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NPI 1346381183 · Bronx, NY · Geriatric Medicine (Internal Medicine) Physician
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Nirmala Tummalapenta is a geriatric medicine (internal medicine) physician provider located in Bronx, New York. This profile covers 20 Medicare and 4 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 | Nirmala Tummalapenta |
| Address | 4238 Bronx Blvd |
| City | Bronx |
| State | NY |
| ZIP | 10466 |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| NPI Enumerated | February 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $93.2K |
| Medicaid | $5.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 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… | 290 | $70 | $20.8K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 280 | $50 | $15K |
| 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… | 110 | $110 | $11.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | $150 | $11K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 250 | $40 | $9.8K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 220 | $40 | $8.9K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 80 | $60 | $4.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 50 | $40 | $2.2K |
| G0444 | Annual depression screening, 5 to 15 minutes | 80 | $20 | $1.7K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 40 | $40 | $1.6K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99490 | 400 | 1,210 | 150 | $50 | $21K |
| 99214 | 14,036 | 30,450 | 90 | $100 | $19K |
| 99348 | 650 | 670 | 80 | $60 | $13.9K |
| 99439 | 347 | 460 | 90 | $40 | $13.8K |
| 99457 | 146 | 480 | 150 | $40 | $12.5K |
| 99454 | 131 | 420 | 130 | $40 | $12.5K |
| 99213 | 5,226 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 2,351 | 6,290 | 50 | $130 | $11.2K |
| 99347 | 329 | 380 | 70 | $40 | $6.8K |
| 99497 | 684 | 2,060 | 40 | $70 | $6.2K |
Showing 1–10 of 20
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.
4 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… | 260 | $20 | $5.5K |
| 99401 | At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects… | 30 | $1 | $70 |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 20 | $1 | $20 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 10,408 | 19,110 | 360 | $70 | $321K |
| 99401 | At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects… | 1,415 | 1,720 | 270 | $20 | $27.4K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 543 | 880 | 230 | $10 | $20.1K |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 232 | 260 | 280 | $1 | $8.7K |
Other providers in the same ZIP code as Nirmala Tummalapenta, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alliance Home Services | NY | Home Health Agency | $0 | $61.4M |
| Promise Home Care Agency Inc. | NY | Home Health Agency | $0 | $36.7M |
| Randall Berliner | NY | Neurology Physician | $229.1K | $252.5K |
| Faysal Siddiqui | NY | Podiatrist | $329.4K | $0 |
| Kristine Golden | NY | Speech-Language Pathologist | $125.2K | $0 |
| Robert Perelman | NY | Diagnostic Radiology Physician | $42.1K | $4.2K |
| Iris Tuitt | NY | Registered Nurse | $14.8K | $0 |
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