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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPradeep Mohan
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    Pradeep Mohan — Billing Profile & Reimbursement Data

    NPI 1235351610 · Live Oak, TX · Plastic and Reconstructive Surgery Physician

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    Pradeep Mohan is a plastic and reconstructive surgery physician provider located in Live Oak, Texas. This profile covers 12 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
    OrganizationPradeep Mohan
    Address12315 Judson Rd Ste 110
    CityLive Oak
    StateTX
    ZIP78233
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicare$1.9M
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)2,380$770$1.8M
    15002The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…90$260$24.2K
    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…260$80$21.2K
    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…170$100$16.6K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.90$110$10.4K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…50$180$9.4K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.90$70$6.7K
    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…90$70$6.3K
    20200A muscle biopsy is a surgical procedure to obtain sample of superficial muscle tissue to further analyze a suspected medical condition or infection. Superficial muscle tissue is just below the…30$120$3.6K
    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…20$130$2.4K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4253310730$650$1.1M
    993098901,840240$70$35K
    110438916060$150$32.9K
    9921412,05532,500110$80$17.6K
    1104238379090$70$13K
    152714112070$100$9.9K
    1500224030$220$9K
    9921312,55829,79070$60$8.4K
    9930544861040$100$6.9K
    9920411,91016,38030$110$5.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Samuel JurcaIDFamily Medicine Physician$24M$0
    Richard LaneTXRetina Specialist (Ophthalmology) Physician$4.8M$0
    Thomas OeiTXRetina Specialist (Ophthalmology) Physician$4.3M$0
    Ronald DrenglerTXMedical Oncology Physician$3.8M$0
    Jose MartinezTXOphthalmology Physician$3.8M$0
    Jeremiah BrownTXRetina Specialist (Ophthalmology) Physician$3.7M$0
    Sarah HolyTXRetina Specialist (Ophthalmology) Physician$3.5M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Robert ZajacTXInfectious Disease Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Disease Detection LLCTXClinical Medical Laboratory$10.8K$24.8M
    Laboratory Corporation Of AmericaTXClinical Medical Laboratory$11.6K$11.7M
    Jean-denis BoucherTXProcedural Dermatology Physician$2.2M$0
    Wendall BaumanTXSpecialist$1.6M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Gcsa Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Navneet MittalTXHematology & Oncology Physician$715.4K$0
    Derinbhai PatelTXInternal Medicine Physician$666.3K$0
    Ismael SosaTXHospitalist Physician$422.3K$0
    John CanalesTXInterventional Cardiology Physician$362.4K$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. Texas Distribution
    Pradeep Mohan — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas