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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRavneet Girn
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    Ravneet Girn — Billing Profile & Reimbursement Data

    NPI 1770216210 · Niagara Falls, XX · Family Nurse Practitioner

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    Ravneet Girn is a family nurse practitioner provider located in Niagara Falls, Unspecified Location. This profile covers 3 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRavneet Girn
    Address8324 Mulberry Drive
    CityNiagara Falls
    StateXX (Unspecified Location)
    ZIPL2H0K
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 1, 2022

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

    Payer SourceTotal Paid
    Medicare$4.9K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is very small in dollar terms: total Medicare revenue is $4.9K and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the data available. The lack of any Medicaid claims means analyses of dual-payer mix or Medicaid-facing service lines are not supported by the record.

    Revenue is highly concentrated in three CPT/HCPCS codes: the precomputed top 3 codes (99442, 99213, 99497) account for 100.0% of this provider's total Medicare revenue. Such concentration indicates that a very small set of services drives all reported Medicare receipts and that changes to utilization or reimbursement for any of these codes would materially affect reported revenue.

    The single largest reported Medicare code is 99442 (50 claims, $52 avg paid/claim, $2.6K revenue; 53.4% of this provider's total Medicare revenue). The file lists no description for 99442, so while it dominates revenue, the record does not include a supporting definition here; that gap limits precise interpretation of whether this reflects telephonic/remote services or another specific service modality.

    Office-based evaluation-and-management is the next major component: 99213 appears with 29 claims, $49 avg paid/claim and $1.4K revenue, representing 29.2% of Medicare revenue. The included description identifies 99213 as an established patient outpatient visit with low-level medical decision making or ~20 minutes of total time, which is consistent with routine primary care or chronic-condition follow-up encounters.

    Advance care planning is a measurable part of the mix: 99497 (18 claims, $47 avg paid/claim, $846 revenue; 17.4% of Medicare revenue) is reported and described as the first 30 minutes of face-to-face advance care planning. The presence of 99497 at material share suggests the provider spends identifiable time on goals-of-care or advance-directive discussions in face-to-face encounters.

    Competitive standing by code is modest rather than dominant. For 99442 the provider ranks #4459 of 21242 nationally (78th percentile; typical, unremarkable volume for this code), while for 99213 the rank is #355844 of 457151 (21th percentile; typical, unremarkable volume for this code) and for 99497 the rank is #21590 of 27157 (18th percentile; typical, unremarkable volume for this code). These percentiles indicate somewhat higher relative volume on 99442 but generally routine, non-outlier participation across the three codes.

    Unit reimbursement levels reported are low-to-modest across the top codes (avg paid/claim: $52 for 99442, $49 for 99213, $47 for 99497), which combined with small claim volumes yields the overall $4.9K Medicare revenue figure. This profile is consistent with a low‑volume ambulatory practice or a narrow service footprint in the Medicare population.

    NPI tenure is recent: the provider was enumerated on 2022-07-01 (~4 years ago). Given the short enrollment window and the low lifetime Medicare revenue reported, the dataset is consistent with a relatively new or low-intensity Medicare billing relationship rather than an established, high-volume Medicare practice.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99442N/A50$50$2.6K
    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…30$50$1.4K
    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…20$50$850

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131010140$60$18.8K
    99497110230$50$12.5K
    9944221010$50$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adam PlotkinFLDermatology Physician$1.2M$0
    Donna ReeseVAPrimary Care Nurse Practitioner$134.7K$13.3K
    Qamrunnisa RahmanNYFamily Medicine Physician$45.9K$54.3K
    Jessica NotteNYAdult Health Nurse Practitioner$43.6K$7.2K
    Gary WangNYPhysical Medicine & Rehabilitation Physician$20.3K$8.4K

    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. Unspecified Location Distribution
    Ravneet Girn — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location