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.

Anita Mani (NPI 1841457108)

Field	Value
Entity Type	Individual
Organization	Anita Mani
Address	535 E 70th St
City	New York
State	NY
ZIP	10021
Taxonomy	Surgical Physician Assistant
NPI Enumerated	May 22, 2008

Payer Source	Total Paid
Medicare	$166.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 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…	750	$60	$41.4K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	70	$410	$26.5K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	40	$560	$23.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	500	$50	$22.3K
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…	170	$70	$11.1K
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…	120	$80	$9.3K
J1030	Injection, methylprednisolone acetate, 40 mg	1,010	$10	$6.1K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	150	$30	$4K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	170	$20	$3.7K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	160	$20	$3.7K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Anita Mani — 5 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7327	44	120	40	$550	$32.7K
J7326	31	120	40	$400	$22K
99214	13,107	30,450	90	$100	$19K
99213	1,187	31,440	80	$70	$12.1K
20610	67	1,870	60	$60	$7K
99203	516	11,360	30	$90	$4.7K
99212	7,390	7,850	30	$40	$3.6K
20550	162	590	30	$50	$3.6K
20526	31	70	20	$80	$2.9K
73564	262	920	40	$30	$2.7K

Showing 1–10 of 21

Anita Mani — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References