Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrashant Nagpal
    Ask Trek AI about this page

    Prashant Nagpal — Billing Profile & Reimbursement Data

    NPI 1255763579 · Madison, WI · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Prashant Nagpal — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Prashant Nagpal is a diagnostic radiology physician provider located in Madison, Wisconsin. 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPrashant Nagpal
    Address600 Highland Ave
    CityMadison
    StateWI
    ZIP53792
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 9, 2013

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

    Payer SourceTotal Paid
    Medicare$74.1K
    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
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…270$80$20.7K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…110$130$13.9K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.250$50$12K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…70$90$6.2K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…850$10$5.1K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.90$50$4K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…400$10$2.8K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…30$80$2.8K
    75572The provider uses computed tomography (CT) to examine the structure and function of heart. The procedure includes three–dimensional post processing, assessments of the functions of heart, and…50$60$2.7K
    71555In this diagnostic procedure, the provider performs a magnetic resonance angiography, or MRA, study of the blood vessels of the chest to evaluate for occlusion, stenosis, or aneurysm. The provider…20$60$1.5K

    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
    71275349040$60$3.5K
    712501946050$40$3.2K
    75574125020$110$3K
    7556123030$90$2.9K
    7126010346050$40$2.7K
    74174118020$100$2.4K
    7557244020$80$2K
    7104532580240$10$2K
    75635345020$80$1.7K
    7155511020$60$1.5K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    University Of Wisconsin Medical Foundation, IncWIMulti-Specialty Clinic/Center$0$15.2M
    University Of Wisconsin System Non PayrollWIClinical Medical Laboratory$0$4M
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Nevein IbrahimILDiagnostic Radiology Physician$668.4K$0
    Thomas ReherSDDiagnostic Radiology Physician$540.8K$0
    Ali PirastehWIDiagnostic Radiology Physician$498.3K$0
    Chi LimSCOrthopaedic Surgery Physician$399.8K$0
    Steve ChoWINuclear Imaging & Therapy Physician$395.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David LewisWIOphthalmology Physician$1.4M$0
    Jagroop BasraonWIClinical Cardiac Electrophysiology Physician$1.1M$0
    Rakesh MandalWIClinical Pathology/Laboratory Medicine Physician$67.1K$547.9K
    Daniel Guerra RodasWINephrology Physician$147.6K$462.1K
    Robert HegemanWIMedical Oncology Physician$393.7K$0
    Michael ChristopherWIDermatology Physician$386K$0
    Mark MounajjedWIInfectious Disease Physician$381.5K$0
    Christine VetterWIDiagnostic Radiology Physician$367.5K$0
    Scott PerlmanWINuclear Imaging & Therapy Physician$351.6K$0
    Amin AfraziWISurgery Physician$347.7K$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. Wisconsin Distribution
    Prashant Nagpal — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin