Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Akhilesh Sastry (NPI 1275793374)

Field	Value
Entity Type	Individual
Organization	Akhilesh Sastry
Address	1900 Lafayette Rd
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 11, 2008

Payer Source	Total Paid
Medicare	$345.6K
Medicaid	$0

Key Findings

AKHILESH SASTRY is an Orthopaedic Surgery Physician in PORTSMOUTH, NH who has been NPI-enumerated since 2008-06-11 (~18 years ago). His lifetime Medicare revenue on file is $345.6K and there is no Medicaid billing on file, indicating the practice’s publicly visible payer activity is effectively single-payer Medicare.

Revenue is highly concentrated in major joint arthroplasty: the precomputed top 3 Medicare codes (27130, 27447, 27446) account for 61.7% of this provider’s total Medicare revenue. Those three codes break down to 27130 $94.6K (27.4%), 27447 $84.8K (24.5%), and 27446 $33.8K (9.8%), signaling that hip and knee replacement work drives the majority of billed Medicare dollars.

Clinical mix and service line implications point to a high-volume joint-replacement practice with supportive clinic services: primary operative codes are 27130 (total hip arthroplasty) and 27447/27446 (knee arthroplasty/reconstruction), and the panel includes substantial office E/M and imaging codes such as 99213 (469 claims, $31K) and 73562 (442 claims, $13.3K). The presence of 20985 (196 claims, $22.9K) — a computer assisted navigation code that ranks #36 of 1390 providers nationally and is described as 97th percentile and "notably above typical national volume for this code" — further suggests routine use of navigation technology in joint cases.

Competitive standing varies by procedure: for 27130 this provider ranks #306 of 8062 providers nationally (96th percentile) and is labeled "notably above typical national volume for this code," consistent with a relatively high national footprint for hip arthroplasty. By contrast, 27447 (rank #1453 of 12089, 88th percentile, labeled typical/unremarkable) and 27446 (rank #66 of 450, 85th percentile, labeled typical/unremarkable) position the provider as a solid but not dominant national performer on those knee codes.

Several diagnostic and ancillary codes are statistical outliers or high-volume relative to peers, which has operational implications for facility and imaging coordination: 73562 is high-volume (442 claims, $13.3K) and ranks #443 of 26819 providers nationally (98th percentile; described as "notably above typical national volume for this code"), and 72170 (259 claims, $5.2K) ranks #88 of 16212 providers nationally (99th percentile; described as an "extreme outlier, far above typical national volume for this code"). These patterns suggest substantial on-site or tightly integrated radiography use for hip/knee evaluation.

Procedure and injection mix shows frequent office-based interventions in addition to surgery: 20610 (254 claims, $13.7K, 4.0% of Medicare revenue) ranks #4533 of 39752 providers nationally (89th percentile) and injectable medications appear in the mix with J3304 (1.1K claims, $14.1K, 4.1%) and J0702 (270 claims, $1.4K, 0.4%). The combination of surgical arthroplasty codes, procedural joint injections, and a large number of lower-level E/M visits indicates a throughput model that pairs operative volume with ongoing ambulatory management.

Payer concentration is a business risk flag: with Total Medicare revenue of $345.6K and no Medicaid billing on file, the provider’s reported public-payer revenue is concentrated entirely in Medicare. Analysts should treat Medicaid-related market share or state-level payer positioning as unavailable from claims data and recognize the practice’s exposure is strongly weighted to the Medicare population.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	90	$1,040	$94.6K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	80	$1,050	$84.8K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	40	$940	$33.8K
99213	The 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…	470	$70	$31K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	200	$120	$22.9K
J3304	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,090	$10	$14.1K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	250	$50	$13.7K
99203	The provider sees a new 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 provider…	180	$80	$13.7K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	440	$30	$13.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	250	$40	$9.8K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Akhilesh Sastry — 7 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	3	10	20	$3,100	$83.6K
27447	11	90	40	$1,310	$57.7K
27130	3	70	30	$1,580	$55.3K
J3304	11	20	1,760	$10	$51.8K
20985	1	10	50	$110	$7.5K
99213	111	2,900	70	$50	$6.9K
20610	24	250	50	$50	$4.5K
99203	35	1,010	30	$70	$3.3K
73565	1	10	70	$30	$2K
99212	15	610	30	$30	$1.8K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Lehn	NH	Pain Medicine (Anesthesiology) Physician	$542.4K	$0
Michael Morwood	NH	Orthopaedic Surgery Physician	$292.3K	$0
Dorothy Kurtz Phelan	MA	Podiatrist	$283.8K	$0
Jesse Smith	NH	Diagnostic Radiology Physician	$226.4K	$0
Hiram Quitkin	NH	Specialist	$221K	$0
Gregory Bonci	MA	Diagnostic Radiology Physician	$214.9K	$0
Stephen Karshbaum	MA	Diagnostic Radiology Physician	$170K	$20.9K
Mayo Noerdlinger	NH	Orthopaedic Surgery Physician	$177.3K	$0
Archie Mcgowan	ME	Diagnostic Radiology Physician	$158.8K	$0
Sportsmedicine Atlantic Orthopaedics PA	NH	Specialist	$0	$156.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Akhilesh Sastry — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References