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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrabhat Tandon
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    Prabhat Tandon — Billing Profile & Reimbursement Data

    NPI 1245265941 · Summerfield, FL · Endocrinology, Diabetes & Metabolism Physician

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    Prabhat Tandon is a endocrinology, diabetes & metabolism physician provider located in Summerfield, Florida. This profile covers 29 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
    OrganizationPrabhat Tandon
    Address10250 Se 167th Place Rd
    CitySummerfield
    StateFL
    ZIP34491
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJuly 11, 2006

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

    Payer SourceTotal Paid
    Medicare$286.3K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,180$90$105.8K
    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…580$60$36.3K
    J0897Injection, denosumab, 1 mg1,440$20$25.9K
    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…150$140$19.9K
    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…130$120$15.7K
    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…80$130$10.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…640$20$10.2K
    83021The lab analyst measures and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by chromatography.450$20$8.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.920$10$7.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.680$10$6.8K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08978551,0603,290$20$106.5K
    992141,35132,760140$90$25K
    8230628092070$30$21.5K
    800532241,430170$10$21.3K
    844431531,210130$20$20.9K
    8397012132050$40$20.2K
    800617051,250160$10$19.4K
    850278910060$10$18K
    992321,60313,090120$60$17.5K
    992232,11911,11060$130$12.5K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marivic VillaFLInternal Medicine Physician$426.5K$0
    Sara GitteFLInternal Medicine Physician$396.4K$0
    M SioufiFLNeurology Physician$373.8K$0
    Khai ChangFLInternal Medicine Physician$349.8K$0
    Ma AungFLInternal Medicine Physician$324.2K$0
    Tasneem CheemaFLInternal Medicine Physician$290.9K$0
    Michael McgriffFLDermatology Physician$287.7K$0
    Michael ChesnerFLCardiovascular Disease Physician$240.1K$0
    Shahbaz CheemaFLInternal Medicine Physician$240K$0
    Radharani GollamudiFLInternal Medicine Physician$224.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fariborz DelbakhshFLSpecialist$2.3M$0
    Lake Endoscopy Center, LLCFLAmbulatory Surgical Clinic/Center$1.4M$0
    Villages Endoscopy Center LLCFLAmbulatory Surgical Clinic/Center$1.1M$0
    Luna BeckFLInternal Medicine Physician$846.4K$0
    The Surgery Center Of The Villages, LLCFLAmbulatory Surgical Clinic/Center$694.5K$0
    Lloyd KimFLEmergency Medicine Physician$581.9K$0
    Kimberly LancasterFLOccupational Therapist$343.2K$0
    Alfredo JacomeFLNeurology Physician$331.8K$0
    Mariana De Jongh-beyerFLGastroenterology Physician$245.8K$0
    Kathryn HeimFLOrthopaedic Hand Surgery Physician$224.4K$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. Florida Distribution
    Prabhat Tandon — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida