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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNisha Kheradiya
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    Nisha Kheradiya — Billing Profile & Reimbursement Data

    NPI 1891937819 · Anderson, IN · Ophthalmology Physician

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    Nisha Kheradiya is a ophthalmology physician provider located in Anderson, Indiana. This profile covers 14 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
    OrganizationNisha Kheradiya
    Address1931 Brown St
    CityAnderson
    StateIN
    ZIP46016
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 6, 2009

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

    Payer SourceTotal Paid
    Medicare$60.4K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$60$11.2K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.110$90$9.3K
    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…110$80$8.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…20$380$8K
    J7999Compounded drug, not otherwise classified190$40$7K
    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…70$90$6.1K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.200$30$5.5K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…40$40$1.7K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…50$20$1.1K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…20$30$670

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698439945050$480$87.5K
    670286580550$80$78.6K
    992145,23810,540110$80$15.5K
    992132,16510,82080$50$7.6K
    92136153160190$20$7.1K
    9213411766060$30$6K
    992049814,69030$100$4.9K
    J799911080$40$3.9K
    992033,0513,49030$70$3.1K
    9208330064040$40$3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Vincent Medical Group, Inc.INOrthopaedic Surgery Physician$0$70.4M
    Bryan HainlineINOphthalmology Physician$3.7M$0
    Bruce WallerINCardiovascular Disease Physician$540.1K$0
    Michael HopenINOphthalmology Physician$347.8K$0
    Christopher PowersINCardiovascular Disease Physician$124.8K$157.5K
    David HeimansohnINThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$258.9K$0
    Tony NasserINCardiovascular Disease Physician$217.5K$28.2K
    Danielle CampbellINVascular Surgery Physician$223.2K$0
    Sam HansenINCardiovascular Disease Physician$208.2K$0
    Peter WaltsINThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$204.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Vincent Anderson Regional Hospital, Inc.INGeneral Acute Care Hospital$0$23.7M
    Cj's Homecare Inc.INHome Health Agency$0$11.6M
    Phoenix Community ServicesINDevelopmentally Disabled Services Day Training Agency$0$9.1M
    City Of AndersonINLand Ambulance$608.6K$5.2M
    Meridian Health Services CorpINFederally Qualified Health Center (FQHC)$0$5.8M
    Aspire Indiana Health Inc.INFederally Qualified Health Center (FQHC)$0$4.9M
    St. Vincent Anderson Regional Hospital, Inc.INPsychiatry Physician$0$3.5M
    At Home Senior Care Services, L.L.C.INHome Health Agency$0$2.5M
    Minati SwoffordINDermatology Physician$248.4K$0
    Henry JonesINDiagnostic Radiology Physician$209.9K$290

    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. Indiana Distribution
    Nisha Kheradiya — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana