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    OpenPayerNPI Medicare & MedicaidVijayabhanu Mahadevan
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    Vijayabhanu Mahadevan — Billing Profile & Reimbursement Data

    NPI 1083727333 · Surprise, AZ · Rheumatology Physician

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    Vijayabhanu Mahadevan is a rheumatology physician provider located in Surprise, Arizona. 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
    OrganizationVijayabhanu Mahadevan
    Address12665 W Smokey Dr # 140
    CitySurprise
    StateAZ
    ZIP85378
    TaxonomyRheumatology Physician
    NPI EnumeratedAugust 17, 2006

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single-payer: lifetime Medicare revenue is $2.6M and there is no Medicaid billing on file, indicating the practice’s Medicare business drives its public-payer volume and cash flow. Analysts should treat this profile as Medicare-centric when assessing network value or contract negotiations.

    Revenue concentration is high within a small set of drug-administration codes: the precomputed top 3 Medicare codes by revenue account for 57.8% of this provider's total Medicare revenue, led by J0129 ($677.5K, 25.9%), J0897 ($462.2K, 17.7%), and J0717 ($374.4K, 14.3%). This indicates most Medicare dollars are tied to a few injectable biologics rather than routine office E&M.

    The code mix strongly signals a physician-administered biologics and infusion service model: high-revenue codes include J0129 (abatacept), J0897 (denosumab), J0717 (certolizumab), J3262 (tocilizumab), J9312 (rituximab), and J1745 (infliximab), and multiple chemotherapy/infusion administration codes appear on the top list (96401, 96413, 96415). Taken together, these entries point to on-site drug administration and infusion capacity consistent with a rheumatology practice that bills for complex biologics.

    Several Medicare codes show statistically exceptional volume relative to national peers: J0897 ranks #145 of 10057 providers (99th percentile; extreme outlier), 99214 ranks #6295 of 479517 providers (99th percentile; extreme outlier), and 96401 ranks #56 of 3868 providers (99th percentile; extreme outlier). These designations suggest this provider administers denosumab, delivers E&M visits, and performs infusion/chemo administrations at volumes that are far above typical national peers for those services.

    Other high-revenue biologic codes sit at or near typical peer levels rather than being outliers: J0129 (rank #140 of 1221, 89th percentile; typical, unremarkable volume), J0717 (rank #166 of 848, 81th percentile; typical, unremarkable volume), and J3262 (rank #136 of 618, 78th percentile; typical, unremarkable volume). This pattern—one extreme outlier alongside several typical-volume biologics—suggests concentration in particular drug lines rather than uniformly elevated dispensing across all biologic agents.

    Office evaluation-and-management codes generate measurable but modest Medicare revenue relative to biologics: 99214 produced $111.6K (4.3% of Medicare revenue) and 99213 produced $51.3K (2.0% of Medicare revenue). Although 99214 is flagged as an extreme outlier in ranking, total E&M dollars remain small compared with top drug codes, reinforcing an operational focus on drug delivery rather than E&M-driven revenue.

    The provider has long tenure in the Medicare program, with an NPI enumeration date of 2006-08-17 (~20 years ago), which supports the likelihood of an established referral base and experience managing longitudinal biologic and infusion therapies. For competitive analysis, tenure combined with concentrated biologic volumes suggests durable capability to sustain a specialty infusion service within the local SURPRISE, AZ market.

    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
    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)19,930$30$677.5K
    J0897Injection, denosumab, 1 mg25,680$20$462.2K
    J0717Injection, certolizumab pegol, 1 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)93,600$1$374.4K
    J3262Injection, tocilizumab, 1 mg68,560$10$342.8K
    J9312Injection, rituximab, 10 mg3,250$60$208K
    J3111Injection, romosozumab-aqqg, 1 mg18,060$10$144.5K
    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…1,250$90$111.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg3,050$30$79.3K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.1,070$50$55.5K
    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…550$100$52.9K

    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
    J012963014,700$30$494.5K
    J3262122074,500$1$367.2K
    J071742036,100$1$246.6K
    J93128203,250$60$212.6K
    J3111234019,530$10$178.8K
    J0897122602,940$20$115.6K
    J174517402,980$30$103.9K
    9641325230190$100$24.8K
    9921427610,410120$80$20.6K
    992159693,27050$120$11.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rajbir GulatiAZRheumatology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Halo Community ServicesAZCase Management Agency$0$21.1M
    Becky Home Health Care, LLCAZHome Health Agency$0$15.2M
    Andy TranAZClinical Cardiac Electrophysiology Physician$683.1K$0
    Jay MehtaAZDermatology Physician$603K$0
    Vascular Imaging Solutions LLCAZDiagnostic Ultrasound Physician$96K$308.8K
    Adam CalareseAZVascular Surgery Physician$386.8K$0
    Nirav MehtaAZInterventional Cardiology Physician$290.7K$0
    Stephen SmithAZVascular Surgery Physician$236.4K$0
    Lawrence KellyAZOrthopaedic Surgery Physician$184.3K$0
    Rohit DwivediAZSpecialist$150.2K$0

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