SANJAY KAVATHIA, M.D.
Internal Medicine Physician · HACKETTSTOWN, NJ
Individual Active NPI 1124078142
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 439 | 5,501 | $683,200 | $589,617 | $456,008 |
| 2023 | 486 | 6,505 | $706,993 | $640,423 | $500,336 |
| 2022 | 490 | 7,255 | $733,337 | $700,475 | $545,614 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 771 | $140 | $100 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 488 | $116 | $83 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 394 | $125 | $99 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 390 | $51 | $39 |
| 36415 | Insertion of needle into vein for collection of blood sample | 297 | $3 | $3 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 270 | $80 | $64 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 246 | $136 | $99 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 225 | $197 | $143 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 218 | $18 | $14 |
| 99497 | Advance care planning, first 30 minutes | 217 | $88 | $73 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 189 | $142 | $142 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 166 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 25MA07267000 | NJ |
| Internal Medicine Physician | 207R00000X | MA072670 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.