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NPI 1992777866 · Brownsville, KY · Internal Medicine Physician
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Sanjay Kaul is a internal medicine physician provider located in Brownsville, Kentucky. This profile covers 24 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sanjay Kaul |
| Address | 104 Mohawk St |
| City | Brownsville |
| State | KY |
| ZIP | 42210 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | February 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $135.1K |
| Medicaid | $18.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 360 | $90 | $30.6K |
| 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… | 260 | $90 | $23.3K |
| 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… | 320 | $60 | $19.3K |
| 99213 | The 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… | 260 | $60 | $16.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 80 | $120 | $9.8K |
| 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 | $100 | $5.9K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 30 | $190 | $5.2K |
| 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… | 60 | $90 | $5K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 40 | $100 | $3.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 40 | $80 | $3.5K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 381 | 470 | 170 | $70 | $24.3K |
| 99233 | 322 | 1,800 | 80 | $90 | $14.1K |
| 99214 | 1,130 | 7,230 | 110 | $70 | $14.1K |
| 99232 | 495 | 2,860 | 100 | $60 | $11.6K |
| G0439 | 596 | 1,570 | 60 | $110 | $9.3K |
| 99213 | 1,083 | 7,250 | 80 | $50 | $7.7K |
| 99305 | 66 | 140 | 30 | $100 | $7.6K |
| 99239 | 489 | 1,010 | 50 | $80 | $7.1K |
| 99497 | 121 | 330 | 40 | $60 | $4.9K |
| 99222 | 497 | 2,070 | 30 | $90 | $4.5K |
Showing 1–10 of 24
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 590 | $30 | $17.2K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 10 | $100 | $1.2K |
| G0444 | Annual depression screening, 5 to 15 minutes | 50 | $1 | $50 |
| 1159F | No Summary found for this code | 60 | $0 | $0 |
| 3074F | No Summary found for this code | 20 | $0 | $0 |
| 3078F | No Summary found for this code | 20 | $0 | $0 |
| 3288F | No Summary found for this code | 10 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 1,950 | 3,340 | 1,020 | $30 | $296K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 241 | 260 | 50 | $80 | $22.3K |
| G0444 | Annual depression screening, 5 to 15 minutes | 60 | 90 | 80 | $1 | $1.3K |
| 3074F | No Summary found for this code | 299 | 320 | 510 | $1 | $20 |
| 3078F | No Summary found for this code | 286 | 310 | 470 | $1 | $10 |
| 1159F | No Summary found for this code | 206 | 250 | 710 | $1 | $1 |
| 3288F | No Summary found for this code | 48 | 50 | 80 | $1 | $1 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 90 | 100 | 280 | $1 | $1 |
Other providers in the same ZIP code as Sanjay Kaul, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Edmonson County Ambulance District | KY | Land Ambulance | $213.6K | $226.1K |
| Lorie Wardlow | KY | Adult Health Nurse Practitioner | $86.1K | $0 |
| Sherry Rudnick | KY | Family Nurse Practitioner | $4.1K | $0 |
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