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    OpenPayerNPI Medicare & MedicaidVishala Chindalore
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    Vishala Chindalore — Billing Profile & Reimbursement Data

    NPI 1083635015 · Anniston, AL · Rheumatology Physician

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    Vishala Chindalore is a rheumatology physician provider located in Anniston, Alabama. This profile covers 29 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
    OrganizationVishala Chindalore
    Address1010 Christine Ave
    CityAnniston
    StateAL
    ZIP36207
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 23, 2006

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing pattern is dominated by in-office biologic and infusion therapies rather than primarily evaluation-and-management visits alone. High-revenue drug administration codes such as J1602, J0129, J0897 and J1745 reflect a practice model centered on parenteral biologic treatments consistent with a rheumatology infusion/administration service line, and 99214 visits are also present to support ongoing management of complex patients.

    Revenue is highly concentrated in a small set of drug-administration codes: the precomputed top 3 Medicare codes by revenue account for 69.5% of the provider’s total Medicare revenue, with J1602 reported at $537K (32.5%), J0129 at $392.7K (23.8%), and J0897 at $218.2K (13.2%). This concentration indicates the provider’s financial performance is largely driven by a few high-cost biologic administrations.

    Payer mix is effectively single-payer: Medicare lifetime revenue is $1.7M while there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s reimbursement exposure and market reach are concentrated in the Medicare population, which has implications for contract negotiations and revenue sensitivity to Medicare policy changes.

    The presence of infusion- and chemotherapy-administration codes supports onsite infusion capability: 96413 (582 claims, $52.4K, described as notably above typical national volume) and 96365 (247 claims, $11.1K) plus high-volume J7050 (783 claims, $783) indicate routine administration of IV therapies. These ancillary infusion services are consistent with a rheumatology practice that delivers infused biologics and supportive IV medications in-office rather than exclusively prescribing self-administered therapies.

    On competitive standing, the provider is well above typical national volume for key drug codes: J1602 ranks #41 of 1041 providers (96th percentile; notably above typical national volume for this code), signaling a strong national presence for golimumab administration. Additionally, 99214 ranks #1128 of 479517 providers (100th percentile; extreme outlier, far above typical national volume for this code), indicating unusually high E/M volume compared with peers and substantial chronic-care management activity.

    The provider shows a broad ambulatory rheumatology service mix beyond biologics: procedural and diagnostic lines such as 77080 (DXA, 128 claims, $4.2K), 20611 (arthrocentesis with ultrasound, 44 claims, $2.8K), and preventive services like 90694 (influenza vaccine, 91 claims, $6.9K) are billed, suggesting onsite diagnostics and routine preventive care are part of the practice workflow.

    Tenure in the Medicare program is long-standing: the NPI was enumerated on 2006-07-23 (~20 years ago), indicating an established presence in the market that may reflect an experienced referral base and operational stability.

    The heavy reliance on biologic drug administration (top 3 codes = 69.5% of Medicare revenue) combined with no Medicaid billing implies concentrated revenue risk tied to drug reimbursement and Medicare policy. Any changes to coverage, reimbursement rates, or utilization management for these high-revenue biologics could materially affect this provider’s financial profile given the limited payer diversification.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use53,700$10$537K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,550$30$392.7K
    J0897Injection, denosumab, 1 mg12,120$20$218.2K
    J1745Injection, infliximab, excludes biosimilar, 10 mg7,110$30$184.9K
    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…2,080$80$170.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…580$90$52.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$120$15.1K
    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…260$60$14.6K
    99204The 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…100$110$11.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.250$50$11.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01299308,530$30$390.9K
    J160212016,100$10$189.5K
    J17456303,020$30$107.2K
    J0897252003,120$20$97.7K
    9641312150150$90$20.2K
    99214137,330120$80$16.8K
    G04393991,52070$120$11K
    992131,0216,47080$50$7.9K
    9636536170130$40$7.5K
    206117813050$70$6.3K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monica RoblesALEndocrinology, Diabetes & Metabolism Physician$491.1K$0
    Zulfiqar RanaALInternal Medicine Physician$309.7K$0
    Emily WillisALFamily Nurse Practitioner$40.1K$0
    Angela FosterALFamily Nurse Practitioner$30.7K$0
    Haley PearlALRegistered Dietitian$6.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatrics Plus, P.C.ALPediatric Nurse Practitioner$0$14.3M
    Pulmonary Care Services IncALDurable Medical Equipment & Medical Supplies$0$8M
    Anniston Pediatrics, IncALPediatrics Physician$0$5.7M
    The Health Care Authority Of The City Of AnnistonALGeneral Acute Care Hospital$0$5.6M
    Grow Pediatric Therapy LLCALSpeech-Language Pathologist$0$2.3M
    Angela M. Martin, M.d. F.a.a.p.ALPediatrics Physician$0$2.1M
    Robert ConryALHematology & Oncology Physician$2.1M$0
    North Alabama Women's CenterALSpecialist$0$1.9M
    Regional Health Management CorporationALPsychiatry Physician$0$1.6M
    New Beacon Healthcare Group, LLCALCommunity Based Hospice Care Agency$0$1.5M

    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. Alabama Distribution
    Vishala Chindalore — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama