Active NPI 1285618579 Individual Practitioner Male Practitioner

Dr. Rajesh Agarwal , MD

Specialist • Mayfield Heights, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rajesh Agarwal, MD is a certified Specialist practicing in Mayfield Heights, OH. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Agarwal delivers high-quality medical care to the local community at 6770 MAYFIELD RD.

Dr. Agarwal is affiliated with Rajesh Agarwal Md, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, principal care management services for a single high-risk disease. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6770 Mayfield Rd
Suite 425

Mayfield Heights, OH 441242299

Telephone 4403129041

Fax 4408823953

Associated Practice Facility / Clinic

🏢 James P Guerrieri Md Inc Facility NPI 1427154269

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mayfield Heights, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +1.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 37.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Mayfield Heights, OH (1444 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

23.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (31 Years) 31 Yrs

Mayfield Heights Specialty Average (29.5 Years) 29.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,393	534	$105.00	$74.50
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	795	86	$50.06	$36.52
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	784	78	$55.07	$43.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	751	343	$75.00	$70.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	504	414	$225.00	$163.60
99306 Initial nursing facility visit, typically 45 minutes per day	491	400	$200.00	$172.37
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	419	80	$75.00	$57.17
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	405	86	$55.00	$45.06
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	405	290	$75.37	$50.12
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	381	80	$75.00	$41.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	302	125	$65.00	$47.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	161	$155.00	$119.56
99497 Advance care planning, first 30 minutes	207	207	$100.00	$77.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$152.00	$122.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	189	163	$175.00	$123.50
99441 Telephone medical discussion with physician, 5-10 minutes	186	114	$60.00	$51.49
99239 Hospital discharge day management, more than 30 minutes	172	161	$155.00	$107.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	151	75	$50.00	$38.02
99213 Established patient office or other outpatient visit, typically 15 minutes	149	108	$115.00	$84.99
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	130	102	$20.00	$15.58
G0008 Administration of influenza virus vaccine	94	93	$35.00	$30.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	18	$30.00	$13.34
99442 Telephone medical discussion with physician, 11-20 minutes	78	53	$95.00	$83.70
91320 Sarscv2 vac 30mcg trs-suc im	70	70	$175.00	$152.78
90480 Admn sarscov2 vacc 1 dose	70	70	$50.00	$40.52
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	69	68	$25.00	$17.61
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	67	19	$5.00	$1.29
83036 Hemoglobin A1C level	50	35	$25.00	$9.52
90658 Influenza vaccine, trivalent, 0.5 ml dosage	47	47	$30.00	$21.42
90653 Vaccine for influenza for injection into muscle	43	43	$95.00	$81.82
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	39	36	$150.00	$98.59
99495 Transitional care management services for problem of at least moderate complexity	37	35	$300.00	$192.40
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$150.00	$78.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$170.00	$155.62
99238 Hospital discharge day management, 30 minutes or less	16	16	$105.00	$76.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	13	$150.00	$106.19
99496 Transitional care management services for problem of high complexity	14	13	$300.00	$262.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$125.00	$98.92
82270 Stool analysis for blood to screen for colon tumors	12	12	$5.00	$4.29
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$350.00	$289.57
G0009 Administration of pneumococcal vaccine	11	11	$35.00	$30.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,124	485	$105.00	$77.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,049	341	$75.00	$72.54
99306 Initial nursing facility visit, typically 45 minutes per day	547	454	$200.00	$177.97
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	415	301	$75.00	$50.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	373	335	$225.00	$170.30
99213 Established patient office or other outpatient visit, typically 15 minutes	333	187	$115.00	$87.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	284	284	$152.00	$125.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	243	101	$65.00	$49.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	237	206	$175.00	$127.67
99497 Advance care planning, first 30 minutes	217	216	$92.74	$76.43
99441 Telephone medical discussion with physician, 5-10 minutes	210	149	$60.00	$53.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	166	70	$50.00	$38.54
99239 Hospital discharge day management, more than 30 minutes	164	158	$155.00	$112.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	126	$155.00	$121.72
99442 Telephone medical discussion with physician, 11-20 minutes	146	104	$95.00	$86.93
G0008 Administration of influenza virus vaccine	106	103	$34.86	$29.27
83036 Hemoglobin A1C level	105	59	$25.00	$9.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	26	$30.00	$13.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	23	$4.86	$1.49
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	60	60	$86.58	$74.96
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	57	22	$55.00	$45.82
99495 Transitional care management services for problem of at least moderate complexity	53	47	$300.00	$195.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	49	49	$80.00	$74.58
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	48	47	$25.00	$20.44
82947 Blood glucose (sugar) level	44	28	$10.00	$3.76
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	37	15	$55.00	$45.80
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	34	32	$150.00	$101.77
99238 Hospital discharge day management, 30 minutes or less	23	21	$105.00	$79.09
G0009 Administration of pneumococcal vaccine	21	21	$33.10	$28.43
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$350.00	$280.95
99496 Transitional care management services for problem of high complexity	20	19	$300.00	$254.84
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$150.00	$82.00
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	19	15	$75.00	$59.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$150.00	$117.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$124.00	$108.79
82270 Stool analysis for blood to screen for colon tumors	11	11	$5.00	$4.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$170.00	$161.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,053	284	$75.00	$67.08
99306 Initial nursing facility visit, typically 45 minutes per day	630	482	$200.00	$161.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	607	314	$102.99	$70.17
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	401	289	$75.00	$51.47
99442 Telephone medical discussion with physician, 11-20 minutes	340	186	$95.00	$87.36
99213 Established patient office or other outpatient visit, typically 15 minutes	331	183	$100.50	$88.22
99441 Telephone medical discussion with physician, 5-10 minutes	264	177	$60.00	$53.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	256	256	$152.00	$128.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	156	$142.62	$120.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	216	190	$225.00	$194.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	195	168	$172.56	$133.14
99497 Advance care planning, first 30 minutes	194	193	$100.00	$82.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	184	72	$50.00	$42.66
G0008 Administration of influenza virus vaccine	148	147	$20.10	$19.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	123	31	$30.00	$13.32
83036 Hemoglobin A1C level	121	57	$24.88	$9.23
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	113	112	$25.00	$20.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	97	26	$5.00	$1.68
99239 Hospital discharge day management, more than 30 minutes	96	91	$150.00	$102.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	57	$63.44	$38.17
82947 Blood glucose (sugar) level	70	36	$10.00	$3.73
99495 Transitional care management services for problem of at least moderate complexity	64	53	$286.33	$198.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	46	$147.22	$99.37
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	52	38	$150.00	$104.10
99219 Hospital observation care, typically 50 minutes	44	42	$150.00	$128.16
G0009 Administration of pneumococcal vaccine	42	42	$25.00	$23.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	40	40	$75.00	$66.74
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	39	39	$324.36	$270.99
99217 Hospital observation care on day of discharge	30	29	$100.00	$67.07
82270 Stool analysis for blood to screen for colon tumors	30	30	$5.00	$4.32
99220 Hospital observation care, typically 70 minutes	25	23	$200.00	$176.03
99225 Subsequent observation care, typically 25 minutes per day	25	22	$80.00	$70.06
99496 Transitional care management services for problem of high complexity	23	23	$285.87	$247.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$182.00	$164.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	11	$67.06	$54.09
99238 Hospital discharge day management, 30 minutes or less	15	15	$103.33	$65.48
99335 Established patient assisted living visit, typically 25 minutes	13	13	$100.00	$93.09
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$135.00	$125.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$180.00	$164.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,128	416	$75.00	$67.84
99306 Initial nursing facility visit, typically 45 minutes per day	673	563	$199.78	$163.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	477	271	$85.00	$71.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	460	255	$130.00	$124.40
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	401	266	$75.00	$51.59
99213 Established patient office or other outpatient visit, typically 15 minutes	378	195	$95.00	$88.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	288	167	$60.00	$54.21
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	239	126	$50.00	$43.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	213	184	$150.00	$134.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	207	207	$149.80	$129.86
83036 Hemoglobin A1C level	199	101	$25.00	$9.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	165	153	$225.00	$196.19
G0008 Administration of influenza virus vaccine	155	155	$20.00	$16.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	151	43	$30.00	$13.13
99442 Telephone medical discussion with physician, 11-20 minutes	136	101	$94.85	$89.52
99441 Telephone medical discussion with physician, 5-10 minutes	129	104	$59.84	$53.84
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	125	15	$90.00	$58.28
82947 Blood glucose (sugar) level	123	56	$10.00	$3.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	122	40	$5.00	$1.98
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	110	15	$75.00	$49.09
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	107	107	$25.00	$19.53
99239 Hospital discharge day management, more than 30 minutes	96	91	$125.00	$104.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	45	$50.00	$38.05
99495 Transitional care management services for problem of at least moderate complexity	74	62	$246.62	$201.36
99497 Advance care planning, first 30 minutes	61	60	$100.00	$77.63
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	59	39	$20.00	$14.72
99315 Nursing facility discharge day management, 30 minutes or less	56	53	$165.00	$71.76
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	53	53	$75.00	$66.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	39	$125.00	$102.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	35	$150.00	$127.54
82270 Stool analysis for blood to screen for colon tumors	35	35	$5.00	$4.25
99497 Advance care planning, first 30 minutes	33	33	$100.00	$84.38
99496 Transitional care management services for problem of high complexity	32	30	$271.88	$270.24
99219 Hospital observation care, typically 50 minutes	29	24	$150.00	$133.14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$170.00	$158.22
99217 Hospital observation care on day of discharge	22	22	$100.00	$71.11
99238 Hospital discharge day management, 30 minutes or less	20	19	$80.00	$71.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$180.00	$166.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	15	$140.00	$89.37
99220 Hospital observation care, typically 70 minutes	15	15	$200.00	$180.14
99225 Subsequent observation care, typically 25 minutes per day	15	14	$80.00	$71.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,845	593	$75.00	$68.88
99306 Initial nursing facility visit, typically 45 minutes per day	905	767	$200.00	$166.91
99213 Established patient office or other outpatient visit, typically 15 minutes	632	264	$83.11	$72.84
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	540	378	$75.00	$52.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	236	$130.00	$104.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	285	181	$85.00	$72.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$122.04	$113.35
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	220	29	$90.00	$57.60
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	217	30	$75.00	$49.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	196	136	$50.00	$43.78
99497 Advance care planning, first 30 minutes	193	187	$100.00	$85.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	189	175	$225.00	$203.56
83036 Hemoglobin A1C level	157	92	$25.00	$9.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	155	141	$150.00	$138.41
G0008 Administration of influenza virus vaccine	139	135	$20.00	$16.04
82947 Blood glucose (sugar) level	130	72	$10.00	$3.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	124	38	$30.00	$13.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	116	115	$25.00	$18.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	106	34	$5.00	$1.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	101	87	$150.00	$129.46
99497 Advance care planning, first 30 minutes	96	91	$100.00	$79.45
99315 Nursing facility discharge day management, 30 minutes or less	77	75	$165.00	$73.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	65	$50.06	$40.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	72	31	$60.00	$40.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	34	$50.00	$39.41
82270 Stool analysis for blood to screen for colon tumors	56	56	$5.00	$4.12
99495 Transitional care management services for problem of at least moderate complexity	51	44	$200.00	$181.12
99239 Hospital discharge day management, more than 30 minutes	45	43	$125.00	$107.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	37	$125.00	$104.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	34	$140.00	$90.71
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	36	36	$75.00	$61.00
99219 Hospital observation care, typically 50 minutes	34	33	$150.00	$135.98
99496 Transitional care management services for problem of high complexity	34	30	$250.00	$238.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$170.00	$164.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$177.50	$147.24
90471 Administration of 1 vaccine	19	19	$25.00	$13.23
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$45.00	$16.60
69210 Removal of impacted ear wax	13	11	$60.00	$47.63
99238 Hospital discharge day management, 30 minutes or less	12	11	$80.00	$73.06
G0009 Administration of pneumococcal vaccine	12	12	$25.00	$15.96
90670 Pneumococcal vaccine for injection into muscle	12	12	$275.00	$224.80
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$125.00	$90.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,142	394	$75.00	$66.88
99306 Initial nursing facility visit, typically 45 minutes per day	952	831	$182.98	$162.58
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	647	430	$75.00	$50.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	607	491	$150.00	$133.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	269	$130.00	$102.37
99213 Established patient office or other outpatient visit, typically 15 minutes	409	217	$80.00	$71.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	310	285	$225.00	$197.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	308	192	$50.00	$38.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	283	283	$122.00	$110.74
83036 Hemoglobin A1C level	280	127	$24.98	$10.36
82947 Blood glucose (sugar) level	273	109	$10.00	$4.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	206	56	$30.00	$15.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	183	51	$5.00	$1.78
G0008 Administration of influenza virus vaccine	178	175	$20.00	$15.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	163	160	$25.00	$17.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	147	100	$50.00	$42.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	99	$85.00	$71.16
99497 Advance care planning, first 30 minutes	120	105	$100.00	$76.35
99219 Hospital observation care, typically 50 minutes	109	102	$150.00	$132.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	100	94	$150.00	$126.94
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	83	37	$75.00	$48.49
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	76	36	$90.00	$58.01
99495 Transitional care management services for problem of at least moderate complexity	69	59	$200.00	$157.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	67	33	$60.00	$40.03
99496 Transitional care management services for problem of high complexity	58	55	$250.00	$221.94
82270 Stool analysis for blood to screen for colon tumors	55	55	$5.00	$4.13
99221 Initial hospital inpatient care per day, typically 30 minutes	51	48	$125.00	$99.39
99497 Advance care planning, first 30 minutes	49	49	$100.00	$82.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	41	$125.00	$99.95
99220 Hospital observation care, typically 70 minutes	44	43	$200.00	$181.60
99239 Hospital discharge day management, more than 30 minutes	44	44	$125.00	$104.32
99356 Prolonged inpatient or observation hospital service, first hour	38	37	$100.00	$90.06
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	33	33	$30.00	$17.64
99315 Nursing facility discharge day management, 30 minutes or less	33	33	$165.00	$71.46
90670 Pneumococcal vaccine for injection into muscle	30	30	$275.00	$209.35
G0009 Administration of pneumococcal vaccine	30	30	$25.00	$15.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$180.00	$153.97
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$170.00	$159.77
99238 Hospital discharge day management, 30 minutes or less	28	25	$80.00	$71.13
93000 Routine ekg using at least 12 leads including interpretation and report	27	23	$45.00	$16.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	15	$15.00	$14.40
90653 Vaccine for influenza for injection into muscle	16	15	$68.75	$57.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	16	16	$140.00	$88.93
99217 Hospital observation care on day of discharge	15	14	$100.00	$71.13
99318 Nursing facility annual assessment, typically 30 minutes	15	15	$200.00	$93.31
69210 Removal of impacted ear wax	14	12	$60.00	$45.70
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$125.00	$87.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,297	545	$50.30	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	957	713	$150.00	$133.94
99306 Initial nursing facility visit, typically 45 minutes per day	746	615	$176.70	$162.94
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	513	346	$75.00	$51.55
99213 Established patient office or other outpatient visit, typically 15 minutes	511	266	$80.00	$69.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	355	225	$121.32	$102.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	345	183	$75.87	$67.36
82947 Blood glucose (sugar) level	314	129	$10.00	$4.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	302	302	$121.86	$111.78
83036 Hemoglobin A1C level	291	139	$25.00	$11.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	248	60	$30.00	$19.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	224	96	$85.00	$70.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	222	57	$5.00	$1.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	214	190	$225.00	$198.71
G0008 Administration of influenza virus vaccine	178	177	$20.00	$19.30
99239 Hospital discharge day management, more than 30 minutes	141	132	$125.00	$104.42
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	140	65	$50.00	$40.63
99221 Initial hospital inpatient care per day, typically 30 minutes	137	132	$125.00	$99.46
99219 Hospital observation care, typically 50 minutes	130	124	$150.00	$133.30
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	119	77	$55.71	$43.49
82270 Stool analysis for blood to screen for colon tumors	114	114	$6.84	$4.21
90653 Vaccine for influenza for injection into muscle	88	88	$38.58	$35.51
99495 Transitional care management services for problem of at least moderate complexity	85	76	$242.35	$155.30
99238 Hospital discharge day management, 30 minutes or less	79	71	$80.00	$70.79
99497 Advance care planning, first 30 minutes	77	69	$100.00	$77.48
99496 Transitional care management services for problem of high complexity	72	69	$250.00	$220.59
90471 Administration of 1 vaccine	68	67	$25.00	$18.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	60	59	$20.33	$18.34
85610 Blood test, clotting time	57	24	$10.00	$4.75
99220 Hospital observation care, typically 70 minutes	43	41	$200.00	$182.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	28	$125.00	$92.74
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	39	27	$15.00	$14.03
99217 Hospital observation care on day of discharge	34	32	$100.00	$71.28
99224 Subsequent observation care, typically 15 minutes per day	26	16	$50.00	$39.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$180.00	$158.88
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	25	$150.00	$127.24
G0009 Administration of pneumococcal vaccine	24	24	$25.00	$19.30
90670 Pneumococcal vaccine for injection into muscle	24	24	$225.00	$196.47
99306 Initial nursing facility visit, typically 45 minutes per day	23	22	$175.00	$162.91
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	19	19	$400.00	$165.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$170.00	$160.28
99291 Critical care, first 30-74 minutes	16	13	$440.00	$219.06
99335 Established patient assisted living visit, typically 25 minutes	16	15	$103.13	$92.46
99497 Advance care planning, first 30 minutes	15	15	$100.00	$82.36
90756 Vaccine for influenza for injection into muscle	14	14	$30.00	$22.33
99234 Hospital observation or inpatient care low severity, 40 minutes per day	11	11	$350.00	$130.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,352	192	$50.00	$40.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,017	476	$50.28	$38.36
99213 Established patient office or other outpatient visit, typically 15 minutes	764	323	$80.00	$69.82
99306 Initial nursing facility visit, typically 45 minutes per day	688	566	$229.36	$161.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	657	531	$150.68	$133.52
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	600	100	$50.50	$43.26
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	475	289	$75.00	$51.38
82947 Blood glucose (sugar) level	434	158	$9.99	$5.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	254	$119.99	$101.80
83036 Hemoglobin A1C level	398	176	$25.00	$12.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	386	214	$85.17	$70.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	362	90	$29.93	$23.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	353	353	$150.80	$110.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	351	84	$5.00	$2.90
G0008 Administration of influenza virus vaccine	193	191	$20.16	$19.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	169	154	$225.00	$195.95
99219 Hospital observation care, typically 50 minutes	160	146	$150.00	$131.11
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	156	156	$17.97	$17.18
99495 Transitional care management services for problem of at least moderate complexity	148	119	$250.00	$155.96
99221 Initial hospital inpatient care per day, typically 30 minutes	134	128	$125.00	$99.15
82270 Stool analysis for blood to screen for colon tumors	120	120	$25.00	$4.34
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	119	51	$15.00	$13.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	110	79	$102.82	$66.81
85610 Blood test, clotting time	99	23	$35.05	$5.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	64	$125.00	$101.82
99239 Hospital discharge day management, more than 30 minutes	87	81	$125.00	$103.37
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	76	65	$70.00	$43.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	48	$78.00	$66.20
90471 Administration of 1 vaccine	46	43	$39.24	$23.00
99497 Advance care planning, first 30 minutes	46	45	$100.00	$74.95
99496 Transitional care management services for problem of high complexity	45	42	$250.00	$220.74
90670 Pneumococcal vaccine for injection into muscle	43	43	$200.00	$188.00
99224 Subsequent observation care, typically 15 minutes per day	40	38	$50.00	$39.03
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	38	38	$50.00	$36.63
G0009 Administration of pneumococcal vaccine	37	37	$25.00	$23.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$180.00	$153.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$150.00	$126.53
99217 Hospital observation care on day of discharge	32	32	$100.00	$70.75
99238 Hospital discharge day management, 30 minutes or less	27	27	$80.00	$70.40
99291 Critical care, first 30-74 minutes	26	23	$600.00	$219.03
99318 Nursing facility annual assessment, typically 30 minutes	26	26	$109.00	$93.44
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	24	24	$225.00	$181.32
69210 Removal of impacted ear wax	24	18	$60.00	$47.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$170.00	$152.26
99225 Subsequent observation care, typically 25 minutes per day	22	19	$80.00	$71.06
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	21	21	$18.52	$16.52
99497 Advance care planning, first 30 minutes	20	20	$100.00	$79.49
99335 Established patient assisted living visit, typically 25 minutes	20	16	$123.75	$92.18
99220 Hospital observation care, typically 70 minutes	19	17	$200.00	$181.19
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$45.00	$16.13
99218 Hospital observation care typically 30 minutes	17	15	$125.00	$97.41
76775 Limited ultrasound scan behind abdominal cavity	17	16	$75.00	$53.04
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	14	14	$400.00	$165.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$180.00	$163.71
99356 Prolonged inpatient or observation hospital service, first hour	14	13	$100.00	$89.55
43246 Insertion of stomach tube using a flexible endoscope	13	13	$500.00	$106.47
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$148.00	$126.53
G0102 Prostate cancer screening; digital rectal examination	11	11	$25.00	$18.71
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$30.00	$18.86

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH D73575

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2108329 (OH)

Hospital & Practice Group Affiliations

Rajesh Agarwal Md, Llc

20050 Harvard Ave, Warrensville Heights, OH 441226800

Phone: 2167511212

Practice Associates & Co-Workers

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

5 Associated Practitioners

Amy Dupont , CNP

Registered Nurse

NPI 1144486457

Certified Nurse Practitioner

Dr. Roomana Akhtar , MD

Specialist

NPI 1396728903

Doctor of Medicine (M.D.)

Halyna Sul , AGNP-C

Nurse Practitioner - Gerontology

NPI 1629592407

Adult-Gerontology Nurse Practitioner (Certified)

Patricia Vogel , APRN

Clinical Nurse Specialist - Adult Health

NPI 1912049453

Advanced Practice Registered Nurse

Erika Moran

Nurse Practitioner - Primary Care

NPI 1932615085

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2012

Registered at 6770 MAYFIELD RD, SUITE 425, MAYFIELD HEIGHTS, OH 441242299 (Tel: 4403129041)

📍

Updated Business Mailing Address November 13, 2012

Registered at 3940 WATERFORD CT, BEACHWOOD, OH 441224743 (Tel: 4403464427)

👤

Provider Name / Credentials Updated November 13, 2012

Recorded as RAJESH AGARWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2012

Specialist (License #D73575 in OH)

🟢

Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285618579

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: November 13, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3940 Waterford Ct

Beachwood, OH 441224743

Phone: 4403464427

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.