Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Karim Khanbhai (NPI 1780681767)

Karim Khanbhai is a pediatrics physician provider located in West Warwick, Rhode Island. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Karim Khanbhai
Address	37 Washington St
City	West Warwick
State	RI
ZIP	02893
Taxonomy	Pediatrics Physician
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	6,550	$70	$465.3K
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…	2,060	$110	$224.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,600	$100	$152K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,720	$30	$127.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,270	$90	$111.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,170	$100	$111.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	800	$110	$84.3K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	1,750	$30	$54.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	1,990	$10	$21.8K
99203	The provider sees a new 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 provider…	60	$120	$7.4K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Karim Khanbhai — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	169	1,730	220	$70	$75.2K
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…	60	2,050	300	$50	$72.3K
99203	The provider sees a new 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 provider…	188	350	80	$90	$40.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	16	190	160	$90	$39.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18	160	160	$80	$39K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	17	190	110	$90	$32K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	17	140	90	$90	$29.2K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	11	30	80	$90	$29K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	300	500	90	$50	$24.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7	240	440	$30	$22.5K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women & Infants Hospital Of Rhode Island	RI	General Acute Care Hospital	$0	$132.1M
Women And Infants Hospital	RI	General Acute Care Hospital	$0	$12.6M
Chelsy Caren	RI	Obstetrics & Gynecology Physician	$0	$2.3M
Emily White	RI	Obstetrics & Gynecology Physician	$0	$1.6M
Michael Sisitsky	RI	Obstetrics & Gynecology Physician	$0	$721.9K
Nicole Anderson	FL	Radiation Oncology Physician	$719.5K	$0
Tanya Booker	RI	Maternal & Fetal Medicine Physician	$0	$709.6K
Martin Keszler	RI	Neonatal-Perinatal Medicine Physician	$0	$704.1K
Carroll Medeiros	RI	Obstetrics & Gynecology Physician	$560	$604.5K
Amr Abdel Kader	RI	Obstetrics & Gynecology Physician	$3.1K	$599.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum Care Of Rhode Island, LLC	RI	Community Based Hospice Care Agency	$0	$25.2M
Danielle Murphy	RI	Dentist	$0	$4.2M
Spring Villa Inc.	RI	Assisted Living Facility	$0	$3.4M
Discovery House Utah	RI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.3M
Meaningful Outcomes LLC	RI	Behavior Analyst	$0	$3.2M
Meera Sharma	RI	General Practice Dentistry	$0	$1.8M
Yamila Cos	RI	General Practice Dentistry	$0	$1.7M
West Warwick Public Schools	RI	Local Education Agency (LEA)	$0	$1.6M
Beth Cleary	RI	Psychiatric/Mental Health Nurse Practitioner	$0	$1.5M
Town Of West Warwick Ri	RI	Land Ambulance	$265.6K	$883.1K

Karim Khanbhai — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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