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 & MedicaidLakshmikanth Katragadda
    Ask Trek AI about this page

    Lakshmikanth Katragadda — Billing Profile & Reimbursement Data

    NPI 1336303940 · Huntsville, AL · Hematology & Oncology Physician

    Customize your policy alerts

    Sign up for Lakshmikanth Katragadda — 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.

    Lakshmikanth Katragadda is a hematology & oncology physician provider located in Huntsville, Alabama. This profile covers 87 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 / 9

    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
    OrganizationLakshmikanth Katragadda
    Address3601 Cci Dr Nw
    CityHuntsville
    StateAL
    ZIP35805
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJuly 12, 2008

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    Provider is effectively single-payer in the public programs: lifetime Medicare revenue is $2.1M and there is no Medicaid billing on file, so Medicare accounts for the entirety of the documented public-payer volume for this NPI. This concentration means analyses of utilization and revenue risk should focus on Medicare policy and reimbursement changes.

    Revenue is highly concentrated in a few high-cost oncology drugs: the precomputed top-3 Medicare codes account for 63.2% of this provider's Medicare revenue, driven by J9271 ($894.4K, 46.4%), J1568 ($180.9K, 9.4%) and Q5127 ($143.1K, 7.4%). Operationally and financially, fluctuations in utilization or pricing for these specific products would materially affect the provider's Medicare revenue.

    The code mix indicates an infusion-centric hematology/oncology practice: high revenue from J9271 (pembrolizumab), J1568 (IV immune globulin), and multiple chemotherapy and infusion administration codes such as 96413, 96365 and G0498 suggests routine outpatient administration of systemic oncology therapies. Supportive-care biologics and injectables (Q5127, J0897) combined with frequent infusion administration codes point to a clinic-focused treatment model rather than primarily procedural or surgical oncology.

    Competitive standing on the leading drug codes is modest-to-strong but not dominant nationally: J9271 ranks #358 of 1841 providers (80th percentile, labeled typical), J1568 ranks #88 of 381 (77th percentile, typical), and Q5127 ranks #11 of 30 (66th percentile, typical). These ranks imply the provider has meaningful volume in these biologics relative to peers, but is not among the top national leaders for these products.

    There are notable utilization outliers in evaluation-and-management and certain procedural codes that suggest heavy clinic throughput: 99214 has 1.6K claims and $142.6K revenue and is described as an "extreme outlier" at the 99th percentile, while chemotherapy administration 96413 (586 claims, $54.5K, 94th percentile) and infusion add-on 96375 (1.1K claims, $11.7K, 97th percentile) are labeled as notably above typical. These patterns are consistent with high visit volume and repeated infusion-based care delivery.

    Lab and monitoring services represent a steady, high-volume ancillary revenue stream that supports oncology workflows: codes such as 80053 (2.5K claims, $25.3K, 98th percentile), 85025 (2.7K claims, $21.4K, 98th percentile), and 36415 (2.5K claims, $20.4K, 99th percentile) show routine in-office or ordered lab work used alongside therapeutic infusions. This suggests built-in clinical processes for frequent laboratory monitoring that also contribute to non-drug revenue.

    Dependence on a single drug for a large share of revenue creates operational sensitivity: J9271 alone represents $894.4K and 46.4% of Medicare revenue, so policy, coverage, or utilization shifts affecting pembrolizumab would disproportionately impact the provider's Medicare topline. Payor negotiations or prior-authorizations focused on high-cost immunotherapies should be a monitoring priority.

    Provider has long tenure in Medicare billing which supports stability in observed patterns: NPI enumerated 2008-07-12 (~18 years ago), indicating an established presence in Huntsville, AL. The combination of long registration, concentrated Medicare revenue of $2.1M, and a treatment-heavy code mix suggests an established outpatient oncology practice with stable operational routines.

    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.

    87 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg20,800$40$894.4K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg5,320$30$180.9K
    Q5127Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg530$270$143.1K
    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…1,550$90$142.6K
    J0897Injection, denosumab, 1 mg7,140$20$128.5K
    J1437Injection, ferric derisomaltose, 10 mg4,400$20$74.8K
    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…590$90$54.5K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg370$100$38.3K
    J1454Injection, fosnetupitant 235 mg and palonosetron 0.25 mg90$350$30.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2,530$10$25.3K

    Showing 1–10 of 87

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 87 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    87 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271143019,900$40$827.2K
    J156817305,180$30$316.2K
    Q5127920590$270$165.7K
    J0897482003,120$20$97.7K
    J143710403,000$20$59.1K
    Q5108410370$100$38.1K
    J1454142090$340$33.7K
    J088116307,720$1$24.1K
    9641311150150$90$20.2K
    99214437,330120$80$16.8K

    Showing 1–10 of 87

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John WaplesALMedical Oncology Physician$9.6M$0
    Marshall SchreederALMedical Oncology Physician$3.5M$0
    Heather BrodyALHematology & Oncology Physician$3.1M$0
    Jorge DiazALHematology & Oncology Physician$2.6M$0
    Naveen LoboALMedical Oncology Physician$2.4M$0
    Ali HachemALHematology & Oncology Physician$2.3M$0
    Daniel SchreederALHematology & Oncology Physician$2.3M$0
    Robert ConryALHematology & Oncology Physician$2.1M$0
    Oncology Specialties, P.C.ALHematology & Oncology Physician$0$2M
    Surrinder DangALHematology & Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Huntsville Emergency Medical Services, Inc.ALLand Ambulance$5.6M$6M
    Madison Core Laboratories, LLCALClinical Medical Laboratory$1.5M$4M
    Hc Healthcare, LLCALCommunity Based Hospice Care Agency$0$4.8M
    The Village Medical ClinicALSpecialist$0$2M
    Ehab El-baheshALHematology & Oncology Physician$1.7M$0
    Pathology Associates, P.C.ALAnatomic Pathology & Clinical Pathology Physician$0$1.7M
    Rehabilitation & Neurological Services LLCALSpecialist$0$1.3M
    Philip McgeeALHematology & Oncology Physician$1.2M$0
    John NicholsonALHematology & Oncology Physician$1.2M$0
    Elizabeth FalkenbergALRadiation Oncology Physician$1.1M$0

    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. Alabama Distribution
    Lakshmikanth Katragadda — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama