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

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

Raghunandan Ghimire (NPI 1912375916)

Field	Value
Entity Type	Individual
Organization	Raghunandan Ghimire
Address	725 North St
City	Pittsfield
State	MA
ZIP	01201
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 8, 2015

Payer Source	Total Paid
Medicare	$141K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	930	$70	$60.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	380	$90	$36K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$140	$21K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$100	$14.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$110	$5.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	$70	$940

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Raghunandan Ghimire — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,134	4,170	70	$100	$12.6K
99232	80	5,400	70	$60	$9.3K
99223	308	4,430	30	$140	$7.6K
99239	10	2,020	40	$90	$7.1K
99222	753	3,420	30	$100	$4.5K
99231	790	1,830	40	$40	$3.5K
99238	870	1,180	20	$60	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Berkshire Medical Center, Inc	MA	General Acute Care Hospital	$0	$150M
Berkshire Medical Center, Inc	MA	Substance Abuse Rehabilitation Facility	$0	$15.4M
Berkshire Faculty Services Inc	MA	Multi-Specialty Clinic/Center	$0	$13.1M
St Agnes Healthcare Inc	MD	Internal Medicine Physician	$0	$11.5M
Seton Medical Group, Inc	MD	Internal Medicine Physician	$0	$5.9M
St. Agnes Healthcare, Inc.	MD	General Acute Care Hospital	$0	$5.4M
Nasser Nasseri-asl	MD	Specialist	$1.2M	$0
St. Agnes Healthcare, Inc.	MD	Clinical Medical Laboratory	$147.4K	$890.8K
Pareen Mehta	CA	Diagnostic Radiology Physician	$1M	$0
Richard Hudes	MD	Radiation Oncology Physician	$778.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusets	MA	Case Management Agency	$0	$275M
The Brien Center For Mental Health And Substance Abuse Services Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.7M
Elder Services Of Berkshire County Inc.	MA	Case Management Agency	$0	$35.9M
Hillcrest Educational Centers Inc	MA	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$21.6M
Berkshire County Arc, Inc.	MA	Foster Care Agency	$0	$19.8M
Ucp Of Western Massachusetts Inc	MA	Early Intervention Provider Agency	$0	$14.9M
Hospicecare In The Berkshires, Inc.	MA	Community Based Hospice Care Agency	$0	$13.8M
Alc Corp	MA	Addiction (Substance Use Disorder) Counselor	$0	$9.5M
Baroco Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$8.1M
Hillcrest Dental Care, Inc	MA	Dental Clinic/Center	$0	$7.9M

Raghunandan Ghimire — Billing Profile & Reimbursement Data

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Raghunandan Ghimire — 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