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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNivedita Prasanna
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    Nivedita Prasanna — Billing Profile & Reimbursement Data

    NPI 1255713343 · Jackson, TN · Critical Care Medicine (Internal Medicine) Physician

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    Nivedita Prasanna is a critical care medicine (internal medicine) physician provider located in Jackson, Tennessee. This profile covers 5 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
    OrganizationNivedita Prasanna
    Address620 Skyline Dr
    CityJackson
    StateTN
    ZIP38301
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 24, 2015

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

    Payer SourceTotal Paid
    Medicare$72.2K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…430$160$67.8K
    31500The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.20$100$1.5K
    99292Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…20$80$1.4K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.20$60$1.3K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…10$30$400

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9929131,56040$160$9.7K
    992928610030$80$3K
    31500297010$100$1.5K
    365564114020$60$1.3K
    3662023228020$30$900

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Tennessee Healthcare Hospitalists IncTNHospitalist Physician$0$4.3M
    Khawaja MuddassirTNPulmonary Disease Physician$174.4K$210K
    Salman ZafarTNInternal Medicine Physician$157.9K$0
    Nassif AzziTNNephrology Physician$139.4K$0
    Ronald RentuzaTNHospitalist Physician$87.4K$44.8K
    Martinson AnsahWVInternal Medicine Physician$104.8K$16.1K
    John MorrisseyDCCritical Care Medicine (Internal Medicine) Physician$107.4K$0
    Jorge DonadoCTHospitalist Physician$100.7K$530
    Hesham HassaballaILCritical Care Medicine (Internal Medicine) Physician$69.6K$17.4K
    Jonathan SilvermanGAInternal Medicine Physician$86.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson Madison County General HospitalTNGeneral Acute Care Hospital$0$46.6M
    Pathways Of Tennessee, Inc.TNClinic/Center$0$30.6M
    Emergency Medical Care Facilities PCTNEmergency Medicine Physician$0$19.7M
    A Plus Care Solutions IncorporatedTNIn Home Supportive Care Agency$0$18.4M
    Jackson-madison County General HospitalTNLand Ambulance$5.1M$13M
    Mid-south Perinatal Associates PCTNMaternal & Fetal Medicine Physician$0$11.6M
    West Tennessee Medical Group IncTNInternal Medicine Physician$0$8.2M
    Wt University Medical Associates IncTNFamily Medicine Physician$0$7.5M
    Jackson-madison County General HospitalTNCommunity/Retail Pharmacy$0$7.4M
    Shavetta ConnerTNPublic Health & General Preventive Medicine Physician$8.1K$4.9M

    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. Tennessee Distribution
    Nivedita Prasanna — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee