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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Avan Raimalwala (NPI 1831590561)

Field	Value
Entity Type	Individual
Organization	Avan Raimalwala
Address	91 Gleneida Ave Ste A
City	Carmel
State	NY
ZIP	10512
Taxonomy	Physical Therapist
NPI Enumerated	September 12, 2014

Payer Source	Total Paid
Medicare	$166.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,060	$30	$55.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,860	$20	$40.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,550	$20	$26.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	1,040	$20	$17.6K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	220	$60	$13.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	120	$80	$9.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	130	$20	$2.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Avan Raimalwala — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,267	6,770	640	$20	$19.5K
97530	232	4,600	420	$30	$19.2K
97112	228	5,070	370	$20	$14.3K
97140	710	5,110	330	$20	$9.8K
97535	622	1,620	90	$20	$5K
97161	149	3,160	30	$80	$3.7K
97164	2	680	30	$60	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patricia Reynolds	MD	Physical Therapist	$38.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Gruendel	NY	Cardiovascular Disease Physician	$884.5K	$2.3K
Glenn Boyar	NY	Cardiovascular Disease Physician	$607.2K	$5.4K
Douglas Fauser	NY	Specialist	$591.6K	$0
Joel Buchalter	NY	Orthopaedic Surgery Physician	$484.6K	$0
Scott Levin	NY	Orthopaedic Surgery Physician	$466.6K	$0
Victor Khabie	NY	Specialist	$439.9K	$0
Stuart Styles	NY	Specialist	$396.1K	$0
Mitchell Rosen	NY	Pulmonary Disease Physician	$346.8K	$13.1K
Erich Braun	NY	Ophthalmology Physician	$284.3K	$520
Daniel Howard	NY	Sports Medicine (Orthopaedic Surgery) Physician	$262K	$0

Avan Raimalwala — Billing Profile & Reimbursement Data

Sign up for Avan Raimalwala — Billing Profile & Reimbursement Data policy alerts

Avan Raimalwala — Billing Profile & Reimbursement Data

Sign up for Avan Raimalwala — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References