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    OpenPayerNPI Medicare & MedicaidSudhakar Ancha
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    Sudhakar Ancha — Billing Profile & Reimbursement Data

    NPI 1346395852 · Joplin, MO · Gastroenterology Physician

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    Sudhakar Ancha is a gastroenterology physician provider located in Joplin, Missouri. This profile covers 14 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
    OrganizationSudhakar Ancha
    Address2216 E 32nd St
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 24, 2007

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

    Payer SourceTotal Paid
    Medicare$112.9K
    Medicaid$0

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…130$130$17.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$200$16.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk90$170$15.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.180$80$13.4K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…110$60$7.2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$130$6.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$170$5.4K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$80$5.2K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…20$350$5.2K
    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…100$50$5.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538512234060$250$21K
    43274314030$290$12.2K
    G01051519030$240$9.4K
    453803535040$150$9.1K
    G01214316020$250$7.4K
    992133,1378,73070$50$7K
    432392037060$100$6.9K
    43248197030$140$5.3K
    453781421020$160$3.9K
    992031,4172,95030$70$3.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$6.2M
    Eric CarlsonMOMedical Oncology Physician$579.8K$0
    William NicholasMOInterventional Cardiology Physician$518.5K$0
    Jane SetoMODiagnostic Radiology Physician$468.6K$890
    Darwin JeyarajMOInterventional Cardiology Physician$437.9K$0
    Frederick EmgeIDPediatric Cardiology Physician$0$422.8K
    Chance MatthiesenMORadiation Oncology Physician$372.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark CenterMOCommunity/Behavioral Health Agency$0$165.3M
    Jasper County Sheltered Facilities AssocMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$62.1M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.5M
    The Independent Living Center, Inc.MOAttendant Care Provider$0$24.7M
    Jasper County Sheltered Facilities BoardMOCase Management Agency$0$21.3M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Jasper County Sheltered Facilities AssocMODevelopmentally Disabled Services Day Training Agency$0$13.2M
    The Independent Living Center, Inc.MOPersonal Care Attendant$0$12.4M
    Jasper County Sheltered Facilities Assc.MODevelopmentally Disabled Services Day Training Agency$0$9.1M

    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. Missouri Distribution
    Sudhakar Ancha — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri