Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAntony Innasimuthu
    Ask Trek AI about this page

    Antony Innasimuthu — Billing Profile & Reimbursement Data

    NPI 1104080639 · Newark, DE · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Antony Innasimuthu — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Antony Innasimuthu is a cardiovascular disease physician provider located in Newark, Delaware. This profile covers 42 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAntony Innasimuthu
    Address620 Stanton Christiana Rd
    CityNewark
    StateDE
    ZIP19713
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 14, 2008

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

    Payer SourceTotal Paid
    Medicare$674.1K
    Medicaid$0

    Key Findings

    This provider’s billing profile is effectively single‑payer: lifetime Medicare revenue is $674.1K and there is no Medicaid billing on file, so operational exposure and scale are concentrated in Medicare rather than a mixed Medicare/Medicaid book of business. The absence of any Medicaid claims suggests limited or no participation in that payer channel in-state, which will shape network access and reimbursement negotiation dynamics.

    Revenue is highly concentrated in a few services: the top three Medicare codes — 99214 ($119.6K, 18.5% of Medicare revenue), 78452 ($84.1K, 13.0%), and 93306 ($78.2K, 12.1%) — together account for 43.7% of this provider’s total Medicare revenue. This concentration indicates that a small set of ambulatory evaluation/management and cardiac imaging codes drive nearly half of Medicare receipts.

    The code mix points to an ambulatory cardiology practice with substantial diagnostic and imaging throughput plus non‑procedural longitudinal management. High revenues for 99214 (office E/M), 93306 (2D echocardiography), and 78452 (cardiac SPECT) show a focus on office visits plus high‑acuity cardiac imaging; significant receipts for 99454 ($47.6K) and 99457 ($30K) indicate an established remote physiologic monitoring (RPM) program integrated with outpatient care.

    Competitive standing by code shows national strength on outpatient encounters and imaging: 99214 ranks #6830 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 78452 ranks #801 of 14946 (95th percentile; notably above typical national volume). 93306 is also above average but less extreme (ranks #2836 of 24624, 88th percentile; typical, unremarkable volume). These ranks suggest this clinician is a high‑volume national outlier for office E/M and cardiac nuclear imaging, and a strong but not exceptional performer for echocardiography.

    The practice shows a pronounced investment in remote monitoring and noninvasive cardiac testing: 99454 ($47.6K) ranks #222 of 5663 providers nationally (96th percentile; notably above typical national volume), 99457 ($30K) ranks #525 of 6044 (91th percentile; typical, unremarkable volume), and 99458 ($7.6K) appears as a meaningful add‑on. Coupled with 93000 ($12K) ranking #1217 of 71016 (98th percentile; extreme outlier) and 93015 ($12.1K, 91th percentile), this profile is consistent with a high‑throughput diagnostic and RPM workflow.

    Procedural/interventional services are present but represent a smaller share of revenue relative to imaging and office care: 93458 (imaging supervision for coronary angiography) generated $27.5K and ranks #272 of 7990 (96th percentile; notably above typical national volume), while percutaneous intervention 92928 accounted for $14.7K. This pattern implies access to cath lab imaging supervision and some interventional activity, but these services are not the primary revenue drivers.

    Operationally, several mid‑to‑high volume vascular and vascular imaging codes (93880 $30.5K, 93970 $9.8K, 93925 $9.5K) and ambulatory ECG monitoring 93229 ($43K) indicate a broad diagnostic portfolio supporting vascular and rhythm evaluation alongside cardiac imaging. The combination of high SPECT and echocardiography revenues with substantial ambulatory monitoring suggests a vertically integrated outpatient diagnostic footprint rather than an exclusively inpatient or procedure‑heavy practice.

    The provider has a long tenure on file — NPI enumerated 2008-07-14 (~18 years ago) — which, together with consistent Medicare revenue generation and multiple codes ranking in high national percentiles, suggests an established practice infrastructure and referral base focused on cardiology diagnostics and remote monitoring. Given no Medicaid billing on file, payers and network analysts should treat this clinician as a Medicare‑centered cardiology resource with limited Medicaid exposure in Delaware.

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,220$100$119.6K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…240$360$84.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…550$140$78.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.1,190$40$47.6K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…60$680$43K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…250$120$30.5K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…770$40$30K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…130$210$27.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…170$140$24.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…180$100$17.6K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933062970450$100$51.8K
    784521260120$250$40.3K
    9322983040$670$34.2K
    99214761,830150$80$25.5K
    99458820170$30$19.4K
    99457420170$40$18.1K
    93880188070$110$16.6K
    9923312650080$90$15.4K
    99232506730120$60$14.2K
    A9500520170$90$13.9K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Christiana Care Health Services IncDENeurology Physician$0$5.1M
    Christiana Care Health Services, IncDEFamily Medicine Physician$0$5.1M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Christiana Care Health Services, IncDEPsychiatry Physician$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Jamal MislehDEHematology & Oncology Physician$6.8M$0
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    Autism DelawareDEIntellectual & Developmental Disabilities Psychologist$0$5.8M

    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. Delaware Distribution
    Antony Innasimuthu — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware