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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRohit Panchal
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    Rohit Panchal — Billing Profile & Reimbursement Data

    NPI 1932178688 · Woodstock, GA · Pulmonary Disease Physician

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    Rohit Panchal is a pulmonary disease physician provider located in Woodstock, Georgia. This profile covers 16 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
    OrganizationRohit Panchal
    Address900 Towne Lake Pkwy Ste 206
    CityWoodstock
    StateGA
    ZIP30189
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMarch 15, 2006

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

    Payer SourceTotal Paid
    Medicare$49.1K
    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.

    16 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…110$90$10.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$170$7.4K
    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…50$130$6.3K
    99233The 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…60$90$5.7K
    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…70$70$4.7K
    99232The 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…40$60$2.4K
    99223The 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…10$140$1.6K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.40$40$1.5K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…70$20$1.4K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…30$40$1.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,18213,640120$80$17.8K
    992332,2623,88090$90$13.9K
    992323,6565,01080$60$10.9K
    95811839040$250$10.6K
    992911,0672,22040$160$10.3K
    958108911030$250$9.4K
    992137,30013,36080$60$9.2K
    992233,7143,98040$130$8.1K
    992042,3687,26030$110$5.1K
    992222,5273,08030$100$3.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adraine CoxMSNurse Practitioner$1.2M$0
    Steven LobelGAInterventional Pain Medicine Physician$438.3K$0
    Craig RosebrockGAPulmonary Disease Physician$270.2K$0
    Chuansheng WuGAPulmonary Disease Physician$261.8K$0
    Gizelle StevensALCritical Care Medicine (Internal Medicine) Physician$255K$0
    Usha NayakGACritical Care Medicine (Internal Medicine) Physician$234.5K$0
    Henry BolerMSInternal Medicine Physician$234.3K$0
    Matthew MccallGAInfectious Disease Physician$204.7K$0
    Rani KumaranGAPulmonary Disease Physician$197.2K$0
    Michael BaughGANeurology Physician$191.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinnacle Orthopaedics Surgery Center Woodstock, LLCGAAmbulatory Surgical Clinic/Center$1.5M$0
    Paragkumar PatelGADentist$0$974.5K
    Richard ArasiGASpecialist$883.1K$0
    Vicky BryanGANurse Practitioner$834.6K$0
    Woodstock Endoscopy CenterGAEndoscopy Clinic/Center$595.7K$0
    Samson Pain Center PCGAAmbulatory Surgical Clinic/Center$561.2K$0
    Jihyun KooGASpecialist$485.4K$0
    Richard ManriqueGAGeneral Practice Physician$475.4K$0
    Apurva ShahGACardiovascular Disease Physician$366.7K$0
    James EllnerGAInterventional Pain Medicine Physician$349.1K$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.

    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. Georgia Distribution
    Rohit Panchal — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia