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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKishore Challa
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    Kishore Challa — Billing Profile & Reimbursement Data

    NPI 1043377062 · So Charleston, WV · Interventional Cardiology Physician

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    Kishore Challa is a interventional cardiology physician provider located in So Charleston, West Virginia. This profile covers 35 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKishore Challa
    Address4607 Maccorkle Avenue Sw
    CitySo Charleston
    StateWV
    ZIP25309
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJanuary 2, 2007

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

    Payer SourceTotal Paid
    Medicare$494.2K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused practice: lifetime Medicare revenue is $494.2K and there is no Medicaid billing on file, indicating virtually all payer exposure is to Medicare rather than a mixed Medicaid/Medicare panel. That single-payer footprint means any analysis of access, utilization, or reimbursement should be framed around Medicare fee schedules and patient mix rather than state Medicaid policy.

    Revenue for this provider is concentrated in a small set of services — the top three Medicare codes (78452, 93306, 99214) account for 41.3% of total Medicare revenue — signaling dependence on a narrow set of imaging and office-E/M services for much of billed revenue. Analysts should watch utilization trends and reimbursement changes for these specific codes because shifts there would disproportionately affect this provider’s revenue.

    The procedural and code mix is consistent with an interventional cardiology practice that nonetheless generates substantial revenue from diagnostic imaging and non-invasive testing: high-volume imaging codes include 78452 (SPECT myocardial perfusion imaging) and 93306 (transthoracic echocardiography with both professional and technical components), while nuclear medicine supply A9500 (technetium tc-99m sestamibi) is also a top revenue driver. This pattern suggests the provider operates or is closely affiliated with cardiac imaging capabilities and performs both diagnostic workflows and interventional/evaluation care.

    Several codes show strongly elevated national standing, indicating above-average volume relative to peers: 78452 ranks #351 of 14946 providers (98th percentile) and is described as notably above typical national volume, 93306 ranks in the 95th percentile (notably above typical national volume), and A9500 ranks in the 96th percentile (notably above typical national volume). These rank positions support the view that the provider is a major regional generator of cardiac imaging studies rather than a low-volume specialist.

    There are extreme outlier signals on routine cardiac monitoring and hospital initial care: 93000 (ECG recording and interpretation) ranks #722 of 71016 providers (99th percentile) and is labeled an extreme outlier, and 99222 (initial hospital inpatient/observation care) ranks #1298 of 117621 providers (99th percentile) also labeled an extreme outlier. These high-percentile, outlier-level volumes for both ECGs and initial inpatient evaluations suggest a high inpatient/hospital-facing workload or substantial responsibility for acute cardiac admissions.

    The provider also registers high utilization of ambulatory and remote cardiac monitoring services: 93229 (wearable ECG monitoring device placement/monitoring) contributes $42.3K (8.7% of Medicare revenue) and ranks in the 80th percentile (typical, unremarkable volume), while a suite of remote interrogation codes (G2066, 93298, 93228) appear at lower revenue but reflect an active remote-monitoring practice. Together these items indicate an operational footprint that includes outpatient rhythm surveillance and device follow-up in addition to imaging and inpatient care.

    Procedure-level interventional activity is present but at modest scale relative to imaging: 93458 (imaging supervision for coronary angiography/left heart catheterization) and 92928 (percutaneous coronary intervention for a single major coronary artery) appear on the list but account for smaller shares of revenue ($11.4K and $7.5K respectively), and 92928 ranks in the 24th percentile (typical, unremarkable volume). This suggests the provider performs some cath-lab procedures but that diagnostic imaging and consultative E/M services are the dominant business lines.

    The provider’s NPI tenure — enumerated 2007-01-02 (~19 years ago) — indicates long-standing presence in the market, which, combined with the disproportionately high ranks on several imaging and ECG codes, supports a profile of an established cardiology practice with sustained referral streams for diagnostic cardiac testing. For payers and network planners, that tenure plus concentrated Medicare revenue implies predictable utilization patterns centered on cardiac imaging and hospital-based evaluation services.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…320$260$84.7K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…730$90$66.2K
    99214The 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…590$90$50.9K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose540$90$47K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…70$590$42.3K
    99213The 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…640$60$38.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…280$100$27.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…340$60$20.7K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…130$120$16.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,320$10$13.2K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9322921070$570$54.4K
    A9500320320$80$25.9K
    J2785810370$40$18.8K
    92928294030$410$16K
    933065110190$60$15.8K
    G206671080$30$15.6K
    992322251,34090$60$11.9K
    992141222,740100$70$11.8K
    7845249070$130$11.2K
    932971010340$20$10.4K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Ths Physician Partners IncWVInternal Medicine Physician$0$9.2M
    Rajiv KhannaWVMedical Oncology Physician$2M$0
    Charleston Area Medical Center, Inc.WVHospitalist Physician$0$1.4M
    Mayez El-harakeWVMedical Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Urgent Care, Inc.- West VirginiaWVUrgent Care Clinic/Center$0$66.9M
    Herbert J. Thomas Memorial Hospital AssociationWVGeneral Acute Care Hospital$0$26.1M
    Mountaineer Family Medicine, Inc.WVFamily Medicine Physician$0$19.5M
    Appalachian Medical LLCWVDurable Medical Equipment & Medical Supplies$0$8M
    Pulmonary Associates Of Char LLCWVPulmonary Disease Physician$0$5.5M
    Maccorkle Emergency Physicians PLLCWVEmergency Medicine Physician$0$4.4M
    Patel & Patel Md IncWVObstetrics & Gynecology Physician$0$4M
    Wecare Medical LLCWVOxygen Equipment & Supplies (DME)$0$3.7M
    Woman Care Clinic IncWVObstetrics & Gynecology Physician$0$3.5M
    Lincoln County Primary Care Center, Inc.WVFederally Qualified Health Center (FQHC)$0$2.7M

    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. West Virginia Distribution
    Kishore Challa — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia