4K
    Medicaid$0

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg1,800$20$32.4K
    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…490$60$31.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…490$40$21.5K
    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…230$90$19.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…200$60$11.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…750$10$6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$140$5.8K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…350$20$5.5K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.40$50$2.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971452502,400$20$91.2K
    992143,1217,860160$80$23.2K
    74177393400130$80$13K
    88185810520$20$12K
    992137137,690100$60$10.8K
    964015570120$50$9.4K
    992152,2182,36040$120$9.3K
    994907465080$40$8.9K
    992231,7272,08040$130$8.3K
    96365134170100$40$7.4K

    Showing 1–10 of 26

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Niyati Nathwani, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Viral RabaraSCHematology & Oncology Physician$714.1K$0
    Asutosh GorSCHematology & Oncology Physician$217.6K$0
    Sashi NaiduSCHematology & Oncology Physician$176K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chester-lancaster Disabilties & Special Needs BoardSCIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13M
    Medical University Hospital AuthoritySCGeneral Acute Care Hospital$0$12.1M
    The Children's ClinicSCClinic/Center$0$8.4M
    Golden Care IncSCHome Health Agency$0$7.1M
    Mante Pediatrics LLCSCPediatrics Physician$0$7M
    Carolina Family Care, IncSCInternal Medicine Physician$0$6.9M
    Morphis Pediatric Group Of Lancaster, P.A.SCRural Health Clinic/Center$0$4.8M
    Medical University Hospital AuthoritySCRural Health Clinic/Center$0$4.5M
    Lancaster County School DistrictSCLocal Education Agency (LEA)$0$2.9M
    Oscar KuruvillaSCOphthalmology Physician$2.7M$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. South Carolina Distribution
    Niyati Nathwani — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina