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    OpenPayerNPI Medicare & MedicaidLatha Vellanki
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    Latha Vellanki — Billing Profile & Reimbursement Data

    NPI 1346332640 · Tucson, AZ · Dermatology Physician

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    Latha Vellanki is a dermatology physician provider located in Tucson, Arizona. This profile covers 25 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
    OrganizationLatha Vellanki
    Address6648 E Carondelet Dr
    CityTucson
    StateAZ
    ZIP85710
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$289.4K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer at the claims level: total Medicare revenue is $289.4K and there is no Medicaid billing on file, so Medicare drives the entire documented public‑payer footprint for this NPI. That concentration means analyses of utilization and revenue will be dominated by Medicare trends and peer comparisons rather than state Medicaid activity.

    Revenue is highly concentrated in a small set of services: the top 3 Medicare codes by revenue account for 48.0% of this provider's total Medicare revenue. The single largest contributor is 99213 ($73.9K revenue, 25.5% of Medicare revenue), followed by 17000 ($36.7K, 12.7%) and 17110 ($28.5K, 9.8%), indicating a narrow set of high‑value lines driving nearly half of Medicare payments.

    The code mix and fee profile point to a procedure‑heavy dermatology practice that couples office E&M with lesion treatment and diagnostics. High volumes and revenue for lesion destruction codes (17000, 17003) and biopsies (11102, 11104) along with excision codes like 11602/11642 and topical/photodynamic therapy items such as J7308 ($20.5K, 7.1%) and 96573 ($8.5K, 2.9%) indicate the practice performs a steady flow of both diagnostic biopsies and in‑office lesion treatments.

    99213 volume is an outlier nationally: it registers 1.3K claims and ranks #3293 of 457151 providers (99th percentile; extreme outlier, far above typical national volume for this code), signaling unusually high office visit throughput for an established‑patient level. By contrast, several other common dermatology codes (for example 99214 at the 72th percentile and many wound‑repair codes clustering around typical percentiles) sit in normal national ranges, so the provider’s exceptional metric is concentrated in routine established‑patient visits.

    Several procedural codes also show above‑average national standing for this specialty. 17000 ranks #788 of 21879 providers (96th percentile; notably above typical national volume for this code) and 11104 ranks #181 of 6872 providers (97th percentile; notably above typical national volume for this code), which together suggest competitive strength in lesion destruction and biopsy services relative to dermatology peers.

    Operational detail: 17003 appears frequently by count (2.8K claims) but has a low average paid amount ($5 avg paid/claim) producing $14.1K revenue (4.9% of Medicare revenue), indicating many low‑unit add‑on lesion destruction entries accompany other encounter billing. This pattern is consistent with high throughput of multiple‑lesion treatments where per‑unit payments are small but aggregate procedural activity is meaningful.

    Tenure and market presence: the NPI was enumerated on 2006-09-28 (~20 years ago), indicating an established enrollment history with Medicare. That longevity, combined with concentrated Medicare revenue and notable national ranks on several procedure codes, suggests an ongoing, stable clinical operation focused on outpatient dermatologic procedures.

    The absence of Medicaid billing on file raises competitive and access considerations for payers and networks in Arizona: either the clinician does not participate in Medicaid, bills under a different entity for Medicaid work, or serves a Medicare‑predominant patient panel. For payer strategy, this means Medicaid networks should not rely on this NPI for broad access in Tucson, AZ, while Medicare product designs will need to account for this provider’s outsized role in certain dermatology services.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,300$60$73.9K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,020$40$36.7K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…370$80$28.5K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)70$300$20.5K
    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…230$90$19.8K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.280$70$18.1K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.70$220$14.9K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…2,820$10$14.1K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.110$100$10.5K
    96573The provider applies a photosensitizing drug to a lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is performed…50$170$8.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921445910,410120$80$20.6K
    J730827040$300$15.7K
    1110217500170$60$13.8K
    171104510120$70$13.1K
    170002580210$30$11.8K
    12032718040$190$9.7K
    9657312040$150$9.7K
    9921369,60080$60$9.6K
    170042332050$110$9.3K
    170037530810$1$5.7K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Stanislav TolkachjovTXDermatology Physician$1M$1.1K
    Dane HillAZDermatology Physician$882.4K$0
    Carlos RodriguezAZDermatopathology Physician$788.6K$0
    Aaron BruceMTDermatology Physician$682.7K$0
    Whitney CallNVMOHS-Micrographic Surgery Physician$596.4K$0
    Shannon SetzerMTDermatology Physician$487K$0
    Molly BucklandMTMOHS-Micrographic Surgery Physician$420.2K$0
    Alyson ThedeMTDermatology Physician$404.7K$0
    Angelo PetropolisAZDermatology Physician$342.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Blake FoundationAZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.8M
    Cobros Iii, LLCAZCommunity/Behavioral Health Agency$0$61.4M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$24.3M
    Saguaro Senior Living, Inc.AZAssisted Living Facility$0$22.5M
    Arizona Total Care LLCAZMulti-Specialty Clinic/Center$0$16.7M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$164.3K$14.2M
    Solace Behavioral Health LLCAZCommunity/Behavioral Health Agency$0$11.9M
    Devereux FoundationAZMental Illness Community Based Residential Treatment Facility$0$8.7M
    Caring Connections For Special Needs, LLCAZCommunity/Behavioral Health Agency$0$7.5M
    Mark WalshAZRetina Specialist (Ophthalmology) Physician$4.2M$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. Arizona Distribution
    Latha Vellanki — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona