Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Srinivas Pulagam (NPI 1366516833)

Field	Value
Entity Type	Individual
Organization	Srinivas Pulagam
Address	1000 S Columbia Rd
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	Hospitalist Physician
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicare	$250K
Medicaid	$0

Key Findings

This provider is essentially a Medicare-only biller: lifetime Medicare revenue is $250K and there is no Medicaid billing on file, so payer mix is effectively single-payer Medicare. The absence of Medicaid claims means there is no in-state Medicaid footprint to evaluate for competitive or program-participation exposure.

Revenue is highly concentrated in a narrow set of inpatient E/M services: the precomputed top three Medicare codes (99233, 99223, 99232) account for 78.1% of this provider's total Medicare revenue. Those three codes individually contribute 34.0% (99233), 22.8% (99223), and 21.3% (99232) of Medicare revenue, indicating a tight dependence on hospital inpatient and observation E/M encounters.

The code mix aligns with the Hospitalist Physician taxonomy and reflects a practice focused on inpatient care: top codes are initial and subsequent hospital inpatient/observation E/M services (99223, 99232, 99233) plus substantial discharge-day management (99239). This pattern suggests the provider spends most clinical time on hospital rounds, admission evaluations, follow-up inpatient management, and complex discharge visits.

On competitive standing, several inpatient E/M codes are reported at much higher-than-typical national volumes. 99223 ranks #1224 of 139583 providers nationally (99th percentile; extreme outlier) and 99233 ranks #2360 of 128818 (98th percentile; notably above typical national volume), indicating this provider bills these high-complexity inpatient visit codes at volumes far above peer norms.

Discharge-day management is a distinctive revenue driver: 99239 generated $33.7K (13.5% of Medicare revenue) from 370 claims and ranks #402 of 62398 providers nationally (99th percentile; extreme outlier). That combination of high rank and meaningful revenue share implies unusually large throughput or time-intense discharge responsibilities relative to national peers.

Critical care is present but not the dominant service line: 99291 accounts for $20.2K (8.1% of Medicare revenue) across 123 claims and ranks #11098 of 71290 providers (84th percentile; typical, unremarkable volume). This suggests occasional management of critically ill patients but a primary focus on general inpatient E/M rather than sustained critical care practice.

Claim volumes corroborate the operational intensity in inpatient care: top-code claim counts include 905 claims for 99233 (avg paid/claim $94, $85.1K revenue), 422 claims for 99223 (avg paid/claim $135, $57K revenue), and 848 claims for 99232 (avg paid/claim $63, $53.4K revenue). Those raw claim totals, paired with the high national ranks, point to a steady inpatient caseload and significant per-code throughput compared with national peers.

Provider tenure on file is long-standing: NPI enumerated 2006-11-17 (~20 years ago), indicating an established billing history. For analysts, that tenure plus the concentrated inpatient code mix suggests a persistent hospital-based role rather than a recent or transient biller, but the lack of Medicaid activity limits assessment of state-level payer exposure and competition.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	910	$90	$85.1K
99223	The 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…	420	$140	$57K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	850	$60	$53.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	370	$90	$33.7K
99291	Critical 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…	120	$160	$20.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$70	$980

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Srinivas Pulagam — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	27	140	50	$160	$12.9K
99233	5	290	60	$90	$11.9K
99232	7	560	70	$60	$10K
99223	6	330	40	$130	$8.9K
99239	3	210	60	$90	$7.3K
99238	133	180	20	$60	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enloe Medical Center	CA	General Acute Care Hospital	$0	$57.6M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Kurt Johnson	CA	General Practice Physician	$1.1M	$0
Dinesh Verma	CA	Specialist	$674.8K	$380.2K
Catherine Prince	CA	Cardiovascular Disease Physician	$1.1M	$0
Douglas Hughes	CA	Vascular & Interventional Radiology Physician	$1M	$0
Walter Kusumoto	CA	Clinical Cardiac Electrophysiology Physician	$956.5K	$4K
Peter Wolk	CA	Cardiovascular Disease Physician	$848.6K	$0
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
David Wood	CA	Diagnostic Radiology Physician	$641.3K	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
Altru Health System	ND	Clinic/Center	$0	$29.7M
Altru Health System	ND	General Acute Care Hospital	$0	$18.7M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0

Srinivas Pulagam — Billing Profile & Reimbursement Data

Sign up for Srinivas Pulagam — Billing Profile & Reimbursement Data policy alerts

Srinivas Pulagam — Billing Profile & Reimbursement Data

Sign up for Srinivas Pulagam — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References