Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Raju Reddy (NPI 1114218070)

Field	Value
Entity Type	Individual
Organization	Raju Reddy
Address	1301 W 38th St
City	Austin
State	TX
ZIP	78705
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	April 27, 2011

Payer Source	Total Paid
Medicare	$36.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical 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…	120	$160	$19.4K
99233	The 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…	110	$90	$10.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$3.3K
99232	The 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…	30	$60	$1.9K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	10	$110	$1.3K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	10	$10	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Raju Reddy — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	419	9,320	100	$90	$17.9K
99232	1,215	11,790	100	$60	$15.8K
99291	65	4,720	50	$160	$13.6K
99223	827	9,990	40	$130	$9.5K
94010	63	630	50	$20	$1.6K
31500	3	160	10	$110	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinton J Baird Plc	OK	Neurological Surgery Physician	$0	$2.6M
Paul Zito	OK	Hematology & Oncology Physician	$2.2M	$0
Benjamin Downie	NM	Medical Oncology Physician	$1.5M	$0
Abigail Owunna	TX	Family Nurse Practitioner	$1.2M	$0
Michael Graves	TX	MOHS-Micrographic Surgery Physician	$645.3K	$0
Daniel Carrasco	TX	Dermatology Physician	$620.2K	$0
Christopher Graham	TX	Urology Physician	$432K	$0
Kalpesh Patel	TX	Pulmonary Disease Physician	$411.2K	$0
Austin Chang	TX	Ophthalmology Physician	$335.6K	$0
Fotini Chalkias	TX	Cardiovascular Disease Physician	$335.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis County Emergency Physicians PA	TX	Emergency Medicine Physician	$0	$47.3M
Longhorn Emergency Medical Associates PA	TX	Emergency Medicine Physician	$0	$16.1M
Peter Nixon	TX	Ophthalmology Physician	$5.1M	$0
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Robert Wong	TX	Ophthalmology Physician	$3.1M	$0
James Dooner	TX	Ophthalmology Physician	$2.9M	$0
Shelley Ghafoori	TX	Ophthalmology Physician	$2.8M	$0
Philip Storey	TX	Ophthalmology Physician	$2.8M	$0
Ryan Young	TX	Ophthalmology Physician	$2.7M	$0
Mark Levitan	TX	Ophthalmology Physician	$2.5M	$0

Raju Reddy — Billing Profile & Reimbursement Data

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Raju Reddy — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References