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    OpenPayerNPI Medicare & MedicaidBhalchandra Parulkar
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    Bhalchandra Parulkar — Billing Profile & Reimbursement Data

    NPI 1164531422 · Worcester, MA · Urology Physician

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    Bhalchandra Parulkar is a urology physician provider located in Worcester, Massachusetts. This profile covers 23 Medicare and 1 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
    OrganizationBhalchandra Parulkar
    Address85 Prescott Street
    CityWorcester
    StateMA
    ZIP01605
    TaxonomyUrology Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$149.6K
    Medicaid$40

    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.

    23 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…270$100$25.8K
    55899Use 55899 to report procedures in the male genital system that does not have a specific code.110$230$25.1K
    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…290$70$19.2K
    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…90$200$17.7K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…280$40$11.7K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg70$140$9.9K
    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$110$6.7K
    55706The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide…20$280$5.4K
    99442N/A70$70$4.3K
    99203The provider sees a new 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 provider…50$90$4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5587481020$940$22.5K
    J92175060120$130$18.1K
    5200011124090$170$17.6K
    992143,30815,410110$80$15.6K
    5570621020$690$13.8K
    5589911050$210$12.8K
    992131,77813,70070$60$8.8K
    992041,4905,87030$120$5.6K
    992031,6014,29030$80$4.1K
    994431,4021,96030$80$3.8K

    Showing 1–10 of 23

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…10$1$40

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…166170860$1$29.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Vincent Physician Services Hospital And Health Care CenterINFamily Medicine Physician$0$14M
    Saint Vincent Physician Services, Inc.MAFamily Medicine Physician$0$6.1M
    Boris SkurkovichRIPediatrics Physician$0$1.2M
    Robyn WingRIPediatric Emergency Medicine (Pediatrics) Physician$0$914.6K
    Richard WholeyMACardiovascular Disease Physician$421.6K$0
    Santosh RaneNVClinical Cardiac Electrophysiology Physician$259.3K$0
    Sanjeev GoyalMAClinical Cardiac Electrophysiology Physician$228.2K$690
    Chintan PatelMAUrology Physician$205K$0
    Anish ThomasMOInterventional Cardiology Physician$114.6K$0
    Mark KranisMACardiovascular Disease Physician$114.2K$370

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Systems, IncMAAddiction (Substance Use Disorder) Counselor$6M$187.4M
    Edward M. Kennedy Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$55.2M
    Prestige Adult Foster Care LLC.MAIn Home Supportive Care Agency$0$54.1M
    Autism Therapuetic Services LLCMAEarly Intervention Provider Agency$0$23M
    Catholic Charities Of The Diocese Of WorcesterMADevelopmentally Disabled Services Day Training Agency$0$17.2M
    City Home Care, LLCMAHome Health Agency$0$15.9M
    Autism Intervention SpecialistsMABehavior Analyst$0$13.4M
    Pinnacle Home Healthcare Services, IncMAHome Health Agency$0$13.3M
    Adcare Hospital Of Worcester, Inc.MAGeneral Acute Care Hospital$0$13.2M
    The Bridge Of Central Massachusetts, Inc.MACommunity/Behavioral Health Agency$0$5.5M

    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. Massachusetts Distribution
    Bhalchandra Parulkar — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Bhalchandra Parulkar — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts