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    OpenPayerNPI Medicare & MedicaidSreenath Kodali
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    Sreenath Kodali — Billing Profile & Reimbursement Data

    NPI 1376823567 · Ames, IA · Hematology & Oncology Physician

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    Sreenath Kodali is a hematology & oncology physician provider located in Ames, Iowa. This profile covers 86 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
    OrganizationSreenath Kodali
    Address1111 Duff Ave
    CityAmes
    StateIA
    ZIP50010
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedAugust 19, 2011

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$0

    Key Findings

    The provider’s billed population is effectively single‑payer Medicare: lifetime Medicare revenue is $3.2M while Medicaid revenue is none (no Medicaid billing on file). This concentration means analyses of utilization and financial exposure should be Medicare‑focused rather than split across payers.

    Revenue is highly concentrated in a small set of drug infusions: the precomputed top‑3 Medicare codes account for 72.7% of this provider’s total Medicare revenue, with J9271 at $1.6M (51.0%), J9144 at $397.8K (12.9%), and J0897 at $271.1K (8.8%). Those three codes dominate the practice’s revenue mix and will drive most reimbursement risk and utilization trends.

    The code mix and descriptors indicate an infusion‑centric hematology/oncology practice: high revenue and claim volumes for J9271 (pembrolizumab), J9144 (daratumumab), J0897 (denosumab), supported by chemotherapy administration codes such as 96413 and 96401 and cytotoxic drug codes like J9070 and J9041. This pattern is consistent with routine outpatient immunotherapy/chemotherapy administration and follow‑up oncology care rather than a procedure‑heavy surgical practice.

    Competitive standing is uneven across key drugs: for pembrolizumab (J9271) the provider ranks #47 of 1841 nationally (97th percentile; notably above typical national volume), signaling top‑tier national volume for that drug; denosumab (J0897) ranks #535 of 10057 (95th percentile; notably above typical national volume), also well above peers; by contrast daratumumab (J9144) ranks #157 of 615 (74th percentile; typical, unremarkable volume), indicating a more ordinary position for that therapy. These ranks imply the provider is a major administrator of some high‑value immunotherapies while being more typical on others.

    Office visit activity is unusually high relative to national peers: the provider reported 1.3K claims for 99214 ($123.5K, 4.0% of Medicare revenue) and 1.7K claims for 99213 ($106.1K, 3.4% of Medicare revenue); 99214 ranks #5132 of 479517 (99th percentile; extreme outlier, far above typical national volume for this code) and 99213 ranks #1435 of 457151 (100th percentile; extreme outlier, far above typical national volume for this code). This suggests substantial clinic throughput and routine follow‑up or management visits accompanying infusion services.

    Several administration and supportive care codes show notably high percentile standing, reinforcing a high‑volume chemo/infusion operation: 96413 ranks #196 of 7514 (97th percentile; notably above typical national volume), J9070 (cyclophosphamide) ranks #7 of 135 (96th percentile; notably above typical national volume), and 96372 ranks #1180 of 58224 (98th percentile; notably above typical national volume). These high ranks across administration and drug codes point to sustained chemotherapy delivery capacity.

    Operationally, the practice shows very large claim volumes with relatively low average paid per claim for many drug codes, consistent with unit/weight‑based or multi‑unit billing: examples include J9271 with 36.6K claims at $43 avg paid/claim and J1439 with 47.3K claims at $1 avg paid/claim. Those high claim counts imply high throughput and frequent, repeated administrations rather than occasional episodic treatments.

    The provider’s NPI has been enumerated since 2011-08-19 (~15 years ago), indicating an established presence in the market. That tenure, combined with dominant Medicare infusion volumes for specific agents, suggests this practice is a mature outpatient oncology care site with entrenched Medicare billing patterns.

    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.

    86 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg36,600$40$1.6M
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj11,700$30$397.8K
    J0897Injection, denosumab, 1 mg15,060$20$271.1K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg4,480$40$165.8K
    99214The 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…1,340$90$123.5K
    99213The 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…1,710$60$106.1K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)40,420$1$80.8K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…770$90$72.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg890$80$71K
    J1439Injection, ferric carboxymaltose, 1 mg47,250$1$47.3K

    Showing 1–10 of 86

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 86 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    86 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927133017,200$40$902.3K
    J91443109,900$40$476.8K
    J15612104,150$40$170.9K
    J089761901,920$20$74.1K
    J088111015,520$1$43.2K
    J143951041,250$1$39.7K
    J2506220440$80$38.9K
    96413480210$90$24K
    J92173650140$130$23.4K
    J90411105,600$1$23.1K

    Showing 1–10 of 86

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcfarland Clinic PCIAMulti-Specialty Clinic/Center$0$26.7M
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    James SingerIARetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainstream Living, Inc.IASocial Worker$0$134.3M
    Youth And Shelter Services, Inc.IACounselor$0$11.4M
    Mary Greeley Medical CenterIAGeneral Acute Care Hospital$0$9.1M
    Mary Greeley Medical CenterIALand Ambulance$0$4.4M
    Venkatesh RudrapatnaIAHematology & Oncology Physician$3.4M$0
    The Richmond CenterIAMental Health Counselor$0$2.4M
    Sonam PatelIAHematology & Oncology Physician$1.8M$0
    Joseph MerchantIAHematology & Oncology Physician$1.8M$0
    Tracy KangasIAOphthalmology Physician$1.1M$0
    Steven AndersonIAOphthalmology Physician$755.9K$0

    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. Iowa Distribution
    Sreenath Kodali — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa