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    OpenPayerNPI Medicare & MedicaidSumitha Ganji
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    Sumitha Ganji — Billing Profile & Reimbursement Data

    NPI 1215252853 · Slidell, LA · Nephrology Physician

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    Sumitha Ganji is a nephrology physician provider located in Slidell, Louisiana. This profile covers 9 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSumitha Ganji
    Address664 Robert Blvd
    CitySlidell
    StateLA
    ZIP70458
    TaxonomyNephrology Physician
    NPI EnumeratedApril 6, 2010

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

    Payer SourceTotal Paid
    Medicare$156.3K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…560$90$51.7K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…120$270$31.9K
    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…480$60$29.8K
    99223The 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…160$130$21.6K
    99232The 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…180$60$10.8K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…60$60$3.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…40$80$3.2K
    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…30$110$2.8K
    90970The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…140$10$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9096076110170$270$49.5K
    99309343400220$70$35K
    99308303410160$50$18.6K
    992147796,670110$80$16.5K
    992327792,58090$60$13.3K
    99233712,01070$90$12.3K
    992231602,33040$130$7.7K
    992041,9003,19030$110$4.8K
    90970310110$10$950

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hossein TabariLANephrology Physician$270.2K$273K
    Daniel TveitLANephrology Physician$227.9K$0
    John SimonLANephrology Physician$139.2K$0
    Lisa MelekLAFamily Nurse Practitioner$134.6K$0
    Evangelos SotiropoulosLAHospitalist Physician$112.4K$0
    William GabbardGANephrology Physician$94.7K$0
    Donna BrantonLAAcute Care Nurse Practitioner$62.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's International L.L.C.LAPediatrics Physician$0$30.9M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$15.2M
    Slidell Memorial HospitalLAGeneral Acute Care Hospital$0$11.8M
    Addiction Counseling And Educational Resources, LLCLASubstance Use Disorder Rehabilitation Clinic/Center$0$8M
    Edward ManninaLARadiation Oncology Physician$652.3K$0
    Daniel BourgeoisLARadiation Oncology Physician$621.8K$0
    Bruce IteldLASpecialist$471.5K$0
    Marc BernsteinLACardiovascular Disease Physician$398.1K$0
    Vasanth BethalaLAInterventional Cardiology Physician$147.9K$0
    Simon FingerLAOrthopaedic Surgery Physician$141.5K$0

    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. Louisiana Distribution
    Sumitha Ganji — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana