Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKennedy Yalamanchili
    Ask Trek AI about this page

    Kennedy Yalamanchili — Billing Profile & Reimbursement Data

    NPI 1205825932 · Newark, DE · Specialist

    Customize your policy alerts

    Sign up for Kennedy Yalamanchili — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Kennedy Yalamanchili is a specialist provider located in Newark, Delaware. This profile covers 39 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKennedy Yalamanchili
    Address774 Christiana Rd
    CityNewark
    StateDE
    ZIP19713
    TaxonomySpecialist
    NPI EnumeratedOctober 15, 2005

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

    Payer SourceTotal Paid
    Medicare$582.5K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single-payer: total Medicare revenue is $582.5K and there is no Medicaid billing on file. The absence of any Medicaid activity means analysts should treat this profile as Medicare-dominant when modeling payer mix or network participation.

    The provider has a long tenure in the NPI registry, enumerated 2005-10-15 (~21 years ago), indicating an established practice history; this longevity supports the interpretation that current code patterns reflect an experienced specialty practice rather than a short-term anomaly.

    Revenue is highly concentrated in a few high-value spine and evaluation codes: the top 3 Medicare codes account for 40.7% of the provider’s Medicare revenue — specifically 22612 ($93.2K, 17.7%), 99205 ($72.4K, 13.7%), and 22614 ($49.3K, 9.3%). This concentration shows a reliance on a small set of complex surgical and high-complexity evaluation services for the majority of Medicare dollars.

    The code mix strongly signals a surgical spine specialty with significant procedural breadth: numerous spinal fusion codes (22612, 22614, 22842, 22853), decompression/laminectomy codes (63047, 63048), and augmentation/allograft codes (20938, 20931) dominate the list. In addition, neuromodulation and intrathecal device work (63655, 62351, 63650) appear alongside high-complexity E/M codes, indicating the practice delivers both operative spine care and device-based pain management.

    Several individual CPT codes place this provider well above typical national peers: 22612 ranks #14 of 1984 (99th percentile; extreme outlier), 99205 ranks #16 of 66257 (100th percentile; extreme outlier), and 22325 ranks #1 of 22 (100th percentile; extreme outlier). These rank/percentile positions indicate nationally outsized volume for select spine procedures and for high-complexity new patient visits, suggesting the provider is a prominent performer for those services.

    Beyond the headline outliers, multiple other spine procedure codes sit in high percentiles (for example, 22614 at the 96th percentile and 22842 at the 98th percentile), showing consistently elevated procedural volume across related spine services rather than a single-code spike. That pattern is consistent with a specialty practice performing multi-component spine surgeries (fusion + instrumentation + decompression) as a routine care pathway.

    Despite the strong specialty signal and multiple national outlier ranks, total Medicare revenue of $582.5K remains modest in absolute terms, implying the provider’s financial footprint is concentrated in a few high-intensity services rather than broad high-volume billing across many payers or service lines. For payers and network analysts, this profile suggests negotiating or utilization review focus should be on the listed spine surgery and high-complexity E/M codes where the provider’s activity is unusually dense.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…80$1,210$93.2K
    99205The provider sees a new 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 provider…440$170$72.4K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…160$310$49.3K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…60$600$33.1K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…70$440$31.3K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.20$1,330$26.6K
    22325The provider treats a fracture or dislocation of a lumbar vertebra, one of the interlocking bones of the lower back, in an open procedure. He makes an incision and realigns the fractured or displaced…40$590$23K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.120$170$19.8K
    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…140$130$18.6K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…20$670$14.7K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368511020$4,820$110.8K
    6365011020$1,720$37.8K
    2261222030$740$29.6K
    1400021050$400$21.4K
    2255141020$850$17.8K
    9923318250080$90$15.4K
    6365511020$670$14.7K
    99232673730120$60$14.2K
    2232511030$390$12.4K
    6304722040$340$12.4K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M
    Children's Health Alliance, LLCFLPediatrics Physician$0$9.6M
    Michael KlufasPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Jamal MislehDEHematology & Oncology Physician$6.8M$0
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M

    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. Delaware Distribution
    Kennedy Yalamanchili — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware