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

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

Vinai Prakash (NPI 1063853018)

Field	Value
Entity Type	Individual
Organization	Vinai Prakash
Address	6610 Ne 181st St Ste 4
City	Kenmore
State	WA
ZIP	98028
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	July 7, 2013

Payer Source	Total Paid
Medicare	$77.9K
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
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…	670	$60	$39.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	540	$60	$32K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	70	$40	$2.5K
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…	20	$90	$2K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	30	$70	$1.9K

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. Washington Distribution

Vinai Prakash — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	155	210	190	$30	$11.6K
11042	7	170	90	$70	$10.4K
99213	152	9,690	60	$60	$6.5K
11055	117	160	50	$50	$4.1K
99203	2,036	3,140	30	$70	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lance Nethercott	WA	Foot & Ankle Surgery Podiatrist	$79.7K	$0
Ryan Bierman	WA	Podiatrist	$67.8K	$0
Bryan Holand	WA	Foot & Ankle Surgery Podiatrist	$48.2K	$0

Vinai Prakash — Billing Profile & Reimbursement Data

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Vinai Prakash — 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

Frequently Asked Questions

References