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

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

Nisali Gunawardane (NPI 1992106686)

Field	Value
Entity Type	Individual
Organization	Nisali Gunawardane
Address	755 N Broadway Ste 430
City	Sleepy Hollow
State	NY
ZIP	10591
Taxonomy	Neurology Physician
NPI Enumerated	September 12, 2014

Payer Source	Total Paid
Medicare	$142.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	180	$150	$27.5K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	60	$360	$23.2K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	90	$190	$17.3K
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…	120	$110	$12.7K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	60	$200	$11.6K
95708	The patient undergoes an unmonitored electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours. No video recording is made, and an EEG technologist reviews the…	60	$160	$9.3K
95719	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. No video is…	60	$150	$8K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$390	$7.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	90	$80	$7.3K
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…	60	$110	$6.7K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Nisali Gunawardane — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95720	76	150	100	$180	$21.3K
99214	18,685	30,450	90	$100	$19K
95816	112	320	40	$220	$17.3K
99233	3,439	8,640	80	$100	$15.8K
95819	118	170	30	$250	$14.1K
99232	6,878	11,850	80	$70	$13.8K
99215	729	8,280	40	$140	$10.1K
99204	6,239	14,170	30	$130	$6.6K
95700	5	50	20	$190	$6.2K
95708	5	30	30	$150	$5.3K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ent And Allergy Associates LLP	NY	Otolaryngology Physician	$0	$117.8M
Family Home Health Care Inc	NY	Home Health Agency	$0	$58.5M
Phelps Memorial Hospital Association	NY	General Acute Care Hospital	$0	$20.2M
Cameron Budenz	NY	Otology & Neurotology Physician	$110.7K	$11.3M
Bridge Dermatopathology Services PLLC	NY	Clinical Medical Laboratory	$4.3M	$762.7K
Brian Gruber	NY	Physician Assistant	$523.2K	$0
Jozef Debiec	NY	Interventional Pain Medicine Physician	$514K	$0
Robert Shirinov	NY	Surgery Physician	$390.4K	$52.9K
Joseph Castellano	NY	Ophthalmology Physician	$71.6K	$367.6K
Deya Jourdy	NY	Otolaryngology Physician	$402.6K	$2.2K

Nisali Gunawardane — Billing Profile & Reimbursement Data

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Nisali Gunawardane — 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