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    OpenPayerNPI Medicare & MedicaidNeil Bansal
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    Neil Bansal — Billing Profile & Reimbursement Data

    NPI 1730525643 · Freehold, NJ · Neuroradiology Physician

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    Neil Bansal is a neuroradiology physician provider located in Freehold, New Jersey. This profile covers 42 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
    OrganizationNeil Bansal
    Address901 W Main St
    CityFreehold
    StateNJ
    ZIP07728
    TaxonomyNeuroradiology Physician
    NPI EnumeratedMay 18, 2013

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

    Payer SourceTotal Paid
    Medicare$351.9K
    Medicaid$0

    Key Findings

    NEIL BANSAL is enumerated as a Neuroradiology Physician in FREEHOLD, NJ with an NPI registered on 2013-05-18 (~13 years ago). Lifetime Medicare revenue on file is $351.9K and there is no Medicaid billing on file, indicating the provider’s billing activity is effectively single‑payer Medicare in scope.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 52.2% of this provider's total Medicare revenue. Those top three codes are 70553 ($87.7K, 26.3% of Medicare revenue, $116 avg paid/claim), 70551 ($49.1K, 14.7% of Medicare revenue, $69 avg paid/claim), and 72148 ($37.6K, 11.3% of Medicare revenue, $73 avg paid/claim).

    The CPT mix is strongly weighted to advanced neuroimaging: top codes are MRI brain studies (70553, 70551) and MRI lumbar spine (72148), plus high volumes of CT angiography of head/neck (70498, 70496) and MR angiography (70544, 70547). This pattern is consistent with an outpatient neuroradiology practice focused on diagnostic brain, spine and vessel imaging rather than broad general radiology or cross‑sectional abdominal work.

    Competitive standing for core neuro codes is unusually strong: 70553 ranks #16 of 11271 providers nationally (100th percentile; extreme outlier) and 70551 ranks #27 of 13508 providers nationally (100th percentile; extreme outlier), signaling national‑level volume dominance on those brain MRI codes relative to peers. The third top code, 72148, ranks #216 of 14990 (99th percentile; extreme outlier), reinforcing that high spinal MRI volume is also a key differentiator.

    Several additional imaging codes show outlier status across head/neck modalities: 70498 ranks #34 of 12442 (100th percentile; extreme outlier) and 70496 ranks #76 of 12155 (99th percentile; extreme outlier), indicating the provider also reports unusually high volumes for CT angiographic imaging of the neck/head. These rankings, combined with the MR angiography positions (for example 70544 at the 99th percentile), point to a broad, high‑volume service line for vascular and neuro diagnostic studies.

    Not all billed services are outliers: certain CT codes and body studies are at typical or lower volumes — for example 70450 (CT head noncontrast) shows $11.9K revenue and ranks #5295 of 21092 (75th percentile; typical, unremarkable volume), while 74177 (CT abdomen/pelvis with contrast) is at $2.6K revenue and ranks #19081 of 23621 (19th percentile; typical, unremarkable volume). This contrast suggests concentrated specialization in neuro/head/neck imaging rather than a generalized high volume across all CT/MRI categories.

    Absence of Medicaid billing (none below) makes payer mix exposure concentrated on Medicare; with total Medicare revenue of $351.9K and no Medicaid revenue to offset, the provider is exposed to Medicare reimbursement changes and policy shifts affecting advanced imaging. Analysts should treat this profile as a Medicare‑centric practice when modeling revenue risk or contract negotiations.

    Service intensity and technical complexity are apparent beyond volume alone: the top codes carry notable average paid amounts per claim (e.g., 70553 at $116 avg paid/claim, 70551 at $69 avg paid/claim, 72148 at $73 avg paid/claim) and the provider also bills for 3D postprocessing (76377, $2.6K revenue). Together these data indicate not only high claim counts for neuro studies but reimbursement tied to technically complex imaging and postprocessing services.

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…760$120$87.7K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.710$70$49.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.520$70$37.6K
    70498The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's neck using computed tomographic scanning. Noncontrast images, if performed, are included in…390$70$26.7K
    70496The provider injects contrast material into a peripheral vein and images the blood vessels in the patient's head using computed tomographic scanning. Noncontrast images, if performed, are included in…310$70$21.7K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.250$70$16.5K
    70544The provider performs magnetic resonance angiography of the vessels of the head and surrounding areas. The provider does not use contrast.190$70$13.3K
    70543The provider obtains multi–sequence and multi–planar images of the orbits, face, and/or neck initially without the use of contrast and then injects contrast to see additional images and diagnose…90$140$12.3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.320$40$11.9K
    70491The provider uses computed tomography to examine the neck’s soft tissue structures. The provider administers contrast for this exam.130$70$8.4K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    72148135070$130$14.7K
    70553127060$170$14.5K
    7417756610100$100$14.4K
    70551134070$90$9.8K
    704506560190$30$9.3K
    712505762090$60$8.5K
    741765460070$80$8K
    72141126040$120$7K
    7054315020$240$5K
    712755252050$80$4.9K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Aultman HospitalOHGeneral Acute Care Hospital$0$58.1M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sonoran Radiology LtdAZVascular & Interventional Radiology Physician$0$33.4M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Southwest Diagnostic Imaging LLCAZDiagnostic Radiology Physician$0$23.8M
    St Paul Place Specialists, Inc.MDDermatology Physician$0$13.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Golden Years Care LLCNJAdult Day Care Clinic/Center$0$49.5M
    Centrastate Medical Center, IncNJGeneral Acute Care Hospital$0$47.4M
    Collaborative Support Program Of New Jersey, IncNJCommunity/Behavioral Health Agency$0$12.2M
    Community Care IncNJMental Health Clinic/Center (Including Community Mental Health Center)$0$11.3M
    Tender Smiles 4 Kids Of Monmouth, LLCNJPediatric Dentistry$0$9.5M
    Bhavesh BalarNJHematology & Oncology Physician$4.2M$0
    Hisham El-kadiNJRheumatology Physician$3M$0
    Elena NgNJOphthalmology Physician$2.4M$0
    Jeffrey SilberbergNJHematology & Oncology Physician$2M$0
    Karabi SinhaNJAnatomic Pathology & Clinical Pathology Physician$1.9M$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. New Jersey Distribution
    Neil Bansal — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey