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    OpenPayerNPI Medicare & MedicaidLavanya Kodali
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    Lavanya Kodali — Billing Profile & Reimbursement Data

    NPI 1114172038 · Ithaca, NY · Pulmonary Disease Physician

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    Lavanya Kodali is a pulmonary disease physician provider located in Ithaca, New York. This profile covers 20 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLavanya Kodali
    Address201 Dates Dr Ste 101
    CityIthaca
    StateNY
    ZIP14850
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedNovember 19, 2008

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

    Payer SourceTotal Paid
    Medicare$124.8K
    Medicaid$8.6K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…320$110$35.7K
    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…250$90$22.4K
    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…190$60$11.8K
    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…140$60$8.8K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.220$30$6.9K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…70$90$6.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$100$5.7K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.50$90$4.1K
    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…30$120$4K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…20$170$3.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,00830,45090$100$19K
    992336,4328,64080$100$15.8K
    992913,7914,68050$190$15.2K
    992324,15211,85080$70$13.8K
    958113714030$300$12.4K
    992138,21231,44080$70$12.1K
    958102318030$260$10.5K
    992154,4528,28040$140$10.1K
    992238,3728,65040$150$9.3K
    992046114,17030$130$6.6K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 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…170$20$4K
    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…60$50$2.9K
    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…100$20$1.7K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications110$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…13,08319,110360$70$321K
    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…8,95616,550220$90$186.8K
    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…2,2853,820100$130$99.7K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications1,2422,000210$1$90

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arnot Ogden Medical CenterNYGeneral Acute Care Hospital$0$60.7M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Advance Community Health, IncNCFederally Qualified Health Center (FQHC)$0$10.8M
    Gurmukh SadaranganiNYRadiation Oncology Physician$1.3M$87.2K
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Gurdeep KundlasNYFamily Medicine Physician$182.5K$577.3K
    Salvador GuerreroMDFamily Medicine Physician$729.6K$0
    Seth BenkelNYHematology & Oncology Physician$562.5K$71.6K
    Joseph WangNYRadiation Oncology Physician$607.9K$0
    Scott PeplinskiNYDiagnostic Radiology Physician$481.6K$14.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cayuga Medical Center At IthacaNYGeneral Acute Care Hospital$0$33.3M
    Bangs Ambulance, Inc.NYAmbulance$1M$4.3M
    Edward FranzoniNYPsychologist$7.3K$1.4M
    Sanjeev VohraNYUrology Physician$344.5K$130
    Benjamin McclinticNYCardiovascular Disease Physician$150.5K$1.1K
    Jonathan MauserNYCardiovascular Disease Physician$144.7K$530
    Kristen CanzlerNYNurse Practitioner$132.4K$2.3K
    Thomas BrownNYPhysician Assistant$110.4K$0
    Elisabeth CottonNYInternal Medicine Physician$90.3K$7.9K
    Guillermo FerrerNYSurgery Physician$93.9K$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. New York Distribution
    Lavanya Kodali — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Lavanya Kodali — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York