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 Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa 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. Iowa (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.

Vignesh Packiam (NPI 1366707242)

Field	Value
Entity Type	Individual
Organization	Vignesh Packiam
Address	200 Hawkins Dr
City	Iowa City
State	IA
ZIP	52242
Taxonomy	Urology Physician
NPI Enumerated	July 6, 2012

Payer Source	Total Paid
Medicare	$24.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	100	$70	$6.9K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	120	$60	$6.8K
99205	The 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…	20	$130	$2.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$90	$1.9K
52204	The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder and takes biopsies…	20	$80	$1.8K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$90	$1.6K
99215	The 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…	10	$110	$1.3K
74420	The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…	40	$20	$650
99213	The 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…	20	$40	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Vignesh Packiam — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,346	4,690	100	$70	$14.4K
52000	31	70	110	$130	$14.1K
99213	4,532	4,740	100	$50	$8K
99215	1,154	1,220	30	$110	$6.4K
52332	46	60	30	$210	$6.2K
52204	3	10	20	$200	$5.8K
99204	1,199	1,870	30	$100	$5K
99205	279	480	20	$140	$4.2K
74420	9	30	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Rutgers Health-rwj Pediatric Critical Care	NJ	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
Babar Rao	NY	Dermatology Physician	$1.3M	$0
Frank Victor	NJ	Dermatology Physician	$352.3K	$0
Kulpreet Barn	NJ	Advanced Heart Failure and Transplant Cardiology Physician	$344K	$0
Steve Khalil	NJ	Nephrology Physician	$250.2K	$0
Stephanie Badalamenti	NJ	Dermatology Physician	$193.2K	$0
Kameswari Maganti	NJ	Cardiovascular Disease Physician	$47.7K	$95.1K
Joseph Weiner	NJ	Radiation Oncology Physician	$126.2K	$0
Jennifer Chen	NJ	Neurology Physician	$115.8K	$0

Vignesh Packiam — Billing Profile & Reimbursement Data

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Vignesh Packiam — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References