Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidVenkataraman Sukumar
    Ask Trek AI about this page

    Venkataraman Sukumar — Billing Profile & Reimbursement Data

    NPI 1356321087 · Dover, DE · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for Venkataraman Sukumar — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Venkataraman Sukumar is a anatomic pathology & clinical pathology physician provider located in Dover, Delaware. This profile covers 23 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVenkataraman Sukumar
    Address1253 College Park Dr
    CityDover
    StateDE
    ZIP19904
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$331.1K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,440$50$75.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…1,080$70$73.2K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…430$90$37.2K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…420$80$32K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.220$130$27.1K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…110$100$11.1K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.110$90$9.5K
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…210$40$9.1K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…290$30$8.9K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…110$70$8.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0005410500$20$55.4K
    88305840740$40$45.2K
    U0003210400$70$29.1K
    88341630450$30$20.3K
    883421040240$40$14K
    883072220110$70$12.1K
    88331153050$70$8.7K
    8817362060$70$8.5K
    88312120100$50$7.3K
    765361840100$40$6.8K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Pathology Services, IncDEAnatomic Pathology Physician$0$1M
    Thomas HuebnerMDAnatomic Pathology & Clinical Pathology Physician$939.5K$0
    Fady GergesDEAnatomic Pathology Physician$906.3K$0
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0
    Fred MoDCOrthopaedic Surgery of the Spine Physician$688.8K$0
    Parham FaridDCDiagnostic Radiology Physician$642.7K$0
    Andrea SingerDCInternal Medicine Physician$608.6K$0
    Andrew MoMDOrthopaedic Surgery of the Spine Physician$540.7K$0
    Jean-marc VoyadzisMDNeurological Surgery Physician$486.7K$0
    Ryan HankinsDCUrology Physician$445K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    At Home Infucare, LLCDEHome Health Agency$0$28.5M
    Amazing Home Care AgencyDEHome Health Agency$0$18.7M
    Dedicated To Women Ob-gyn, P.A.DEObstetrics & Gynecology Physician$0$11.1M
    Help At Home Of Delaware, LLCDEIn Home Supportive Care Agency$0$10.7M
    A Center For Mental Wellness, Inc.DEMental Health Counselor$0$9.9M
    State Of DelawareDECase Management Agency$0$9.2M
    West Dover Dental, LLCDEDentist$0$9M
    Americare Home SolutionsDEIn Home Supportive Care Agency$0$8.4M
    Vicdania Health Services LLCDEHome Health Agency$0$7.4M

    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. Delaware Distribution
    Venkataraman Sukumar — 6 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware