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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShilpa Reddy
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    Shilpa Reddy — Billing Profile & Reimbursement Data

    NPI 1114071412 · Panama City, FL · Internal Medicine Physician

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    Shilpa Reddy is a internal medicine physician provider located in Panama City, Florida. This profile covers 27 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
    OrganizationShilpa Reddy
    Address204 E. 19th St.
    CityPanama City
    StateFL
    ZIP32405
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicare$292.2K
    Medicaid$0

    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.

    27 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…580$90$50.4K
    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…590$60$37.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.380$70$26.7K
    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…230$120$25.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…120$210$24.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…360$60$22.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…180$110$19.4K
    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…150$90$13.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk60$170$9.5K
    91120N/A30$240$7.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453852641,14060$300$31K
    992144,73832,760140$90$25K
    992334,0179,970100$90$20.1K
    453801461,16050$200$18.7K
    992322,91213,090120$60$17.5K
    43239811,26080$130$16.8K
    G010518170030$280$14.6K
    992236,40311,11060$130$12.5K
    462215910030$210$12.4K
    992132,33430,01080$60$12K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rafael Ching CompanioniFLGastroenterology Physician$319.4K$0
    Senan SultanFLEndocrinology, Diabetes & Metabolism Physician$187.9K$0
    David SuttonFLEndocrinology, Diabetes & Metabolism Physician$160.3K$0
    Germina Risos-rioFLNurse Practitioner$57.8K$0
    Andrew RisingFLFamily Nurse Practitioner$57.4K$0
    Candice LongALFamily Nurse Practitioner$36.6K$0
    Devin GullettALCertified Registered Nurse Anesthetist$24K$0
    Jason SmithFLCertified Registered Nurse Anesthetist$14.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Hospital, IncFLGeneral Acute Care Hospital$0$19.3M
    Panama City Surgery Center,llcFLAmbulatory Surgical Clinic/Center$1.8M$14.8M
    Panhandle Pediatric Dentistry, PLLCFLPediatric Dentistry$0$14.7M
    The Surgical Center For Excellence, LllpFLAmbulatory Surgical Clinic/Center$18.8K$11.7M
    Rainbow Pediatrics PC LLCFLPediatrics Physician$0$8.3M
    Emerald Coast Pediatrics & AdolescentsFLPediatrics Physician$0$8M
    Life Management Center Of Nw Fl, Inc.FLPsychiatry Physician$0$7.9M
    Hospice Of The Emerald Coast, Inc.FLCommunity Based Hospice Care Agency$0$7.5M
    Amir AghaFLRheumatology Physician$3.6M$0
    Jon WardFLMOHS-Micrographic Surgery Physician$2.1M$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. Florida Distribution
    Shilpa Reddy — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida