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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

Devang Gandhi (NPI 1841254232)

Devang Gandhi is a pediatrics physician provider located in Milwaukee, Wisconsin. This profile covers 0 Medicare and 39 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	Devang Gandhi
Address	6030 W Capitol Dr
City	Milwaukee
State	WI
ZIP	53216
Taxonomy	Pediatrics Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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

39 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…	11,720	$50	$527.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,980	$60	$181.6K
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…	2,960	$60	$177.5K
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…	2,050	$80	$154K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,080	$60	$129K
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…	1,120	$100	$115.8K
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…	1,760	$60	$105.4K
3008F	No Summary found for this code	6,740	$10	$60.7K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	3,940	$10	$55.2K
99173	The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from…	1,900	$20	$34.2K

Showing 1–10 of 39

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

Devang Gandhi — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

39 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…	386	1,630	270	$40	$205.3K
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…	113	1,760	250	$40	$173.2K
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…	51	190	370	$60	$107.4K
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…	34	210	340	$60	$98.9K
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,…	177	690	160	$60	$90.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	21	200	200	$60	$64.2K
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…	69	440	90	$50	$41K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	13	150	110	$60	$38.6K
99204	The provider sees a new 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 provider…	247	330	110	$70	$37.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	42	80	220	$30	$29.1K

Showing 1–10 of 39

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Sinai Hospital Of Baltimore, Inc.	MD	General Acute Care Hospital	$0	$10.2M
Sinai Hospital Of Baltimore Inc	MD	Internal Medicine Physician	$0	$6.4M
Huzefa Bahrain	MD	Hematology & Oncology Physician	$2.1M	$0
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Jonathan Rogers	MD	Cardiovascular Disease Physician	$1.2M	$0
Martin Engelhardt	MD	Cardiovascular Disease Physician	$1.1M	$0
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Paresh Shah	MD	Clinical Cardiac Electrophysiology Physician	$836K	$0
Jeffrey Banker	MD	Cardiovascular Disease Physician	$683.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samir Mullick Md Sc	WI	Pediatrics Physician	$0	$11.4M
Planned Parenthood Of Wisconsin, Inc	WI	Ambulatory Family Planning Facility	$0	$10.6M
Trinity Home Health Care Inc.	WI	Home Health Agency	$0	$10.5M
Familia Dental Mkemidtown LLC	WI	General Practice Dentistry	$0	$7.4M
Milwaukee Dental Group Sc	WI	General Practice Dentistry	$0	$7.3M
Independent Physicians Of Wisconsin, LLC	WI	Internal Medicine Physician	$0	$6.9M
Ahmed Elhamady	WI	Dentist	$0	$5.4M
Children's Medical Group	WI	Pediatrics Physician	$0	$4.6M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Blake Dialysis LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M

Devang Gandhi — Billing Profile & Reimbursement Data

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Devang Gandhi — 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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