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    OpenPayerNPI Medicare & MedicaidArchana Bansal
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    Archana Bansal — Billing Profile & Reimbursement Data

    NPI 1881663615 · Sierra Vista, AZ · Internal Medicine Physician

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    Archana Bansal is a internal medicine physician provider located in Sierra Vista, Arizona. This profile covers 10 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationArchana Bansal
    Address157 N Coronado Dr
    CitySierra Vista
    StateAZ
    ZIP85635
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 15, 2006

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

    Payer SourceTotal Paid
    Medicaid$229.1K
    Medicare$124K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…650$90$54.9K
    99213The 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…400$60$24.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$130$16.8K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.270$40$9.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…270$40$9.4K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…90$30$3K
    G0008Administration of influenza virus vaccine90$30$2.8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$160$2.1K
    99204The 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…20$80$1.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.10$40$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921494510,410120$80$20.6K
    9945462210110$40$12.7K
    G04395912,36060$120$12.3K
    9945768240110$40$10.9K
    992139899,60080$60$9.6K
    992044,9055,79040$110$6.7K
    G00085932,14040$30$2.6K
    G040215025010$150$2.5K
    6921033637030$30$1.8K
    9067466020$30$1.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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$70$139.6K
    99213The 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…1,780$50$83.8K
    0011AN/A40$40$1.5K
    0012AN/A40$40$1.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.50$20$1.2K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.10$100$1.2K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…60$20$1.1K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.30$10$310

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arizona median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…1,0123,040750$50$343.9K
    99213The 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…9002,780600$50$267K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.271290100$50$28.9K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.450630160$10$12K
    0012AN/A12320050$20$3.7K
    0011AN/A12923050$10$3.3K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…448060$10$2.5K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.21328070$1$1.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rchp-sierra Vista IncAZGeneral Acute Care Hospital$0$29.8M
    Sound Physicians Emergency Medicine Of Arizona, Inc.AZEmergency Medicine Physician$0$20.8M
    Chiricahua Community Health Centers, IncAZFederally Qualified Health Center (FQHC)$0$19M
    Cogent Healthcare Of Arizona PCAZInternal Medicine Physician$0$15.3M
    Chiricahua Community Health Centers, IncAZFederally Qualified Health Center (FQHC)$0$15.1M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$9.6M
    American Medical Response Of Cochise County LLCAZLand Ambulance$634.6K$6.1M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$58.8K$5.8M
    Hemant SindhuAZHematology & Oncology Physician$5.4M$67.3K
    City Of Sierra VistaAZLand Ambulance$731.6K$4.2M

    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. Arizona Distribution
    Archana Bansal — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Archana Bansal — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona