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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGarumuni Desilva
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    Garumuni Desilva — Billing Profile & Reimbursement Data

    NPI 1275539892 · Hamden, CT · Internal Medicine Physician

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    Garumuni Desilva is a internal medicine physician provider located in Hamden, Connecticut. 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
    OrganizationGarumuni Desilva
    Address2080 Whitney Ave Ste 250
    CityHamden
    StateCT
    ZIP06518
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 28, 2005

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

    Payer SourceTotal Paid
    Medicare$96.5K
    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
    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…250$90$23.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$140$14.8K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…100$150$14.6K
    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…130$60$8.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…120$60$7.3K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…70$100$6.4K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$240$4.5K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…20$130$3.1K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…70$50$3K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…20$160$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
    93306311330180$80$17.3K
    993499015090$90$14.6K
    992141,2336,48090$90$14.2K
    993067125050$140$12.7K
    99350668040$130$11.5K
    G04393521,51060$130$10K
    992131,9246,44070$60$8.1K
    992151,4651,84030$130$6.7K
    994967821020$220$4.6K
    994974635040$60$3.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Impact Health P.C.CTNurse Practitioner$0$1.4M
    Marie-paule HeylenNYAdult Health Nurse Practitioner$348.2K$0
    Elizabeth CaseyCTFamily Nurse Practitioner$253.7K$0
    Chin Cheng TaiCTPrimary Care Nurse Practitioner$220.2K$0
    Nicole RadiMNFamily Nurse Practitioner$183.1K$0
    Maria ZandonellaCTFamily Nurse Practitioner$178.9K$0
    Amanda CostellaCTFamily Nurse Practitioner$169.1K$0
    Jillian ReidCTAdult Health Nurse Practitioner$157.2K$0
    Ann MesingerCTFamily Nurse Practitioner$152.5K$0
    Shannon DesimoneCTFamily Nurse Practitioner$150.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patient Care Hha, LLCCTHome Health Agency$0$14.6M
    Home Health Professionals NetworkCTHome Health Agency$0$9.8M
    New England Retina Associates, P.CCTRetina Specialist (Ophthalmology) Physician$0$4.4M
    The Center For Pediatric And Family GrowthCTBehavior Analyst$0$3.4M
    Heartcare Associates Of Connecticut, LLCCTCardiovascular Disease Physician$0$3M
    Children's Medical Group, LLCCTPediatrics Physician$0$2.6M
    Hamden Sleep Disorders Center LLCCTSleep Medicine (Internal Medicine) Physician$177K$2.3M
    David TomCTOphthalmology Physician$2.5M$0
    Drs Chen And Seignemartin LLCCTPediatric Dentistry$0$2.1M
    Hamden Medical Group, LLCCTFamily Medicine Physician$0$1.5M

    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. Connecticut Distribution
    Garumuni Desilva — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut