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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Sanjay Garg (NPI 1891997458)

Field	Value
Entity Type	Individual
Organization	Sanjay Garg
Address	2125 Valleygate Dr Ste 201
City	Fayetteville
State	NC
ZIP	28304
Taxonomy	Rheumatology Physician
NPI Enumerated	June 4, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	13,450	$30	$457.3K
J3262	Injection, tocilizumab, 1 mg	67,640	$10	$338.2K
J9312	Injection, rituximab, 10 mg	4,100	$60	$246K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8,590	$30	$223.3K
J1602	Injection, golimumab, 1 mg, for intravenous use	10,200	$10	$112.2K
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…	1,040	$90	$93.4K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	2,860	$30	$85.8K
J0897	Injection, denosumab, 1 mg	3,960	$20	$67.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	700	$90	$65.2K
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…	400	$60	$25.4K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sanjay Garg — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	22	70	9,530	$30	$393.2K
J3262	12	40	37,160	$1	$224.8K
J9312	3	20	2,070	$60	$178.1K
J1602	42	70	11,900	$10	$175.9K
J1745	5	80	4,110	$30	$117.3K
Q5104	5	10	2,860	$30	$101.3K
J0897	110	430	2,100	$20	$63.9K
96413	8	280	90	$90	$15.8K
99214	234	18,060	110	$80	$15.1K
96401	11	80	120	$50	$9.5K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Regional Medical Center	NC	General Acute Care Hospital	$0	$28.8M
Cumberland County Hospital System Inc	NC	Internal Medicine Physician	$0	$8M
Bamdad Farhad	FL	Family Medicine Physician	$2M	$0
Daniel Kirby	NC	Rheumatology Physician	$387.6K	$0
Solomon Ghebregziabiher	NC	Internal Medicine Physician	$343.2K	$0
Manesh Thomas	NC	Interventional Cardiology Physician	$305.8K	$0
Sanjay Patel	NC	Cardiovascular Disease Physician	$288.8K	$0
Rajesh Khurana	NC	Family Medicine Physician	$220.7K	$60.4K
Shyamal Palit	NC	Nephrology Physician	$195.5K	$0
Xiuxian Zhu	NC	Cardiovascular Disease Physician	$195.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland County Hospital System Inc	NC	General Acute Care Hospital	$0	$75.8M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.8M
Valleygate Dental Surgery Center Of Fayetteville, LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.5M
Cfvhs Ed Physicians	NC	Emergency Medicine Physician	$0	$26.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$14.2M
Pediatric Developmental Therapy	NC	Speech-Language Pathologist	$0	$12.1M
Calvary Pediatrics	NC	Pediatrics Physician	$0	$7.8M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$7.6M
Chauncy Nelson	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.4M
Fayetteville Ambulatory Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$1.4M	$2.2M

Sanjay Garg — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References