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    OpenPayerNPI Medicare & MedicaidAmit Nautiyal
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    Amit Nautiyal — Billing Profile & Reimbursement Data

    NPI 1932266590 · Madison, WI · Internal Medicine Physician

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    Amit Nautiyal is a internal medicine physician provider located in Madison, Wisconsin. This profile covers 7 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAmit Nautiyal
    Address600 Highland Ave
    CityMadison
    StateWI
    ZIP53792
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$126.4K
    Medicaid$4.6K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$160$97.2K
    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…90$130$11.8K
    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…100$60$6K
    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…50$90$4.2K
    99292Critical 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…30$80$2.6K
    99239The 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…30$90$2.5K
    99238The 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…30$60$2K

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,2002,11060$90$8.7K
    9929111,18040$160$8.5K
    992321,2473,49060$60$7.2K
    992232672,08030$130$6.1K
    992399021,36040$80$5K
    99292318030$80$3.1K
    9923818763020$60$1.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$30$4.3K
    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…20$10$190

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…168170240$20$68.9K
    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…52120120$60$56.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albany Medical Center HospitalNYGeneral Acute Care Hospital$0$79.8M
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Chad BouchardNYRetina Specialist (Ophthalmology) Physician$3.1M$0
    Jonathan HuzNYRetina Specialist (Ophthalmology) Physician$1.9M$40.1K
    Naomi FalkNYRetina Specialist (Ophthalmology) Physician$1.6M$9.5K
    Pawan BhatnagarNYRetina Specialist (Ophthalmology) Physician$1.5M$16.4K
    Manish MehtaNYVascular Surgery Physician$1.4M$320
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Pareen MehtaCADiagnostic Radiology Physician$1M$0
    Moustafa ElsheshtawyNYInterventional Cardiology Physician$868.4K$20.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    David LewisWIOphthalmology Physician$1.4M$0
    Jagroop BasraonWIClinical Cardiac Electrophysiology Physician$1.1M$0
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Rakesh MandalWIClinical Pathology/Laboratory Medicine Physician$67.1K$547.9K
    Daniel Guerra RodasWINephrology Physician$147.6K$462.1K
    Ali PirastehWIDiagnostic Radiology Physician$498.3K$0
    Robert HegemanWIMedical Oncology Physician$393.7K$0
    Michael ChristopherWIDermatology Physician$386K$0
    Mark MounajjedWIInfectious Disease Physician$381.5K$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. Wisconsin Distribution
    Amit Nautiyal — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Amit Nautiyal — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin