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    OpenPayerNPI Medicare & MedicaidPernankel Nayak
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    Pernankel Nayak — Billing Profile & Reimbursement Data

    NPI 1114982154 · Effingham, IL · Urology Physician

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    Pernankel Nayak is a urology physician provider located in Effingham, Illinois. This profile covers 33 Medicare and 3 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
    OrganizationPernankel Nayak
    Address414 W Virginia Ave
    CityEffingham
    StateIL
    ZIP62401
    TaxonomyUrology Physician
    NPI EnumeratedApril 20, 2006

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

    Payer SourceTotal Paid
    Medicare$229.9K
    Medicaid$1.1K

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…360$170$60.5K
    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…540$60$33.3K
    55700Code deleted December 31, 2025.130$170$21.2K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.340$50$16.5K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…70$190$12.3K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…50$230$10.5K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$420$8K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$560$7.8K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…70$110$7.6K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.740$10$6.7K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    50590244020$620$17.2K
    9921413,14818,540110$80$17.1K
    52000531080$160$15.8K
    992326,9537,96090$60$12.4K
    52601224020$750$12K
    523564914020$500$10.9K
    5228164030$200$8.9K
    9921381117,39070$60$8.8K
    55700218020$200$6.5K
    992224,5335,73030$100$5.3K

    Showing 1–10 of 33

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$20$780
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…50$1$190
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…50$1$90

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    3 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…11,88214,190280$20$38.9K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…234290500$1$10.7K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…671970150$1$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Anthonys Memorial Hospital Of The Hospital Sisters Of The ThirdILHome Health Agency$0$9.4M
    Philip DyILMedical Oncology Physician$4.4M$549.3K
    Hanna SabaILHematology & Oncology Physician$2.2M$334K
    James BockILFamily Medicine Physician$674.4K$770K
    Casey DuncanILRadiation Oncology Physician$1.2M$4.2K
    Mustafa HindiILEmergency Medicine Physician$107.8K$744.8K
    Raghav GovindarajanILNeuromuscular Medicine (Psychiatry & Neurology) Physician$377.7K$282.1K
    Ziad IssaILClinical Cardiac Electrophysiology Physician$622.3K$19.9K
    Brian MillerILClinical Cardiac Electrophysiology Physician$430.6K$129.9K
    Manohar KolaILCardiovascular Disease Physician$401.1K$135.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Care Associates Of Effingham, S.c.ILRural Health Clinic/Center$0$7.8M
    Heartland Human ServicesILMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    Lincare Inc.ILDurable Medical Equipment & Medical Supplies$0$5.3M
    Southern Illinois Healthcare Foundation IncILFederally Qualified Health Center (FQHC)$0$4.3M
    Effingham Obstetrics And Gynecology Associates PLLCILObstetrics & Gynecology Physician$0$3.8M
    Fatima AhmadILOphthalmology Physician$1.9M$1.5M
    Community Support Systems Cfc 20ILEarly Intervention Provider Agency$0$3.1M
    County Of EffinghamILHealth Service Clinic/Center$149.5K$369.5K
    Christina BakerILPhysical Therapist$398.4K$0
    Joseph SpraulILOphthalmology Physician$370.6K$60

    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. Illinois Distribution
    Pernankel Nayak — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Pernankel Nayak — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois