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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanjivan Kohli
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    Sanjivan Kohli — Billing Profile & Reimbursement Data

    NPI 1801129663 · San Juan Capistrano, CA · Pulmonary Disease Physician

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    Sanjivan Kohli is a pulmonary disease physician provider located in San Juan Capistrano, California. This profile covers 29 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
    OrganizationSanjivan Kohli
    Address30230 Rancho Viejo Rd
    CitySan Juan Capistrano
    StateCA
    ZIP92675
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 11, 2009

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

    Payer SourceTotal Paid
    Medicare$504.4K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…720$130$93.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…450$180$79.4K
    99233The 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…610$100$62.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…410$150$61K
    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…740$70$47.9K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…1,760$30$45.7K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…140$150$21.6K
    99292Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…210$90$18.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$190$11.4K
    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…70$150$10.5K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993107184090$120$31.2K
    992331,10211,530120$100$26.2K
    9921423,21737,970120$90$23.2K
    992912377,22060$180$18.6K
    993062991,32060$150$15.5K
    9921571915,36050$130$14.4K
    992234,43613,19050$140$11.3K
    99497502,56050$70$8K
    992051,6768,36030$170$7.2K
    94762173040$20$6.4K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of California IrvineCAGeneral Acute Care Hospital$0$153.1M
    Guthrie Medical Group, P.C.PAGeneral Practice Physician$0$82.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Aaron JengCAInternal Medicine Physician$43.2M$0
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$40M
    Inpatient Specialists Of California, PCCAInternal Medicine Physician$0$32.9M
    Richard ParkCAInternal Medicine Physician$31.7M$0
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    University Of California IrvineCAFederally Qualified Health Center (FQHC)$0$27M
    Ravindra GautamCAInternal Medicine Physician$13M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics Nichols InstituteCAClinical Medical Laboratory$5.6M$39.9M
    Camino Health CenterCACommunity Health Clinic/Center$0$29.7M
    Pmdtc, LLCCAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.3M$2.6M
    Maria Theresa BaylonCAPhysical Therapist$848.7K$0
    William ChangCAPulmonary Disease Physician$389.1K$426K
    Alerra, LLCCAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$398.3K$290K
    Yen-hui SoongCAPulmonary Disease Physician$365.5K$0
    Ralf ReulandCAFamily Medicine Physician$151.8K$0
    Eric LooCAAnatomic Pathology & Clinical Pathology Physician$27K$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. California Distribution
    Sanjivan Kohli — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California