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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Prasad Kudalkar (NPI 1013094382)

Field	Value
Entity Type	Individual
Organization	Prasad Kudalkar
Address	3050 Mack Rd Ste 300
City	Fairfield
State	OH
ZIP	45014
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	16,600	$40	$713.8K
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…	790	$60	$48.3K
J0897	Injection, denosumab, 1 mg	2,040	$20	$36.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	380	$90	$35.6K
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…	390	$90	$34.8K
J1437	Injection, ferric derisomaltose, 10 mg	1,700	$20	$27.2K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	2,320	$10	$13.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,110	$10	$8.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	820	$10	$8.2K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,310	$10	$7.9K

Showing 1–10 of 54

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Prasad Kudalkar — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

54 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	9	40	12,100	$40	$603K
J0897	150	230	2,880	$20	$79.5K
J3490	23	50	100	$560	$73.1K
J1437	9	20	1,700	$20	$34.9K
Q5106	5	10	2,890	$10	$30.9K
80053	31	520	100	$10	$19.6K
82784	19	40	190	$10	$19.2K
84443	272	460	70	$20	$18.9K
96413	30	210	130	$90	$16.8K
J0885	8	20	2,320	$10	$15.3K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prasad Kudalkar, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Kurt Leuenberger	OH	Hematology & Oncology Physician	$1.7M	$0
Patrick Ward	OH	Hematology & Oncology Physician	$1.4M	$0
Benjamin Herms	OH	Hematology & Oncology Physician	$1.3M	$0
Jeffrey Grass	OH	Radiation Oncology Physician	$1.2M	$0
Kruti Patel	OH	Hematology & Oncology Physician	$1.1M	$0
David Drosick	OH	Medical Oncology Physician	$987.6K	$0
Peter Fried	OH	Radiation Oncology Physician	$904.7K	$0
Irfan Firdaus	OH	Medical Oncology Physician	$880K	$0
Matthew Bertke	OH	Radiation Oncology Physician	$879.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health - Fairfield Hospital LLC	OH	General Acute Care Hospital	$0	$25.2M
Preferred Home Health Care LLC	OH	Home Health Agency	$0	$10.9M
City Of Fairfield	OH	Land Ambulance	$378.1K	$1.1M
Rite Care Medical Transport LLC	OH	Land Ambulance	$276.4K	$625.6K
Marwan Abdulaal	OH	Ophthalmology Physician	$890.7K	$0
Scott Grevey	OH	Dermatology Physician	$667.7K	$0
Imran Chowdhury	OH	Radiation Oncology Physician	$442.3K	$0
Humam Akbik	OH	Interventional Pain Medicine Physician	$264.4K	$0
Stephen Haubrock	OH	Nurse Practitioner	$236.2K	$0
Robert Samaan	OH	Internal Medicine Physician	$134K	$100.1K

Prasad Kudalkar — Billing Profile & Reimbursement Data

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Prasad Kudalkar — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References