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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSandip Ghuge
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    Sandip Ghuge — Billing Profile & Reimbursement Data

    NPI 1770727083 · Rhinelander, WI · Hospitalist Physician

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    Sandip Ghuge is a hospitalist physician provider located in Rhinelander, Wisconsin. This profile covers 6 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
    OrganizationSandip Ghuge
    Address2251 N Shore Dr
    CityRhinelander
    StateWI
    ZIP54501
    TaxonomyHospitalist Physician
    NPI EnumeratedApril 30, 2009

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

    Payer SourceTotal Paid
    Medicare$37.4K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth170$140$23.2K
    G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth80$80$6.3K
    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$120$2.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$60$2.4K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…20$120$1.8K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…20$50$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9931019821080$100$15.4K
    G042711050$140$9.7K
    9930826129060$50$7.7K
    992322,2693,49060$60$7.2K
    992231,3832,08030$130$6.1K
    G040811050$80$3.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$15.6M
    Aspirus Merrill Hospital & Clinics, Inc.WICritical Access Hospital$0$11.1M
    Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.2M
    Aspirus Ironwood Hospital & Clinics, Inc.MICritical Access Hospital$0$9.3M
    Divine Savior Healthcare, Inc.WIGeneral Acute Care Hospital$0$9.1M
    Aspirus Iron River Hospital & Clinics, Inc.MICritical Access Hospital$0$5.8M
    Aspirus Stanley Hospital & Clinics, Inc.WICritical Access Hospital$0$4.8M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Aspirus Eagle River Hospital & Clinics, Inc.WICritical Access Hospital$0$3.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Human Service CenterWICase Management Agency$0$10M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$2.7M
    Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.WIGeneral Practice Physician$0$1.7M
    The Human Service CenterWICommunity/Behavioral Health Agency$0$1.5M
    Oneida CountyWIPreventive Medicine/Occupational Environmental Medicine Physician$240.2K$727.1K
    Robert AylesworthWIDermatology Physician$344.9K$0
    City Of RhinelanderWILand Ambulance$146.5K$171K
    Anthony RutkowskiWIDiagnostic Radiology Physician$117.2K$30
    Steven BrownWIDiagnostic Radiology Physician$96.8K$70
    Kent LowryWIOrthopaedic Surgery Physician$79.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Sandip Ghuge — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin