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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrashanth Vallabhanath
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    Prashanth Vallabhanath — Billing Profile & Reimbursement Data

    NPI 1386626372 · Portland, OR · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Prashanth Vallabhanath is a ophthalmic plastic and reconstructive surgery physician provider located in Portland, Oregon. This profile covers 18 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
    OrganizationPrashanth Vallabhanath
    Address1955 Nw Northrup St
    CityPortland
    StateOR
    ZIP97209
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$180.8K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…430$90$37.5K
    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…330$90$28.9K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…40$730$26.1K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…50$440$23.5K
    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…160$70$11.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…200$50$9.3K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…10$650$9K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.40$240$8.9K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$230$7.2K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…160$20$3.7K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698415126070$540$82.7K
    6790492040$610$25.6K
    15823303030$590$20.8K
    9201459440110$80$16K
    668219016040$230$15.4K
    992146016,07080$70$10.3K
    9213421139080$30$8.1K
    9201213117050$60$7.2K
    992139465,48060$50$5.7K
    6784021020$210$5.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Health Northwest, PCOROphthalmology Physician$0$15.7M
    Stephen DavisARRetina Specialist (Ophthalmology) Physician$2.5M$4.7K
    Christopher AdermanORRetina Specialist (Ophthalmology) Physician$2.2M$0
    Elizabeth Verner-coleORRetina Specialist (Ophthalmology) Physician$1.7M$0
    Jonathan YokenORRetina Specialist (Ophthalmology) Physician$1.5M$0
    Brian Chan-kaiORRetina Specialist (Ophthalmology) Physician$1.3M$0
    Joseph SimonettOROphthalmology Physician$532.6K$0
    Christopher KirkpatrickWIOphthalmology Physician$288.6K$0
    David SandersOROphthalmology Physician$229.6K$0
    Jonathan KempOROphthalmology Physician$221.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central City ConcernORFederally Qualified Health Center (FQHC)$0$94.9M
    Mulnomah CountyORFederally Qualified Health Center (FQHC)$0$65M
    Crc Health Oregon, LLCORMethadone Clinic$334.7K$27.6M
    Clinicops, LLCORFamily Medicine Physician$0$9.8M
    Multnomah CountyORCase Management Agency$0$9.4M
    Integrative Trauma Treatment Center, LLCORClinical Social Worker$0$5.7M
    Pearl Health Center,pcORPrimary Care Clinic/Center$0$5.2M
    Express Care Or PCORGeneral Practice Physician$0$2.4M
    Roxanne MossmanORClinical Social Worker$0$1.7M
    Cascade Aids ProjectORClinic/Center$0$1.2M

    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. Oregon Distribution
    Prashanth Vallabhanath — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon