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    OpenPayerNPI Medicare & MedicaidPrashanth Shekar
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    Prashanth Shekar — Billing Profile & Reimbursement Data

    NPI 1346295847 · Springfield, IL · Diagnostic Radiology Physician

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    Prashanth Shekar is a diagnostic radiology physician provider located in Springfield, Illinois. This profile covers 56 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPrashanth Shekar
    Address800 E Carpenter St
    CitySpringfield
    StateIL
    ZIP62769
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicaid$171.4K
    Medicare$103K

    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.

    56 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…480$40$17.2K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…380$30$11K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.110$70$7.3K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.110$70$7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.220$30$6.8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…140$30$4.2K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…120$30$3.2K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.80$40$2.9K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…40$70$2.4K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.60$40$2.4K

    Showing 1–10 of 56

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 56 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    56 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067188510320$50$25.3K
    77063214490320$30$15.7K
    741775371,020120$80$11.7K
    7055339250050$100$9.1K
    70450414890200$30$7.9K
    7417629795080$70$6.3K
    7214852370050$80$6.2K
    938809974040$80$5.6K
    7127565890060$70$5.3K
    7125056194080$50$5.1K

    Showing 1–10 of 56

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.1,190$60$67.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.1,050$40$45.3K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…210$90$19.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.380$30$12.2K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,890$10$9.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2,430$1$7.3K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…70$30$1.9K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.50$30$1.5K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…70$20$1.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.110$10$1.2K

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.263880570$60$62.9K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…497620340$40$29.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.172920400$50$29.1K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…11948070$100$20.2K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…401530270$20$12.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…3891,1501,520$1$10.5K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.11864080$40$8.9K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…2761,410610$10$8.4K
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.25942070$30$7.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.13126050$30$5.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$14.8M
    Southern Illinois Healthcare Foundation, Inc.ILFederally Qualified Health Center (FQHC)$0$9.8M
    Faisel AhmadILRetina Specialist (Ophthalmology) Physician$1.6M$4.1M
    Physician Services Corporation Of Southern Illinois IncILRural Health Clinic/Center$0$5.6M
    Omar AhmadILRetina Specialist (Ophthalmology) Physician$2.9M$2.1M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$4M
    Greenville Medical Associates, PASCPrimary Care Clinic/Center$0$1.9M
    Peggy ChanNYNuclear Medicine Physician$1.7M$56.8K
    Michael CovlinILObstetrics & Gynecology Physician$6.8K$1.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul KayILAnatomic Pathology & Clinical Pathology Physician$40.9K$8.6M
    Patrick HemmerILAnatomic Pathology & Clinical Pathology Physician$32.2K$5M
    Chad DefrainILAnatomic Pathology & Clinical Pathology Physician$42.1K$5M
    Simon BekkerILDiagnostic Radiology Physician$190.3K$602.8K
    Shady HenienILInterventional Cardiology Physician$698.4K$0
    Daniel RyanILDiagnostic Radiology Physician$172.7K$357.5K
    Charles SmittkampILDiagnostic Radiology Physician$111.1K$344.9K
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K
    Matthew AbellILDiagnostic Radiology Physician$115.2K$312.3K
    Thomas CzeczokILAnatomic Pathology & Clinical Pathology Physician$49K$300.9K

    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. Illinois Distribution
    Prashanth Shekar — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Prashanth Shekar — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois