Active NPI 1801827977 Individual Practitioner Male Practitioner

Dr. Sanjay K Vora , MD

Internal Medicine • Marion, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Vora, MD is a certified Internal Medicine practicing in Marion, OH. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Vora delivers high-quality medical care to the local community at 1050 DELAWARE AVE.

Dr. Vora is affiliated with Marion Area Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1050 Delaware Ave

Marion, OH 433026416

Telephone 7403837940

Fax 7403750903

Associated Practice Facility / Clinic

🏢 Marion Ancillary Services, Llc Facility NPI 1093718231

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marion, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +8.8 yrs vs City Avg

City Avg: 31.2 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

27 Specialists

Practicing in Marion, OH (5516 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vora (40 Years) 40 Yrs

Marion Specialty Average (31.2 Years) 31.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	914	607	$18.00	$7.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	180	$187.00	$81.19
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	378	175	$31.00	$16.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$316.00	$16.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	158	90	$252.00	$100.97
G0008 Administration of influenza virus vaccine	79	78	$36.00	$30.41
90662 Influenza vaccine split virus, preservative free	78	78	$197.00	$81.44
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	17	$34.00	$15.67
83036 Hemoglobin A1C level	32	30	$27.00	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	13	$45.00	$13.89
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	20	$154.00	$49.16
99495 Transitional care management services for problem of at least moderate complexity	16	15	$309.00	$104.29
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$126.00	$71.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,099	1,247	$18.00	$7.99
J0897 Injection, denosumab, 1 mg	1,680	12	$41.00	$23.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	182	$187.00	$77.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	222	120	$252.00	$91.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$316.00	$41.64
G0008 Administration of influenza virus vaccine	95	95	$36.00	$29.36
90662 Influenza vaccine split virus, preservative free	94	94	$197.00	$71.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	14	$45.00	$13.56
83036 Hemoglobin A1C level	35	28	$27.00	$9.52
99495 Transitional care management services for problem of at least moderate complexity	25	19	$309.00	$88.11
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$126.00	$56.41
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$43.00	$13.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$104.00	$50.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,073	1,275	$18.00	$8.14
J0897 Injection, denosumab, 1 mg	1,200	12	$41.00	$21.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	453	191	$187.00	$75.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	291	145	$252.00	$88.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$316.00	$38.39
G0008 Administration of influenza virus vaccine	115	111	$36.00	$27.97
90662 Influenza vaccine split virus, preservative free	112	108	$197.00	$67.81
G0009 Administration of pneumococcal vaccine	48	48	$43.00	$28.13
93000 Routine ekg using at least 12 leads including interpretation and report	43	41	$43.00	$13.90
83036 Hemoglobin A1C level	43	39	$27.00	$9.30
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	42	42	$794.00	$279.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	17	$45.00	$13.86
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$126.00	$68.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	15	$104.00	$51.32
99496 Transitional care management services for problem of high complexity	19	14	$434.00	$93.52
99495 Transitional care management services for problem of at least moderate complexity	11	11	$309.00	$93.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,260	11	$41.00	$20.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	615	239	$187.00	$126.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	497	336	$18.00	$8.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$316.00	$129.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	142	94	$252.00	$178.17
G0008 Administration of influenza virus vaccine	111	111	$36.00	$16.19
90662 Influenza vaccine split virus, preservative free	110	110	$196.75	$65.18
99213 Established patient office or other outpatient visit, typically 15 minutes	66	48	$126.00	$89.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	13	$45.00	$13.80
G0009 Administration of pneumococcal vaccine	30	30	$43.00	$16.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	21	$104.00	$51.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$161.00	$125.92
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$181.47	$124.41
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$42.14	$14.51
99496 Transitional care management services for problem of high complexity	13	12	$434.00	$273.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$439.00	$166.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,500	14	$41.00	$19.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	794	540	$18.00	$8.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	612	263	$187.00	$106.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	193	193	$316.00	$113.14
G0008 Administration of influenza virus vaccine	134	129	$36.00	$15.93
90662 Influenza vaccine split virus, preservative free	125	120	$178.58	$60.59
99443 Telephone medical discussion with physician, 21-30 minutes	90	84	$185.96	$105.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	73	$252.00	$142.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	15	$45.00	$13.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	12	$79.00	$39.80
99442 Telephone medical discussion with physician, 11-20 minutes	34	34	$126.00	$73.11
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$126.00	$72.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$104.00	$52.16
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$39.88	$16.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,560	15	$41.00	$18.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	848	294	$187.00	$103.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	524	335	$18.00	$8.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$316.00	$110.00
G0008 Administration of influenza virus vaccine	144	140	$36.00	$15.75
90662 Influenza vaccine split virus, preservative free	133	131	$114.00	$54.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	132	106	$252.00	$140.00
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$126.00	$70.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	19	$45.00	$15.83
99496 Transitional care management services for problem of high complexity	40	36	$415.00	$221.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	14	$79.00	$39.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	25	$104.00	$50.93
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	18	$25.00	$13.84
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$39.00	$16.19
99495 Transitional care management services for problem of at least moderate complexity	21	20	$294.00	$152.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$439.00	$159.49
G0009 Administration of pneumococcal vaccine	11	11	$43.00	$15.75
90670 Pneumococcal vaccine for injection into muscle	11	11	$348.00	$207.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,680	18	$41.00	$17.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	923	294	$187.00	$102.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	547	366	$18.00	$8.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$316.00	$109.95
99213 Established patient office or other outpatient visit, typically 15 minutes	170	130	$126.00	$69.07
G0008 Administration of influenza virus vaccine	164	161	$36.00	$19.30
90662 Influenza vaccine split virus, preservative free	158	155	$114.00	$51.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	74	$252.00	$138.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	26	$45.00	$19.40
G0009 Administration of pneumococcal vaccine	50	50	$43.00	$19.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	46	15	$79.00	$39.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$161.00	$105.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	23	$104.00	$51.55
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$39.00	$15.71
90670 Pneumococcal vaccine for injection into muscle	19	19	$348.00	$193.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$439.00	$160.28
99496 Transitional care management services for problem of high complexity	14	14	$415.00	$223.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$25.00	$14.03
99495 Transitional care management services for problem of at least moderate complexity	12	11	$294.00	$157.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,440	16	$42.67	$16.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,001	650	$18.00	$8.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	846	309	$187.00	$101.95
99213 Established patient office or other outpatient visit, typically 15 minutes	364	213	$126.00	$69.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	289	289	$316.00	$108.22
G0009 Administration of pneumococcal vaccine	132	132	$43.00	$23.76
G0008 Administration of influenza virus vaccine	107	106	$36.00	$23.76
90662 Influenza vaccine split virus, preservative free	97	96	$113.99	$47.99
90670 Pneumococcal vaccine for injection into muscle	75	75	$348.00	$184.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	58	58	$161.00	$96.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	49	17	$79.00	$39.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	35	$252.00	$136.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	28	$104.00	$51.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	25	$45.00	$23.86
17000 Destruction of skin growth	23	19	$234.00	$63.50
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$39.00	$15.72
90471 Administration of 1 vaccine	13	12	$45.00	$22.20
99495 Transitional care management services for problem of at least moderate complexity	13	13	$294.00	$155.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$439.00	$159.18
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$18.65
99496 Transitional care management services for problem of high complexity	11	11	$415.00	$220.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.067832

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0108645 (OH)

Commercial Insurance / Payer ID Uhc

0402004 (OH)

Commercial Insurance / Payer ID Anthem

000000118386 (OH)

Hospital & Practice Group Affiliations

Marion Area Physicians Llc

921 E Franklin St, Kenton, OH 433262020

Phone: 8002826741

Marion Area Physicians Llc

1050 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

1130 Independence Ave, Marion, OH 433026318

Phone: 7403838591

Marion Area Physicians Llc

1138 Independence Ave, Marion, OH 433026318

Phone: 7403837953

Marion Area Physicians Llc

1040 Delaware Ave, Marion, OH 433026416

Phone: 7403837936

Marion Area Physicians Llc

278 Barks Rd W, Marion, OH 433027367

Phone: 7403837080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Debra Lester , NP

Nurse Practitioner

NPI 1013165679

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address October 02, 2018

Registered at L-3652, COLUMBUS, OH 432600001 (Tel: 7403837927)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Internal Medicine (License #35.067832 in OH)

✅

NPI Profile Active September 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2014

Registered at 1050 DELAWARE AVE, MARION, OH 433026416 (Tel: 7403837940)

📍

Updated Business Mailing Address September 30, 2014

Registered at L-3549, COLUMBUS, OH 432600001 (Tel: 7403837927)

👤

Provider Name / Credentials Updated September 30, 2014

Recorded as SANJAY VORA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2014

Internal Medicine (License #35067832V in OH)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801827977

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: December 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

L-3652

Columbus, OH 432600001

Phone: 7403837927

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.