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    OpenPayerNPI Medicare & MedicaidBrinda Dixit
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    Brinda Dixit — Billing Profile & Reimbursement Data

    NPI 1275514861 · Chesapeake, VA · Rheumatology Physician

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    Brinda Dixit is a rheumatology physician provider located in Chesapeake, Virginia. This profile covers 24 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
    OrganizationBrinda Dixit
    Address516 Innovation Dr
    CityChesapeake
    StateVA
    ZIP23320
    TaxonomyRheumatology Physician
    NPI EnumeratedNovember 10, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused practice: total Medicare revenue is $2.5M and there is no Medicaid billing on file, so the provider’s book of business is single‑payer in scope and materially dependent on Medicare reimbursement flows. The absence of Medicaid activity suggests limited exposure to state Medicaid contracting but increases sensitivity to Medicare drug administration and office visit reimbursement policies.

    Revenue is highly concentrated in a small number of biologic drug administration codes: the top three Medicare codes (J0129, J0717, J1602) account for 71.8% of the provider’s total Medicare revenue, with J0129 at 32.6%, J0717 at 23.2%, and J1602 at 16.0%. This concentration indicates that a few high-cost biologic treatments drive most of practice revenue.

    The CPT/HCPCS mix is consistent with a rheumatology practice that operates an in‑office biologics infusion/administration service line: high-revenue drug codes such as J0129 (abatacept), J0717 (certolizumab pegol), J1602 (golimumab), plus additional biologics like J3262 (tocilizumab, $280.6K, 10.8%) and J0897 (denosumab, $203K, 7.8%), point to routine on-site biologic injections/infusions coupled with associated administration billing. Procedural support codes for infusions and injections (e.g., 96365 with $26.7K, 1.0% of revenue, and 96413 with $12.4K, 0.5% of revenue) further reinforce an infusion-capable clinic model.

    Competitive standing is mixed across leading drug codes: the provider is a national high-volume administrator of abatacept (J0129 ranks #76 of 1221 providers nationally, 94th percentile; notably above typical national volume), while certolizumab (J0717 ranks #61 of 848, 93th percentile) and golimumab (J1602 ranks #96 of 1041, 91th percentile) volumes are described as typical or unremarkable despite high rank percentiles. In short, the practice is a prominent national administrator for at least one key biologic but otherwise aligns with common national patterns for several other biologics.

    Visit intensity and procedural throughput are notable relative to peers: higher‑level evaluation and management codes appear at elevated rates (99214: 762 claims, $67.8K, 2.6% of revenue, ranks #21863 of 479517, 95th percentile; 99215: 447 claims, $62.6K, 2.4% of revenue, ranks #2520 of 145531, 98th percentile and labeled an extreme outlier). High claims for basic injection services are also an outlier (96372: 974 claims, $10.7K, 0.4% of revenue, ranks #412 of 58224, 99th percentile; labeled extreme outlier), which together suggest a practice that manages relatively complex patients and performs a large volume of in-office injections.

    On-site diagnostic and procedural capabilities are evident: the provider reports 468 claims for 76881 (joint ultrasound) generating $4.2K (0.2% of Medicare revenue) and ranks #55 of 1606 providers nationally (97th percentile), indicating routine use of ultrasound for joint assessment and procedural guidance. This capability supports both diagnostic evaluation and guided joint procedures, consistent with a rheumatology clinic that combines medical management with procedural services.

    Operational and revenue risk considerations stem from the practice’s biologic concentration and Medicare-only footprint: with top biologic codes making up 71.8% of Medicare revenue and no Medicaid revenue recorded, changes in drug reimbursement, buy-and-bill margin pressure, or shifts in Medicare policy could materially affect topline performance. The single-payer concentration also limits diversification benefits and could impact negotiations or referral strategy.

    The provider is long-tenured: NPI enumeration date is 2005-11-10 (~21 years ago), which suggests an established clinical presence that may have supported the development of the current infusion and high-intensity office visit patterns over time. Tenure combined with the code mix implies a stable referral base and operational experience in managing biologic therapies and complex rheumatology patients.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)25,000$30$850K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)150,800$1$603.2K
    J1602Injection, golimumab, 1 mg, for intravenous use37,900$10$416.9K
    J3262Injection, tocilizumab, 1 mg56,120$10$280.6K
    J0897Injection, denosumab, 1 mg11,280$20$203K
    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…760$90$67.8K
    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…450$140$62.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.520$50$26.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…440$50$21.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…120$110$12.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012923010,450$30$407.3K
    J3262142075,870$1$383.3K
    J071763074,500$1$361.7K
    J160222013,430$10$176.7K
    J0897283402,820$20$89.3K
    96413169230250$100$28.5K
    9921487812,890140$80$21K
    99490114510130$50$15.5K
    96401145180110$60$11.5K
    992137,99412,44090$60$10K

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chesapeake Hospital AuthorityVAGeneral Acute Care Hospital$0$45.6M
    Hnh Virginia, Inc.VAHome Health Agency$0$42.9M
    Gateway Services, LLCVACommunity/Behavioral Health Agency$0$39.8M
    Sentara EnterprisesVAHome Infusion Agency$0$38.7M
    City Of ChesapeakeVACommunity/Behavioral Health Agency$0$27.4M
    Clients First Home Health Inc.VAHome Health Agency$0$24.8M
    Immanual CareVAHome Health Agency$0$23M
    Y Christian Care LLCVAHome Health Agency$0$18.7M
    Sentara EnterprisesVAHome Health Agency$0$12.5M
    Renaissance Counseling Services, LLCVACommunity/Behavioral Health Agency$0$10.8M

    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
    Brinda Dixit — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia