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NPI 1740252295 · Middle Village, NY · Pulmonary Disease Physician
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Sunil Mehra is a pulmonary disease physician provider located in Middle Village, New York. This profile covers 28 Medicare and 16 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sunil Mehra |
| Address | 8404 Penelope Ave |
| City | Middle Village |
| State | NY |
| ZIP | 11379 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | February 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.1M |
| Medicare | $393.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 20,500 | $1 | $82K |
| 99214 | The 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… | 730 | $110 | $81.1K |
| 99213 | The 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 | $80 | $37K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 830 | $40 | $30K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 260 | $110 | $28.9K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 460 | $50 | $24.6K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 450 | $40 | $18.5K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 470 | $30 | $14.5K |
| 99204 | The provider sees a new 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 provider… | 100 | $150 | $14.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | $150 | $9.9K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,485 | 30,450 | 90 | $100 | $19K |
| 99233 | 1,447 | 8,640 | 80 | $100 | $15.8K |
| 99232 | 5,518 | 11,850 | 80 | $70 | $13.8K |
| 95923 | 117 | 180 | 40 | $110 | $12.1K |
| 99213 | 2,487 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 2,673 | 6,290 | 50 | $130 | $11.2K |
| 95924 | 23 | 50 | 40 | $140 | $10.7K |
| 95004 | 1 | 300 | 1,360 | $1 | $10.4K |
| 95921 | 82 | 120 | 50 | $80 | $10.2K |
| 93923 | 333 | 550 | 40 | $90 | $7.7K |
Showing 1–10 of 28
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 2,800 | $160 | $450.3K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 5,140 | $40 | $180K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 3,940 | $40 | $145.6K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 3,890 | $30 | $109K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 3,880 | $20 | $85.3K |
| 99214 | The 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… | 1,560 | $40 | $64.1K |
| 99213 | The 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… | 1,120 | $30 | $29.1K |
| 94200 | The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps… | 2,110 | $10 | $25.3K |
| 94664 | The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the… | 1,550 | $10 | $17K |
| 99204 | The provider sees a new 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 provider… | 160 | $60 | $10.5K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 6,350 | 19,110 | 360 | $70 | $321K |
| 99214 | The 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… | 2,987 | 16,550 | 220 | $90 | $186.8K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 25 | 410 | 150 | $190 | $151.6K |
| 99204 | The provider sees a new 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 provider… | 1,568 | 3,820 | 100 | $130 | $99.7K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 12 | 640 | 150 | $40 | $27.7K |
| 95924 | In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic… | 39 | 60 | 70 | $110 | $22.8K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 20 | 460 | 140 | $30 | $18.9K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 13 | 230 | 150 | $30 | $18.8K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 196 | 710 | 150 | $30 | $15.4K |
| 94016 | This procedure requires the patient to perform spirometry at a predetermined time each day. The recording is performed over a period of 30 days. This code represents the professional component of the… | 11 | 30 | 150 | $20 | $14.4K |
Showing 1–10 of 16
Other providers in the same ZIP code as Sunil Mehra, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Josef Schenker Md PC | NY | Internal Medicine Physician | $0 | $27.5M |
| Yehuda Kleinman | NY | Orthopaedic Surgery Physician | $364.7K | $726.8K |
| Nelli Bardanova | NY | Occupational Therapist | $525.2K | $99K |
| Kevork Boyadjian | NY | Internal Medicine Physician | $160.1K | $65.8K |
| Isabella Ilarda | NY | Dermatology Physician | $218.8K | $0 |
| Michael Galoyan | NY | Podiatrist | $123.6K | $0 |
| Paul Brody | NY | Dermatology Physician | $84.9K | $0 |
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