Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidVijaya Korrapati
    Ask Trek AI about this page

    Vijaya Korrapati — Billing Profile & Reimbursement Data

    NPI 1033186713 · West Columbia, SC · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Vijaya Korrapati — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Vijaya Korrapati is a hematology & oncology physician provider located in West Columbia, South Carolina. This profile covers 89 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVijaya Korrapati
    Address222 E Medical Ln Ste 400
    CityWest Columbia
    StateSC
    ZIP29169
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    This profile is consistent with an infusion-focused Hematology & Oncology practice: the three top Medicare revenue drivers are J9271 ($944K, 28.3%), J9299 ($398.4K, 12.0%), and J9144 ($304.6K, 9.1%), and the provider’s total Medicare revenue is $3.4M. Those leading codes are high-cost oncology therapeutics (pembrolizumab, nivolumab, daratumumab), indicating routine administration of immune checkpoint inhibitors and monoclonal antibody therapies in-office or in an infusion suite. The precomputed top-3 share of revenue is 49.4%, underscoring how much of the practice’s Medicare revenue is oncology drug-driven.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 49.4% of the provider’s Medicare revenue, signaling material dependence on a small set of immuno-oncology and monoclonal antibody agents for overall topline performance. That concentration means changes in utilization or reimbursement for these specific drugs could meaningfully affect the practice’s Medicare revenue mix.

    This provider is effectively single-payer in active billing: Medicare revenue is $3.4M while Medicaid billing is recorded as none, so the practice’s publicly visible reimbursement exposure is concentrated in Medicare. As a result, payer-policy shifts at Medicare (coverage, pricing, or site-of-care rules) are likely more impactful to the business than in-state Medicaid changes, since no Medicaid revenue is on file.

    Competitive standing is mixed across agents: for some supportive and chemotherapy-related codes the provider ranks well above peers (examples include J2506 at rank #19 of 586, 97th percentile described as "notably above typical", J9035 at rank #41 of 1852, 98th percentile "notably above typical", and 96413 at rank #461 of 7514, 94th percentile "notably above typical"). These high percentiles suggest the practice is a relatively large user of supportive agents (pegfilgrastim) and infusion chemotherapy administration compared with national peers.

    By contrast, for several high-cost immunotherapies the provider’s national standing is more typical: J9271 ranks #260 of 1841 (86th percentile, characterized as "typical, unremarkable volume"), J9299 ranks #213 of 505 (58th percentile, "typical, unremarkable volume"), and J9144 ranks #290 of 615 (52th percentile, "typical, unremarkable volume"). This pattern indicates solid clinical volume for these agents but not dominant national leadership in their use.

    The practice also shows measurable use of advanced diagnostic imaging linked to oncology care: A9595 generated $192.7K (5.8% of Medicare revenue) and 78815 generated $146.8K (4.4% of Medicare revenue), with both codes ranked in middle-to-upper percentiles (A9595 at the 76th percentile, 78815 at the 85th percentile, each described as "typical, unremarkable volume"). This supports an operating model that pairs systemic therapy with PET/CT and targeted radiotracers for diagnostic staging or treatment planning.

    Operational throughput is evident in routine support services and low-per-claim items: examples include J1439 with 44.3K claims ($44.3K revenue), 36415 with 1.6K claims ($11.3K revenue, 99th percentile), and multiple laboratory codes (80048 at 914 claims, 97th percentile). High claim counts for low-dollar items alongside concentrated high-dollar drug revenue are consistent with a high-volume infusion clinic that also bills frequently for specimen collection and lab monitoring.

    The provider’s enrollment tenure is long-standing: the NPI was enumerated on 2006-03-02 (~20 years ago), indicating roughly two decades of presence in the Medicare billing landscape and suggesting established referral relationships and practice infrastructure supporting ongoing oncology treatment volumes.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    89 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg23,600$40$944K
    J9299Injection, nivolumab, 1 mg16,600$20$398.4K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj8,460$40$304.6K
    J0897Injection, denosumab, 1 mg13,200$20$250.8K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie420$460$192.7K
    J9022Injection, atezolizumab, 10 mg2,990$60$191.2K
    J9173Injection, durvalumab, 10 mg2,800$60$173.8K
    J9312Injection, rituximab, 10 mg2,330$60$149.4K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…210$710$146.8K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg1,160$80$93.1K

    Showing 1–10 of 89

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 89 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    89 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927193019,700$40$832K
    J929961015,760$20$432K
    J91446108,460$40$349.4K
    J91734103,050$60$275.9K
    J90224103,550$60$239.1K
    J931212202,340$60$193.7K
    A9595510410$460$175.9K
    J0897272502,400$20$91.2K
    J2506110740$80$55.9K
    J1439153042,750$1$42.3K

    Showing 1–10 of 89

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lexington Health IncSCGeneral Acute Care Hospital$0$27.4M
    Lexington County Health Services District IncSCGeneral Acute Care Hospital$0$19.2M
    Lexington Health IncSCUrgent Care Clinic/Center$0$8.7M
    Lexington Health IncSCPediatric Adolescent Medicine Physician$0$5.7M
    Lexington Health IncSCEmergency Medicine Physician$0$4.2M
    Lexington County Health ServSCGeneral Acute Care Hospital$0$4M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Lexington Health IncSCFamily Medicine Physician$0$4M
    Lexington Health IncSCObstetrics & Gynecology Physician$0$3.5M
    Perrie RyanSCHematology & Oncology Physician$3.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    United Cerebral Palsy Of South Carolina, IncSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$15.7M
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    Karen Park Family Dentistry, P.A.SCDentist$0$4.2M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Lexington Treatment Specialists LLCSCMethadone Clinic$76.7K$3.6M
    William ClarkSCOphthalmology Physician$3.3M$0
    Asheesh LalSCHematology & Oncology Physician$3.2M$0
    James WellsSCHematology & Oncology Physician$3.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Vijaya Korrapati — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina