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

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

Sanam Loghavi (NPI 1871802199)

Field	Value
Entity Type	Individual
Organization	Sanam Loghavi
Address	1515 Holcombe Blvd
City	Houston
State	TX
ZIP	77030
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	October 4, 2010

Payer Source	Total Paid
Medicare	$50.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0452	Molecular pathology procedure; physician interpretation and report	760	$40	$28.2K
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	140	$70	$9.4K
88188	The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.	80	$50	$3.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	80	$30	$2.3K
88187	The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.	70	$30	$2.1K
85097	The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.	40	$40	$1.6K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	90	$10	$850
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	20	$30	$540
88291	A qualified provider, typically a pathologist, submits an interpretation and report of cytogenetic and molecular cytogenetic testing commonly performed by lab analysts.	20	$30	$520
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	20	$20	$460

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Sanam Loghavi — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	976	1,120	400	$40	$51.6K
G0452	9	50	280	$40	$19.7K
88189	45	150	70	$60	$9.4K
88342	844	910	100	$50	$8.9K
88341	808	810	180	$30	$8.9K
88313	251	550	80	$40	$6.7K
88291	16	20	70	$30	$4.5K
85097	84	180	40	$40	$2.9K
88188	14	60	30	$50	$2.2K
88187	8	40	30	$30	$1.2K

Showing 1–10 of 11

Sanam Loghavi — Billing Profile & Reimbursement Data

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Sanam Loghavi — 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