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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Sumitra Agarwal (NPI 1972673812)

Field	Value
Entity Type	Individual
Organization	Sumitra Agarwal
Address	26 E Main St
City	Freehold
State	NJ
ZIP	07728
Taxonomy	General Practice Physician
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicare	$6.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	40	$130	$5.5K
92081	The 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 a limited…	50	$30	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Sumitra Agarwal — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92004	408	900	40	$110	$8K
92081	8	30	20	$30	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Years Care LLC	NJ	Adult Day Care Clinic/Center	$0	$49.5M
Centrastate Medical Center, Inc	NJ	General Acute Care Hospital	$0	$47.4M
Collaborative Support Program Of New Jersey, Inc	NJ	Community/Behavioral Health Agency	$0	$12.2M
Community Care Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
Tender Smiles 4 Kids Of Monmouth, LLC	NJ	Pediatric Dentistry	$0	$9.5M
Bhavesh Balar	NJ	Hematology & Oncology Physician	$4.2M	$0
Hisham El-kadi	NJ	Rheumatology Physician	$3M	$0
Elena Ng	NJ	Ophthalmology Physician	$2.4M	$0
Jeffrey Silberberg	NJ	Hematology & Oncology Physician	$2M	$0
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0

Sumitra Agarwal — Billing Profile & Reimbursement Data

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Sumitra Agarwal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References