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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrashant Kelkar
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    Prashant Kelkar — Billing Profile & Reimbursement Data

    NPI 1053536755 · Southfield, MI · Neurological Surgery Physician

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    Prashant Kelkar is a neurological surgery physician provider located in Southfield, Michigan. This profile covers 22 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
    OrganizationPrashant Kelkar
    Address22250 Providence Dr Ste 601
    CitySouthfield
    StateMI
    ZIP48075
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 16, 2007

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

    Payer SourceTotal Paid
    Medicare$139.9K
    Medicaid$0

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,530$24.4K
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…10$1,580$18.9K
    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…210$70$14.7K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…50$230$11.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$870$10.4K
    99203The provider sees a new 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 provider…100$90$9K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$660$7.9K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$690$7.6K
    22552The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$360$5.7K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.30$190$5.3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    22633405020$1,020$19.4K
    2255172010$1,180$19K
    992325,8786,73090$60$12K
    9921410,42815,47080$80$11.4K
    630477810020$540$10.8K
    22842829020$490$8.9K
    2284591010$530$8.5K
    992234,2774,88040$130$8.3K
    2255291020$260$6.7K
    992132,15614,81060$60$6.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Health St. John HospitalILGeneral Acute Care Hospital$0$159.7M
    Henry Ford Health Providence HospitalMIGeneral Acute Care Hospital$0$72.8M
    Henry Ford Health Macomb Oakland HospitalMIGeneral Acute Care Hospital$0$59.2M
    Henry Ford Health St. John HospitalMIInternal Medicine Physician$0$41.8M
    Henry Ford Health Macomb Oakland HospitalMIGeneral Acute Care Hospital$0$24.8M
    Henry Ford Macomb Hospital CorporationMIFamily Medicine Physician$0$9.2M
    Henry Ford Health Providence HospitalMIObstetrics & Gynecology Physician$0$9M
    Martin BelkinMINeurology Physician$4.7M$0
    Adli YakanMIMedical Oncology Physician$1.7M$0
    Andrew MuskovitzMIHematology & Oncology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New England Emergency Response Systems IncMIEmergency Response System Companies$0$262.6M
    Valued Relationships, Inc.MIEmergency Response System Companies$0$50.3M
    Independent Emergency Physicians, P.C.MIEmergency Medical Services (Emergency Medicine) Physician$0$39M
    Guardian Medical Monitoring, LLCMIEmergency Response System Companies$0$30M
    Creative Images IncMINon-emergency Medical Transport (VAN)$0$29.1M
    Educators Unlimited IncMIHome Health Agency$0$20.4M
    Metro Healthcare Services Inc.MICase Management Agency$0$20.1M
    Kevdaco Human Servicea LLCMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13M
    Total Home Health Aide ServicesMIHome Health Agency$0$12.6M
    Allied Continuing Care, IncMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.7M

    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. Michigan Distribution
    Prashant Kelkar — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan