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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Rahul Vemula (NPI 1053572024)

Field	Value
Entity Type	Individual
Organization	Rahul Vemula
Address	107 Monmouth Rd Ste 201
City	West Long Branch
State	NJ
ZIP	07764
Taxonomy	Plastic Surgery Physician
NPI Enumerated	June 22, 2008

Payer Source	Total Paid
Medicare	$31.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
14302	At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…	60	$180	$10.5K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	20	$600	$9.6K
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…	70	$80	$5K
99203	The 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…	40	$100	$4.1K
99204	The provider sees a new 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 provider…	20	$140	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Rahul Vemula — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
14301	20	40	20	$760	$16.8K
99213	8,765	14,090	100	$70	$13.1K
14302	9	10	70	$140	$11.1K
99204	5,429	7,160	40	$130	$6.5K
99203	2,570	5,660	40	$80	$4.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monmouth Cares, Inc.	NJ	Case Management Agency	$0	$61.1M
Kiren Sahni	NJ	Rheumatology Physician	$1.5M	$282.3K
Isaac Ezon	NJ	Retina Specialist (Ophthalmology) Physician	$966.8K	$0
Sumul Raval	NJ	Neurology Physician	$746.4K	$0
Gary Karakashian	NJ	Specialist	$581.7K	$0
Sherif Malek	NJ	Internal Medicine Physician	$260.4K	$0
William Orsini	NJ	Dermatology Physician	$224.2K	$0
Angela Miller	NJ	Dermatology Physician	$189.5K	$0
Sudha Ganne	NJ	Endocrinology, Diabetes & Metabolism Physician	$182.4K	$0
Noah Gilson	NJ	Neurology Physician	$136.9K	$0

Rahul Vemula — Billing Profile & Reimbursement Data

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Rahul Vemula — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References