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 & MedicaidSuresh Jayatilaka
    Ask Trek AI about this page

    Suresh Jayatilaka — Billing Profile & Reimbursement Data

    NPI 1265557953 · South Boston, VA · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Suresh Jayatilaka — 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.

    Suresh Jayatilaka is a gastroenterology physician provider located in South Boston, Virginia. 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.

    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
    OrganizationSuresh Jayatilaka
    Address1129 N Main St Ste G
    CitySouth Boston
    StateVA
    ZIP24592
    TaxonomyGastroenterology Physician
    NPI EnumeratedMarch 20, 2007

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

    Payer SourceTotal Paid
    Medicare$226.9K
    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
    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…630$60$40.4K
    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…430$90$37.7K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.160$180$28.3K
    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…130$220$28K
    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…130$120$16.1K
    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…170$100$16K
    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…140$100$14.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.220$50$9.9K
    99205The provider sees a new 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 provider…50$150$7.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$90$7.3K

    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
    4538510240070$260$24.7K
    992142,43212,890140$80$21K
    992331,6563,29080$90$13.7K
    453803340060$160$12.9K
    992323,6284,46080$60$11K
    9921353912,44090$60$10K
    992156124,03040$120$9.5K
    432391539070$110$9.3K
    G010511624030$240$9.2K
    43249110030$260$8.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronson Methodist HospitalMIHospitalist Physician$0$64.8M
    Halifax Regional Hospital, Inc.VAGeneral Acute Care Hospital$0$23.3M
    Dlp Western Carolina Physician Practices LLCNCInternal Medicine Physician$0$14M
    Bronson Battle Creek HospitalMIInternal Medicine Physician$0$9.8M
    Ashwani SastryNCVascular Surgery Physician$1.3M$0
    John PiedeALHematology & Oncology Physician$774.1K$0
    Habib BassilVACardiovascular Disease Physician$375.9K$0
    Radhakrishnan RamarajNCCardiovascular Disease Physician$308.8K$5.2K
    Charles PotterGANeonatal-Perinatal Medicine Physician$0$275.9K
    Joshua BrownNCPhysical Medicine & Rehabilitation Physician$254.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Team Nurse, Inc.VAPersonal Care Attendant$0$10.7M
    Galax Treatment Center, LLCVASubstance Abuse Rehabilitation Facility$0$8.5M
    Team Nurse, Inc.VAPersonal Care Attendant$0$5.6M
    Halifax County Rescue Squad, IncVALand Ambulance$428.8K$710.6K
    Pawanjit SarnaVAPulmonary Disease Physician$848K$0
    Babita PatelVAInternal Medicine Physician$570.3K$0
    Terrance TruittVAPulmonary Disease Physician$385.4K$0
    James WitkoVAPulmonary Disease Physician$383.9K$0
    Bakul PatelVAGastroenterology Physician$234.5K$0
    Arash ChehraziVADiagnostic Radiology Physician$146.3K$1.8K

    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. Virginia Distribution
    Suresh Jayatilaka — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia