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

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

Prasad Polisetty (NPI 1376711291)

Field	Value
Entity Type	Individual
Organization	Prasad Polisetty
Address	1735 W State Of Franklin Rd Ste 5
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 13, 2008

Payer Source	Total Paid
Medicare	$674.1K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant payer relationship: total Medicare revenue is $674.1K while Medicaid revenue is none (no Medicaid billing on file), indicating an effectively single‑payer billing profile concentrated in Medicare. A precomputed measure shows the top 3 Medicare codes by revenue account for 84.9% of this provider’s total Medicare revenue, signaling heavy revenue concentration in a small set of services.

Revenue concentration is dominated by inpatient E/M and discharge services: 99233 accounts for $399.3K (59.2% of Medicare revenue) with 4.6K claims, 99223 accounts for $107.3K (15.9%) with 838 claims, and 99239 accounts for $66.5K (9.9%) with 792 claims. Because these three codes collectively represent 84.9% of Medicare revenue, the provider’s finances are highly dependent on high‑acuity hospital-based encounters rather than a broad mix of outpatient codes.

The code mix and volumes point to a hospital‑centric practice model: the top codes 99233, 99223, and 99239 are all hospital inpatient/observation initial, subsequent, and discharge E/M services, and the provider also bills related codes such as 99232 (876 claims, $51.7K revenue) and 99222 (114 claims, $11.2K revenue). The presence of 99291 (130 claims, $21.3K revenue) further indicates some critical care involvement, consistent with treating higher‑acuity inpatients.

On national competitive standing the provider is a clear outlier for several inpatient codes: 99233 ranks #26 of 128818 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), 99223 ranks #99 of 139583 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 99239 ranks #20 of 62398 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). These ranks imply the provider bills these specific inpatient codes at volumes well above typical peers nationwide, making them a dominant national outlier for those services.

Several secondary codes show elevated but less extreme participation: 99232 ranks #5894 of 177383 providers nationally (97th percentile; notably above typical national volume for this code) and 99291 ranks #10202 of 71290 providers nationally (86th percentile; typical, unremarkable volume for this code). This pattern suggests the provider’s exceptional volume is concentrated in a few specific inpatient E/M and discharge codes, while other related services are high but not uniformly extreme.

Nursing facility and standard outpatient new‑patient activity are small parts of the mix: 99309 is $4.5K (0.7% of Medicare revenue) with 56 claims and ranks #21874 of 28092 providers nationally (22th percentile; typical, unremarkable volume for this code), while 99306, 99308 and 99204 each contribute only a few thousand dollars and rank in low percentiles. Those lower percentile ranks and small revenue shares indicate a modest presence in SNF and office new‑patient care relative to national peers.

Tenure data show the provider’s NPI was enumerated 2008-02-13 (~18 years ago), which aligns with an established practice history that could explain sustained high volumes in particular inpatient codes. Long enumeration combined with the concentrated inpatient billing profile suggests an entrenched hospital role rather than a newly established ambulatory practice.

Operationally, the combination of no Medicaid billing on file and a Medicare revenue base focused 84.9% on three inpatient/observation/discharge codes implies a practice model oriented toward acute care hospital services for Medicare beneficiaries. Analysts evaluating network alignment, capacity planning, or contract negotiations should treat this provider as a Medicare‑focused, inpatient‑heavy clinician with exceptional national volume in specific hospital E/M codes rather than a generalist with broad outpatient or Medicaid exposure.

Medicare: Complete Services Breakdown

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

13 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…	4,590	$90	$399.3K
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…	840	$130	$107.3K
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…	790	$80	$66.5K
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…	880	$60	$51.7K
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…	130	$160	$21.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$100	$11.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	60	$80	$4.5K
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…	70	$60	$3.8K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$100	$2.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	20	$140	$2.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Prasad Polisetty — 4 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	106	660	270	$70	$29.8K
99308	122	620	150	$50	$13.7K
99233	1	2,630	90	$90	$13.1K
99232	34	3,990	100	$60	$11.4K
99306	48	180	50	$130	$10.6K
99291	44	1,560	40	$160	$9.7K
99223	1	3,130	40	$120	$8K
99305	69	200	50	$90	$7.6K
99239	1	1,280	70	$80	$6.9K
99204	1,010	5,490	30	$100	$5.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Keffer	WV	Family Medicine Physician	$190.8K	$0
Girish Kolpuru	WV	Hospitalist Physician	$146.2K	$0
Richard Reece	WV	Internal Medicine Physician	$122.1K	$0
Hrishi Patel	WV	Internal Medicine Physician	$114.1K	$0
Nehal Patel	WV	Family Medicine Physician	$106.6K	$0
Kamal Sachdeva	WV	Internal Medicine Physician	$79.6K	$0
Sujit Vakkalanka	NC	Hospitalist Physician	$43.7K	$0
Erika Beckett	WV	Family Medicine Physician	$4.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cura Partners, LLC	TN	In Home Supportive Care Agency	$0	$49.3M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$31.3M
Medical Education Assistance Corporation	TN	Internal Medicine Physician	$0	$31.1M
Tri-cities Regional Emergency Physicians, PC	TN	Emergency Medicine Physician	$0	$24.7M
Catalyst Health Solutions,llc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.7M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$8.1M
Juhn And Stark LLC	TN	Pediatric Dentistry	$0	$8.1M
First Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$4.7M
Mountain Empire Radiology Inc PC	TN	Diagnostic Radiology Physician	$0	$4.5M
Tri-city Pediactric Cardiology P C	TN	Pediatric Cardiology Physician	$0	$4.5M

Prasad Polisetty — Billing Profile & Reimbursement Data

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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