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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSanjiv Dalvi
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    Sanjiv Dalvi — Billing Profile & Reimbursement Data

    NPI 1881763944 · Fayetteville, NC · Internal Medicine Physician

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    Sanjiv Dalvi is a internal medicine physician provider located in Fayetteville, North Carolina. This profile covers 47 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSanjiv Dalvi
    Address5085 Morganton Rd
    CityFayetteville
    StateNC
    ZIP28314
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 6, 2006

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

    Payer SourceTotal Paid
    Medicare$235.4K
    Medicaid$0

    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.

    47 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…1,080$90$99.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…100$130$12.7K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…60$200$11.9K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…110$100$10.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$120$8.3K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…110$70$8.2K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes260$30$6.5K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…60$100$5.2K
    95923In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…60$90$5.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…40$130$4.8K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8632831030$40$526.4K
    93306606770210$80$19.3K
    9921421518,060110$80$15.1K
    G04391,8684,16060$120$10.5K
    994588290110$30$10K
    99483154060$160$8.8K
    96132498050$90$8.6K
    9945766150100$40$7.9K
    992151,1465,72040$110$7.7K
    9945487130110$40$7.5K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sumedha DalviNCInternal Medicine Physician$224.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Touch Of Grace IncNCDevelopmentally Disabled Services Day Training Agency$0$20.1M
    Matrix Occupational Health P.C.NCUrgent Care Clinic/Center$0$14M
    Daniel UbaNCInternal Medicine Physician$326.7K$76.7K
    Bradley BroussardNCOrthopaedic Surgery Physician$354.4K$0
    Edwin NewmanNCOrthopaedic Surgery Physician$288.4K$0
    James FlanaganNCOrthopaedic Surgery Physician$277.3K$0
    Judit CopeNCPhysical Medicine & Rehabilitation Physician$261.6K$0
    Jason LoweNCSports Medicine (Orthopaedic Surgery) Physician$156K$0
    Donna WienerNCClinical Psychologist$140.3K$0
    Ovie AppresaiNCSurgery Physician$34.7K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Sanjiv Dalvi — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina