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    OpenPayerNPI Medicare & MedicaidPravin Rajakumar
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    Pravin Rajakumar — Billing Profile & Reimbursement Data

    NPI 1356673644 · Brooklyn, NY · Foot & Ankle Surgery Podiatrist

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    Pravin Rajakumar is a foot & ankle surgery podiatrist provider located in Brooklyn, New York. This profile covers 5 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPravin Rajakumar
    Address3709 Flatlands Ave
    CityBrooklyn
    StateNY
    ZIP11234
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedFebruary 11, 2010

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

    Payer SourceTotal Paid
    Medicare$53.1K
    Medicaid$200

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…320$70$22.4K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.150$80$11.4K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.80$110$8.8K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.210$40$8.6K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…50$40$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11056368760140$70$18.5K
    117217191,270260$40$16.1K
    9934723038070$40$6.8K
    117305342030$100$4.8K
    99342621030$60$3.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.10$20$200

    Medicaid: Competitive Analysis & Benchmarks

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.289330200$20$15.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Donald WallersonNYCardiovascular Disease Physician$495.3K$3.8M
    Shazia AmarNYFoot & Ankle Surgery Podiatrist$144.6K$775.5K
    Joseph PumaNYInterventional Cardiology Physician$398.7K$107.8K
    Deepak VadhanNYSleep Medicine (Internal Medicine) Physician$225.1K$44.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Americare, Inc.NYHome Health Agency$0$686.1M
    Beth Israel Medical CenterNYGeneral Acute Care Hospital$0$278.9M
    I & Y Senior Care, Inc.NYHome Health Agency$0$241.8M
    Americare Certified Special Services, Inc.NYHome Health Agency$0$79.4M
    24/7 Homecare Agency Of Ny, IncNYHome Health Agency$0$78.7M
    Americare, Inc.NYHome Health Agency$0$64.5M
    Rishavena Home Health Care Agency Inc.NYHome Health Agency$0$30.4M
    I & Y Senior Care, Inc.NYHome Health Agency$0$29.3M
    Ep Home Care LLCNYHome Health Agency$0$22.8M
    Amedix LaboratoryNYClinical Medical Laboratory$8.9M$237.5K

    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. New York Distribution
    Pravin Rajakumar — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Pravin Rajakumar — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York