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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Chandrasekhar Narala (NPI 1205882339)

Field	Value
Entity Type	Individual
Organization	Chandrasekhar Narala
Address	2847 St Rose Pkwy
City	Henderson
State	NV
ZIP	89052
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider's commercial footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the provider either does not serve Medicaid enrollees or does not bill Medicaid in Nevada, which will materially shape payer negotiations and network coverage considerations in the local market.

Revenue is concentrated in a small set of cardiac diagnostic and evaluation services: the top three Medicare codes are 78452, 99214, and 93306 and together account for 45.5% of this provider's total Medicare revenue (precomputed). The single largest code, 78452, represents $217.8K or 19.3% of Medicare revenue, indicating substantial dependence on SPECT nuclear cardiology studies.

The code mix and dollar values point to an operation centered on cardiac diagnostic imaging and outpatient cardiology care. High-revenue items include 78452 ($217.8K), 93306 ($123.5K), A9500 ($50.2K) and 93015 ($31K), while evaluation-and-management visits 99214 ($172.3K) and 99213 ($120.3K) support an ongoing ambulatory cardiology practice with integrated testing.

The provider demonstrates outsized national volume in multiple imaging and cardiac testing codes, reflecting national-level competitive strength for those services. For example, 78452 is an "extreme outlier" (ranks #44 of 14946, 100th percentile), 99214 is an "extreme outlier" (ranks #1432 of 479517, 100th percentile), and A9500 ranks #14 of 4099 (100th percentile, extreme outlier), signaling unusually high throughput versus peers for nuclear cardiology and routine cardiology visits.

Several ancillary cardiovascular and vascular services contribute meaningful secondary revenue, indicating a broader service line beyond imaging alone. Notable entries include vascular duplex 93880 ($40.9K), sleep testing 95811 ($48K), and procedural codes such as 36465 ($27.3K) and 36475 ($13K), which suggest the practice performs both diagnostic vascular imaging and some office-based venous interventions.

The provider also reports wearable and remote cardiac monitoring activity that generates material payments but at lower volumes compared with imaging: 93229 produced $59.3K from 89 claims and 93228/93288 generated smaller amounts. These monitoring and device-management codes indicate a capacity for ambulatory rhythm surveillance and pacemaker/ICD follow-up work that complements diagnostic services.

Not all high-volume codes are uniformly exceptional: several high-dollar imaging and testing codes are marked as "notably above typical" or "typical, unremarkable" rather than uniformly extreme outliers. For instance, 93306 is "notably above typical" (97th percentile) and J2785 (regadenoson) is also "notably above typical" (98th percentile), while codes like G0166 and 36465 are characterized as typical or unremarkable in national rank, signaling that the provider's exceptional volumes are concentrated in a subset of services.

This provider is a long‑tenured Medicare participant, with NPI enumeration dating to 2006-05-26 (~20 years ago), which supports interpretation of the observed service mix as an established practice pattern rather than a brief spike in activity. The combination of long tenure, concentrated dependence on nuclear cardiology and echocardiography, and no Medicaid billing should inform payers' and competitors' expectations about the provider's referral patterns, patient mix, and negotiating position.

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	630	$340	$217.8K
99214	The 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…	1,960	$90	$172.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	850	$150	$123.5K
99213	The 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…	1,720	$70	$120.3K
J2785	Injection, regadenoson, 0.1 mg	1,540	$40	$66.2K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	90	$670	$59.3K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	1,250	$40	$50.2K
95811	During 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.	100	$500	$48K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	280	$140	$40.9K
99204	The 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…	340	$120	$39.4K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Chandrasekhar Narala — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36465	9	10	70	$1,040	$163K
93229	14	50	30	$660	$56.3K
36475	11	10	50	$880	$50K
95811	10	30	70	$430	$43.3K
95810	20	30	40	$400	$31.3K
G0166	1	10	320	$80	$26.4K
93306	5	250	190	$90	$22.5K
99214	16	3,610	110	$80	$19K
J2785	5	90	180	$40	$16.7K
78452	2	160	50	$230	$16.7K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Molecular Pet Imaging LLC	NV	Physiological Laboratory	$1.4M	$0
Karthiek Narala	NV	Interventional Cardiology Physician	$344.7K	$0
Cam Choji	NV	Interventional Cardiology Physician	$293.5K	$1.9K
Zev Lagstein	NV	Cardiovascular Disease Physician	$242.7K	$10.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platinum Hospitalists LLP	NV	Hospitalist Physician	$0	$38.8M
Urgent Care Nevada, LLC	NV	Urgent Care Clinic/Center	$0	$34.9M
Dignity Health	NV	General Acute Care Hospital	$0	$18.7M
Behavioral Health Solutions LLC	NV	Community/Behavioral Health Agency	$0	$11.4M
Lamotte Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.4M
Minghsun Liu Md PC	NV	Infectious Disease Physician	$0	$5.1M
Optimized Management LLC	NV	Clinical Social Worker	$0	$5M
Misch/hyun/hodapp Healthcare, LLP	NV	Pediatrics Physician	$0	$4.5M
Ellsworth Cox Pediatric Dentistry LLC	NV	Pediatric Dentistry	$0	$3.7M
Total Infusion Care LLC	NV	Home Infusion Therapy Pharmacy	$0	$3.1M

Chandrasekhar Narala — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References