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    OpenPayerNPI Medicare & MedicaidUnknown Mallikarjunappa
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    Unknown Mallikarjunappa — Billing Profile & Reimbursement Data

    NPI 1093996233 · Tamuning, GU · Diagnostic Radiology Physician

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    Unknown Mallikarjunappa is a diagnostic radiology physician provider located in Tamuning, Guam. This profile covers 60 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
    OrganizationUnknown Mallikarjunappa
    Address633 Gov Carlos Camacho Road Suite 210
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 15, 2007

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

    Payer SourceTotal Paid
    Medicare$391K
    Medicaid$0

    Key Findings

    The provider’s CPT mix is consistent with a diagnostic radiology practice that emphasizes high-volume CT imaging and targeted vascular studies: top codes include 74178 (CT abdomen/pelvis studies), 71271 (LDCT chest screening), and 75635 (CT angiography of the abdominal aorta and iliofemoral arteries), alongside MRI brain and spine codes and several duplex vascular ultrasound codes. This distribution aligns with the listed taxonomy, Diagnostic Radiology Physician, and suggests an operational footprint built around cross-sectional CT services, lung-cancer screening, and vascular imaging.

    Revenue concentration is notable at the code level: the precomputed top-3 Medicare codes account for 34.2% of this provider’s total Medicare revenue, with 74178 generating $42.2K (12.9%), 71271 generating $40.6K (12.4%), and 75635 generating $29K (8.9%) of Medicare revenue. This indicates a meaningful dependence on a small set of imaging procedures for a large share of billing.

    This provider is effectively single-payer in observed claims: lifetime Medicare revenue is $391K while Medicaid is none (no Medicaid billing on file), so all recorded public-payer volume is Medicare. That concentration increases exposure to Medicare policy and reimbursement changes and limits insight into payer diversification or Medicaid-dependent service lines.

    Competitive standing on key procedures is strong and in some cases extreme: 71271 ranks #101 of 8424 providers nationally (99th percentile; extreme outlier) and 75635 ranks #9 of 2469 providers nationally (100th percentile; extreme outlier), indicating nationally unusually high volume for LDCT lung screening and abdominal CTA. 74178 also ranks highly at #272 of 11397 providers nationally (98th percentile; notably above typical national volume for this code), reinforcing that CT-based services are a competitive strength.

    Outside those top outlier codes, the provider’s volume is more typical for many imaging services: for example, 93925 (duplex arterial scan) ranks #645 of 10098 (94th percentile; typical, unremarkable volume) and 70553 (brain MRI with and without contrast) ranks #4601 of 11271 (59th percentile; typical, unremarkable volume). This mix suggests the practice pairs a few very high-volume, specialty CT services with a broader baseline of standard radiology work at expected national volumes.

    The provider’s NPI tenure indicates an established presence: NPI enumerated (registered) 2007-11-15 (~19 years ago), which supports the likelihood of sustained referral relationships and operational stability in the local market. Long enumeration combined with the high national ranks on specific CT codes suggests an entrenched service line rather than a short-term billing spike.

    The absence of Medicaid billing on file (none below) prevents assessment of the provider’s role in Medicaid networks or in-state public payer market share, and it limits conclusions about access for Medicaid populations. For payers or competitors analyzing local capacity, this means Medicaid-side capacity and competitiveness remain unknown and should be confirmed through state claims or network rosters if Medicaid market position is material.

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…150$290$42.2K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.260$160$40.6K
    75635The provider administers a contrast material and performs computed tomographic angiography (CTA) of the abdominal aorta and both iliofemoral arteries in the lower extremities. This procedure may…120$240$29K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…160$150$24.6K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…70$250$16.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.110$150$16.1K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…70$230$14.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.50$300$13.9K
    71270In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. He then follows with contrast material and takes more…110$120$13.3K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…60$230$12.4K

    Showing 1–10 of 60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    60 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74178210110$280$27.8K
    71271110120$150$20.1K
    93925210130$170$19.2K
    7055321070$230$17.3K
    7563511050$240$16.9K
    7830611070$230$14.9K
    72148210110$140$12.5K
    7557411060$230$12.4K
    71270210110$120$12.3K
    7418311040$290$10.3K

    Showing 1–10 of 60

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$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. Guam Distribution
    Unknown Mallikarjunappa — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam