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NPI 1346348968 · Apple Valley, CA · Sports Medicine (Orthopaedic Surgery) Physician
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Rama Pathi is a sports medicine (orthopaedic surgery) physician provider located in Apple Valley, California. This profile covers 22 Medicare and 14 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Rama Pathi |
| Address | 18145 Highway 18 |
| City | Apple Valley |
| State | CA |
| ZIP | 92307 |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| NPI Enumerated | September 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $514.6K |
| Medicare | $151.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 450 | $70 | $31.3K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 600 | $20 | $13.3K |
| 27244 | In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using a plate and screws to stabilize the fractured… | 10 | $990 | $10.9K |
| 29879 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by reshaping the articular cartilage covering its ball and socket, grinding its surface and in some cases… | 20 | $540 | $10.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 160 | $60 | $10.1K |
| 23412 | In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the… | 20 | $620 | $9.3K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 540 | $20 | $8.7K |
| 27025 | In this procedure, the provider cuts through the fascia in the hip or thigh to relieve pressure and increase blood flow. | 20 | $320 | $6.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 60 | $100 | $5.8K |
| 27385 | In this procedure, the provider sutures the primary rupture of the hamstring or quadriceps muscles to relieve pain and reinstate appropriate gait. | 20 | $200 | $4.6K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 23412 | 8 | 10 | 20 | $1,180 | $21.2K |
| 97110 | 2,913 | 6,720 | 490 | $20 | $17.1K |
| 29881 | 38 | 110 | 20 | $830 | $16.5K |
| 23430 | 48 | 60 | 20 | $630 | $16.4K |
| 99232 | 4,158 | 12,280 | 90 | $70 | $16.3K |
| 27244 | 3 | 10 | 10 | $970 | $14.5K |
| 99213 | 3,736 | 34,660 | 80 | $70 | $13.2K |
| 29876 | 10 | 20 | 20 | $530 | $11.6K |
| 97140 | 2,082 | 5,950 | 340 | $20 | $10.5K |
| 29879 | 3 | 10 | 10 | $570 | $9.6K |
Showing 1–10 of 22
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 5,860 | $40 | $228.6K |
| 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… | 760 | $110 | $81.4K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 3,540 | $20 | $77.8K |
| 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… | 810 | $70 | $52.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 210 | $140 | $28.8K |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 410 | $40 | $17.5K |
| 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… | 50 | $160 | $7.5K |
| 97164 | The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she… | 170 | $40 | $6.4K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 30 | $190 | $5.6K |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 1,280 | $1 | $3.8K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 521 | 2,110 | 1,330 | $30 | $200.7K |
| 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… | 6,255 | 13,300 | 640 | $40 | $169.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 2,098 | 4,230 | 210 | $110 | $135K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 337 | 1,170 | 1,000 | $20 | $126.4K |
| 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… | 7,136 | 14,520 | 760 | $10 | $122.8K |
| 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… | 4,355 | 5,870 | 180 | $70 | $73K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 1,455 | 1,980 | 110 | $160 | $66.3K |
| 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… | 4,512 | 5,590 | 180 | $50 | $62.4K |
| 97014 | The provider, who is typically a physical therapist, applies an electrical current to nerves or to a muscle or group of muscles, causing them to contract. It is used to restore function to a body… | 368 | 400 | 990 | $10 | $34.2K |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 161 | 500 | 190 | $30 | $32.8K |
Showing 1–10 of 14
Other providers in the same ZIP code as Rama Pathi, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St. Mary Medical Center | CA | General Acute Care Hospital | $0 | $52.3M |
| High Desert Limb Salvage Institute Podiatrist Corp | CA | Podiatric Clinic/Center | $0 | $39.8M |
| Mukeshchandra Patel | CA | Specialist | $946.1K | $1.6M |
| Rizwan Nurani | CA | Radiation Oncology Physician | $2.4M | $0 |
| Thomas Hoffmann | CA | MOHS-Micrographic Surgery Physician | $1M | $0 |
| Vijay Arora | CA | Obstetrics & Gynecology Physician | $130.3K | $664.8K |
| Diraj Karnani | CA | Rheumatology Physician | $680.6K | $0 |
| Shahid Latif | CA | Radiation Oncology Physician | $624.7K | $0 |
| Pedram Ilbeigi | CA | Urology Physician | $545.9K | $0 |
| Kathleen Jones | CA | Otolaryngology Physician | $61.2K | $432.6K |
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