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    OpenPayerNPI Medicare & MedicaidHeeraimangalore Manjunath
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    Heeraimangalore Manjunath — Billing Profile & Reimbursement Data

    NPI 1366472441 · Fargo, ND · Advanced Heart Failure and Transplant Cardiology Physician

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    Heeraimangalore Manjunath is a advanced heart failure and transplant cardiology physician provider located in Fargo, North Dakota. This profile covers 28 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
    OrganizationHeeraimangalore Manjunath
    Address801 Broadway N
    CityFargo
    StateND
    ZIP58102
    TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
    NPI EnumeratedJuly 4, 2006

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

    Payer SourceTotal Paid
    Medicare$227.3K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data set: total Medicare revenue is $227.3K and there is no Medicaid billing on file. The absence of any Medicaid claims means analyses of state Medicaid competitiveness or payer mix must rely solely on Medicare activity.

    Revenue is highly concentrated in a very small set of Medicare services: the precomputed top 3 codes account for 53.1% of this provider's total Medicare revenue. Those top codes are 93306 (27.7%), 99215 (12.8%), and 99205 (12.6%), indicating that a majority of dollars flow from a complete transthoracic echo and high‑complexity office visits.

    The code mix and top revenue drivers point to an outpatient cardiology practice with a heavy diagnostic imaging and high‑complexity evaluation component. 93306 shows 1.2K claims, $51 avg paid/claim, and $63.1K revenue (27.7% of this provider's total Medicare revenue), while 99215 (287 claims, $102 avg paid/claim, $29.3K revenue) and 99205 (220 claims, $131 avg paid/claim, $28.8K revenue) together reflect substantial time‑intensive outpatient encounters.

    On national competitive standing for specific services, this provider ranks at the top tail for several codes and is functionally a high‑volume outlier in those areas: 93306 ranks #168 of 24624 providers nationally (99th percentile; extreme outlier), 99205 ranks #257 of 66257 (100th percentile; extreme outlier), and 99215 ranks #6341 of 145531 (96th percentile; notably above typical national volume). These ranks indicate a nationally prominent presence for select echocardiography and high‑complexity outpatient visit codes.

    Beyond echo and E/M, procedural ECG and stress testing volumes are unusually large relative to peers and support the imaging/diagnostic lab model: 93010 shows 4K claims and $23.7K revenue (10.4% of Medicare revenue) and ranks #203 of 50616 providers nationally (100th percentile; extreme outlier). Other high‑ranked monitoring and Doppler add‑on codes such as 93018, 93016, and 93321 are also labeled as extreme or notably above typical volume, reinforcing a high throughput of cardiac diagnostic testing.

    Hospital and critical care services are present but represent a smaller share of revenue, suggesting episodic inpatient involvement rather than a hospital‑centric practice. Examples include 99223 at $12.4K (5.4% of Medicare revenue) and 99291 at $6.1K (2.7% of Medicare revenue); both have percentiles indicating typical or midrange national volumes, which is consistent with a primarily outpatient focus supplemented by some inpatient/critical care duties.

    The provider's Medicare program position is operationally concentrated: with $227.3K in total Medicare revenue and 53.1% of that coming from the top three codes, the practice’s financial profile is sensitive to shifts in utilization or payer policy for echocardiography and high‑complexity office visits. This concentration suggests that changes in referral patterns, coding practices, or reimbursement for 93306, 99215, or 99205 could materially affect revenue.

    This NPI has long tenure in the Medicare program, enumerated 2006-07-04 (~20 years ago), which supports interpreting current high volumes and rank outliers as sustained practice behavior rather than short‑term spikes. The extended enrollment period strengthens the view that the observed high volumes for selected cardiac diagnostics and E/M services reflect an established service line and operational model.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,240$50$63.1K
    99215The 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…290$100$29.3K
    99205The 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…220$130$28.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.3,950$10$23.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$130$12.3K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…140$70$8.9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…40$170$6.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$90$6K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$60$4.7K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…290$20$4.6K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306260180$50$19K
    992919114050$160$12.9K
    9923313229060$90$11.9K
    992141,2041,47090$60$10.4K
    9923232156070$60$10K
    992235933040$130$8.9K
    78431210100$60$6.9K
    992152248040$100$6.9K
    78452154060$60$5.3K
    99205116030$140$5.1K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Sanford Health Of Northern MinnesotaMNRural Acute Care Hospital$0$47.6M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Sanford Health Of Northern MinnesotaMNMental Health Clinic/Center (Including Community Mental Health Center)$0$15.1M
    Sanford Medical Center FargoNDAir Ambulance$0$12M
    Sanford Clinic NorthNDClinical Medical Laboratory$1.4M$7M
    Sanford Health Network NorthMNMulti-Specialty Clinic/Center$0$5.2M
    Sanford Medical Center FargoNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Health Care CenterNDFederally Qualified Health Center (FQHC)$0$12.7M
    Encompass Family Support ServicesNDCommunity/Behavioral Health Agency$0$4.2M
    Family Health Care CenterNDDental Clinic/Center$0$1.8M
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    Encompass Family Support ServicesNDEarly Intervention Provider Agency$0$1M
    Midwest Mental Health Clinic PLLCNDPsychiatric/Mental Health Nurse Practitioner$0$1M
    Donald StallmanNDDiagnostic Radiology Physician$610.1K$0
    Sri Vardhan Reddy KooturuNDInternal Medicine Physician$585.5K$0
    Jantey CareyNDHospitalist Physician$450.3K$0
    Midwest Mental Health Clinic PLLCNDAddiction (Substance Use Disorder) Counselor$0$405.6K

    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. North Dakota Distribution
    Heeraimangalore Manjunath — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota