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    OpenPayerNPI Medicare & MedicaidVijay Aluri
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    Vijay Aluri — Billing Profile & Reimbursement Data

    NPI 1215979539 · Cedar Rapids, IA · Rheumatology Physician

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    Vijay Aluri is a rheumatology physician provider located in Cedar Rapids, Iowa. This profile covers 45 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
    OrganizationVijay Aluri
    Address202 10th St Se
    CityCedar Rapids
    StateIA
    ZIP52403
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 12, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This practice is effectively single-payer: total Medicare revenue is $2M and there is no Medicaid billing on file, so Medicare dominates the provider’s public-payer footprint. The absence of any Medicaid claims suggests payer exposure and utilization patterns reported here are driven entirely by Medicare patients rather than a mixed Medicaid/Medicare panel.

    Revenue is highly concentrated in a small set of biologic drug codes: the precomputed top-three share is 54.9% of Medicare revenue, led by J3262 ($441.8K, 21.9%), J0129 ($403.8K, 20.0%), and J1602 ($263K, 13.0%). This concentration indicates that over half of Medicare receipts flow from a narrow set of infused or injected biologic therapies, making these agents the primary revenue drivers for the practice.

    The code mix and descriptions point to a rheumatology practice built around in-office infusion and biologic administration: high-revenue biologic J3262 (tocilizumab), J0129 (abatacept), J1602 (golimumab) and presence of infusion/chemotherapy administration codes such as 96365 and 96413/96415 indicate routine supervised IV/subcutaneous drug delivery rather than only office-based E/M visits. Coupled with E/M codes (99214, 99215, 99205) and frequent lab panels, the pattern is consistent with longitudinal specialty management plus procedure-based infusion services.

    Competitive standing by code is mixed but leans toward above-average utilization for several injectables. For example, J3262 ranks #75 of 618 (88th percentile) and is characterized in the file as "typical, unremarkable volume for this code," indicating a relatively high national position without being an outlier; similarly, J1745 ranks #107 of 1352 (92th percentile) and is also labeled "typical, unremarkable volume for this code," showing the provider is a high-volume user of some anti-TNF/infliximab therapies but not uniquely dominant.

    Secondary biologic and immunomodulatory agents also contribute materially to revenue and reflect a broad therapy mix: J9312 (rituximab) generated $248.9K (12.3%) and ranks #116 of 317 (64th percentile, labeled "typical, unremarkable volume for this code"), while J0897 (denosumab) generated $160.9K (8.0%) and ranks #1355 of 10057 (86th percentile, labeled "typical, unremarkable volume for this code"). These figures suggest the practice deploys multiple classes of biologics rather than relying on a single molecule.

    Infusion-administration and chemotherapy payment lines appear regularly in the billing profile, supporting an operational infusion capability: 96413 recorded 522 claims with $50.1K revenue (rank #612 of 7514, 92th percentile, labeled "typical, unremarkable volume for this code") and 96365 shows 264 claims with $12.1K. The presence and percentile positions of these codes indicate routine, billable infusion sessions are a meaningful part of patient care delivery rather than rare or incidental events.

    High-percentile laboratory testing accompanies the drug/infusion footprint, consistent with monitoring needs for biologic therapy. Examples include 86140 (1.1K claims, $5.6K revenue, rank #215 of 4115, 95th percentile, labeled "typical, unremarkable volume for this code") and 82565 (1K claims, $5K revenue, rank #143 of 5066, 97th percentile, labeled "typical, unremarkable volume for this code"); these patterns suggest regular in-practice ordering or coordination of monitoring labs for treated patients.

    The provider’s NPI tenure (enumerated 2006-06-12, ~20 years ago) combined with $2M lifetime Medicare revenue indicates an established specialty practice that has sustained biologic/infusion services over an extended period. For payers and competitors assessing network capacity, this profile signals a long-standing rheumatology infusion provider with concentrated Medicare exposure and no Medicaid volume to offset payer mix risk.

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3262Injection, tocilizumab, 1 mg88,350$10$441.8K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,880$30$403.8K
    J1602Injection, golimumab, 1 mg, for intravenous use26,300$10$262.9K
    J9312Injection, rituximab, 10 mg3,950$60$248.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg9,470$30$246.2K
    J0897Injection, denosumab, 1 mg8,940$20$160.9K
    J3111Injection, romosozumab-aqqg, 1 mg9,030$10$72.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…520$100$50.1K
    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…510$90$45.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.260$50$12.1K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J326221035,440$1$233.1K
    J01293205,950$30$218.3K
    J93121103,190$60$198.4K
    J160221013,010$10$153.6K
    J3111132012,180$10$112K
    J17451203,460$30$92.3K
    J0897221901,920$20$74.1K
    964131280210$90$24K
    992144764,690100$70$14.4K
    83970225040$40$8.3K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rochester General HospitalNYGeneral Acute Care Hospital$0$226.8M
    Rochester General Hospital-labNYClinical Medical Laboratory$0$33.4M
    Rochester General HospitalNYFamily Medicine Physician$0$25.2M
    Rochester General HospitalNYGeneral Acute Care Hospital$0$21.7M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Medical CenterIAGeneral Acute Care Hospital$0$26.4M
    Eastern Iowa Health CenterIAFamily Medicine Physician$0$24.5M
    Eastern Iowa Health CenterIAFamily Medicine Physician$0$18.5M
    Eastern Iowa Health CenterIAGeneral Practice Dentistry$0$14.4M
    Linn County Emergency Medicine PCIAEmergency Medicine Physician$0$9.8M
    C R Iv Service IncIAHome Infusion Therapy Pharmacy$0$5.8M
    Mercy Medical CenterIACardiovascular Disease Physician$0$5.1M
    Physicians' Clinic Of Iowa, PCIASurgery Physician$0$4.9M
    C R Pharmacy Service IncIAOxygen Equipment & Supplies (DME)$0$2.4M
    Bogdan CherascuIARheumatology Physician$2.4M$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. Iowa Distribution
    Vijay Aluri — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa