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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Praveen Keshava (NPI 1336165596)

Field	Value
Entity Type	Individual
Organization	Praveen Keshava
Address	69 Allen St
City	Rutland
State	VT
ZIP	05701
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$331.9K
Medicaid	$0

Key Findings

This provider’s commercial billing footprint is effectively single‑payer Medicare: total Medicare revenue is $331.9K and there is no Medicaid billing on file (none below). The absence of any Medicaid claims means payer-mix analysis should treat this entity as Medicare‑dependent for the available claims data.

Revenue is highly concentrated in a small set of procedures: the precomputed top‑3 Medicare codes account for 63.1% of this provider’s total Medicare revenue. The single largest line item is 66984 (246 claims, $407 avg paid/claim, $100.1K revenue, 30.2% of this provider's total Medicare revenue), followed by 92014 (932 claims, $74 avg paid/claim, $69K revenue, 20.8%) and 99213 (708 claims, $57 avg paid/claim, $40.4K revenue, 12.2%).

The mix of codes indicates a clinically surgical ophthalmology practice with substantial clinic-based diagnostic and follow-up volume: high‑revenue surgical cataract work is represented by 66984 and adjunct procedures like 66991 and 66821 (66991: 20 claims, $502 avg paid/claim, $10K revenue; 66821: 72 claims, $250 avg paid/claim, $18K revenue), while diagnostic imaging and comprehensive eye exams are prominent through 92014, 92134, 92133 and 92136 (92014: 932 claims; 92134: 608 claims; 92133: 383 claims; 92136: 291 claims). This pattern aligns with an ophthalmologist who performs cataract surgery and maintains a steady outpatient diagnostic/management load.

Several individual codes are statistically notable compared with national peers: 92014 ranks #1923 of 35415 providers (95th percentile; notably above typical national volume) and 99213 ranks #13925 of 457151 providers (97th percentile; notably above typical national volume), indicating above‑typical ambulatory exam and E/M activity. Imaging code 92133 is similarly elevated (383 claims, ranks #1185 of 24968, 95th percentile; notably above typical national volume), supporting a diagnostics-heavy outpatient practice. In contrast, 66984 sits at #4663 of 15965 (71th percentile; typical, unremarkable volume for this code), so cataract surgery volume is solid but not an outlier nationally.

Surgical subtypes suggest limited volume for complex or combined procedures: 66991 (combined IOL with drainage) produced $10K revenue (20 claims) and ranks #1132 of 1445 providers (17th percentile; typical, unremarkable volume), and laser peripheral iridotomy 66761 is reported at 17 claims and $3.6K revenue (rank #609 of 671 providers, 6th percentile; typical, unremarkable volume for this code). These placements point to a practice where routine cataract work and office‑based laser procedures occur but more complex glaucoma surgeries are not a primary revenue driver.

Operationally, E/M and new‑patient evaluations form an important throughput component: 99213 (708 claims, $40.4K revenue) and 99214 (249 claims, $20.9K revenue) together account for a meaningful share of billings and imply sustained follow‑up and chronic care management in clinic. The presence of new‑patient comprehensive visits such as 99204 (110 claims, $11.2K revenue) and 92004 (77 claims, $7.1K revenue) shows ongoing new patient intake rather than a pure surgical referral center.

The provider has long tenure in the Medicare program, with NPI enumeration on 2006-07-14 (~20 years ago), indicating an established billing history that likely reflects a stable clinical operation and patient panel. Given the absence of Medicaid billing, any growth or competitive strategy would need to come from Medicare market share gains, referral relationships, or expansion of privately insured services rather than in‑state Medicaid penetration.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	250	$410	$100.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	930	$70	$69K
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…	710	$60	$40.4K
99214	The 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	$80	$20.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$250	$18K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	610	$30	$16.4K
99204	The 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…	110	$100	$11.2K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	250	$40	$10.3K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	20	$500	$10K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	380	$20	$8.8K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Praveen Keshava — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66991	2	10	60	$2,160	$131.7K
66984	8	20	180	$210	$121.4K
92014	3	100	200	$80	$19.6K
66821	4	20	50	$250	$13.2K
99214	180	960	90	$70	$10.6K
99213	14	910	80	$50	$6.7K
92004	20	90	50	$90	$5.9K
92136	5	20	180	$30	$5.6K
92134	7	90	50	$20	$4.3K
99204	20	330	30	$100	$4.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vermont Eye Surgery & Laser Center	VT	Ambulatory Surgical Clinic/Center	$1.8M	$2.7K
Central Vermont Eye Care, P.C.	VT	Ophthalmology Physician	$0	$572.2K
Joshua Hardin	VA	Ophthalmology Physician	$413.3K	$0
Gregory Mccormick	VT	Ophthalmology Physician	$282.6K	$0
Katherine Lane	VT	Ophthalmology Physician	$201.9K	$0
Juli Larson	VT	Ophthalmology Physician	$161.8K	$0
Jillian Kaplita	CT	Ophthalmology Physician	$140K	$0
Christopher Nisbet	VT	Optometrist	$62.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Rutland Mental Health Services, Inc.	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.7M
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Regional Ambulance Service, Inc	VT	Land Ambulance	$1.4M	$5.3M
Vna & Hospice Of The Southwest Region, Inc	VT	Home Health Agency	$0	$4.8M
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Community Health Centers Of The Rutland Region, Inc.	VT	Dentist	$0	$4.4M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$4.3M

Praveen Keshava — 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