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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHarsha Vittal
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    Harsha Vittal — Billing Profile & Reimbursement Data

    NPI 1245308931 · San Jose, CA · Gastroenterology Physician

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    Harsha Vittal is a gastroenterology physician provider located in San Jose, California. This profile covers 17 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
    OrganizationHarsha Vittal
    Address150 N Jackson Ave
    CitySan Jose
    StateCA
    ZIP95116
    TaxonomyGastroenterology Physician
    NPI EnumeratedDecember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$98.5K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…120$160$18.8K
    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…140$80$11.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$230$8.2K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…40$190$7.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$170$7K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$400$6.8K
    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…40$150$6.1K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…30$190$5.9K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.50$100$5.3K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…30$170$4.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453859821,41060$340$33.9K
    453809341,46060$230$23.8K
    432391,1081,50080$150$17.3K
    G010552365030$340$14.8K
    9921312,20434,66080$70$13.2K
    992232,42413,19050$140$11.3K
    43274528020$330$9.9K
    4537847980020$220$7.5K
    43259548030$160$7.5K
    992048,72319,36040$120$7.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edmund TaiCAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Derrick WongCAHematology & Oncology Physician$2.1M$0
    Hanhsing WuCAHematology & Oncology Physician$1.7M$0
    Horng Bruce LinCAVascular & Interventional Radiology Physician$1.7M$0
    Kim-son NguyenCAMedical Oncology Physician$1.5M$0
    Huy NguyenCAHematology & Oncology Physician$843.5K$0
    Robert SinhaCARadiation Oncology Physician$529K$0
    Matthew LevyCAClinical Cardiac Electrophysiology Physician$438.1K$0
    Chidambaram (chad) RammohanCAInterventional Cardiology Physician$391.5K$0
    Edward YuCAFamily Medicine Physician$344.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$132.5M
    Adrian MaCACardiovascular Disease Physician$1M$194.6K
    Shahid SiddiquiCASpecialist$584.2K$60.5K
    Ngoc NguyenCAOphthalmology Physician$563.4K$0
    Lan NguyenCASpecialist$379.5K$0
    Fook WongCAOrthopaedic Surgery Physician$246.3K$0
    Thomas LeiCAPulmonary Disease Physician$229K$14.9K
    Hector CervantesCAFoot & Ankle Surgery Podiatrist$212.9K$2.1K
    Thirupathi ReddyCAInternal Medicine Physician$200.6K$0
    Khoi LamCAEmergency Medicine Physician$191.4K$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. California Distribution
    Harsha Vittal — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California