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    OpenPayerNPI Medicare & MedicaidNaveen Yarlagadda
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    Naveen Yarlagadda — Billing Profile & Reimbursement Data

    NPI 1396013363 · Little Rock, AR · Hematology & Oncology Physician

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    Naveen Yarlagadda is a hematology & oncology physician provider located in Little Rock, Arkansas. This profile covers 80 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
    OrganizationNaveen Yarlagadda
    Address8901 Carti Way
    CityLittle Rock
    StateAR
    ZIP72205
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedDecember 6, 2011

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    The provider’s code mix is consistent with an oncology infusion practice: high-revenue oncology biologics (J9271, J9299) appear alongside chemotherapy administration and infusion technique codes (96413, G0498, 96365/96375) and supportive care agents such as J1437 (ferric derisomaltose). This combination of billed drugs and infusion/administration CPTs indicates operations that include both clinic-based infusion and associated outpatient management.

    Revenue is highly concentrated in a small set of drugs: the precomputed top 3 Medicare codes account for 74.4% of the provider’s total Medicare revenue, and a single code, J9271, generates 54.9% of Medicare revenue ($860K). That concentration implies financial sensitivity to utilization/pricing changes for pembrolizumab.

    This provider is effectively single-payer from a claims perspective: lifetime Medicare revenue is $1.6M while Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing suggests limited Medicaid network exposure and contracting leverage within state Medicaid populations.

    Competitive standing varies by drug: J9271 (pembrolizumab) ranks #396 of 1841 nationally (78th percentile) and is at a typical, unremarkable volume relative to peers, while J9299 (nivolumab) ranks #447 of 505 (12th percentile) also at a typical volume, but J1437 (ferric derisomaltose) ranks #43 of 581 (92th percentile) and is notably above typical national volume for that code. These mixed rank signals indicate the provider is a modest national participant for checkpoint inhibitors but a comparatively high-volume user of ferric derisomaltose.

    Evaluation-and-management activity shows unusually high complexity for outpatient visits: 99215 appears 496 times for $61K (3.9% of Medicare revenue) and is labeled an extreme outlier (99th percentile, far above typical national volume). That extreme E/M volume suggests heavy management of complex established patients and may reflect ongoing longitudinal oncology care or intensive visit-level management.

    The provider bills a meaningful amount of inpatient and observation E/M codes (99233, 99232, 99223) alongside outpatient and infusion services, indicating blended practice settings that include hospital-based follow-up or inpatient participation. Presence of both hospital E/M and clinic infusion codes is consistent with a hematology/oncology workflow that spans clinic infusions and inpatient consultations.

    High-volume laboratory and supply activity supports a procedural infusion practice: 36415 (phlebotomy) ranks #1683 of 86467 (98th percentile), 85025 (CBC) ranks #1506 of 32833 (95th percentile), and 80053 (CMP) ranks #1524 of 26416 (94th percentile), while 88185 (flow cytometry) shows typical volume. Frequent lab and phlebotomy billing aligns with the monitoring needs of infusion oncology and iron/erythropoietin therapies.

    The provider has an established NPI tenure (NPI enumerated 2011-12-06, ~15 years ago) and a lifetime Medicare revenue footprint of $1.6M, consistent with a longstanding, moderate-scale specialty practice focused predominantly on Medicare patients rather than broad Medicaid participation. This tenure combined with the code mix suggests an experienced oncology clinician operating a focused infusion and management practice.

    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.

    80 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg20,000$40$860K
    J9299Injection, nivolumab, 1 mg6,460$20$155K
    J1437Injection, ferric derisomaltose, 10 mg8,800$20$149.6K
    99215The 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…500$120$61K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg1,240$40$44.6K
    J0897Injection, denosumab, 1 mg1,980$20$37.6K
    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…390$90$34.1K
    99233The 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…310$90$26.7K
    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$80$26.2K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units4,000$10$24K

    Showing 1–10 of 80

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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 80 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    80 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271224020,700$40$896.3K
    J9299293015,660$20$432.9K
    J156910102,560$40$120.3K
    J14376206,450$20$107.8K
    J08971031602,580$20$89.7K
    J088522404,070$10$38K
    964134180380$90$36.6K
    992141,1924,300130$70$18.8K
    88185920780$20$18.5K
    99233206960130$90$18.2K

    Showing 1–10 of 80

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$27.9M
    Central Arkansas Radiation Therapy Institute IncARHematology & Oncology Physician$0$11M
    Central Arkansas Radiation Therapy Institute IncARRadiation Oncology Physician$6.7M$3.6M
    Baptist Health ServicesARFamily Medicine Physician$0$9.9M
    Baptist Medcare, IncAREmergency Medicine Physician$0$8M
    Kamal PatelARHematology & Oncology Physician$5.7M$0
    James KeaneARProcedural Dermatology Physician$4.9M$0
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Harshivinderjit BainsTXOphthalmology Physician$4.1M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARGeneral Acute Care Hospital$0$87.2M
    University Of Arkansas For Medical SciencesARInternal Medicine Physician$0$28.6M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Arkansas Department Of Health ImmunizationsARPublic Health or Welfare Agency$0$19.3M
    Baptist HealthARGeneral Acute Care Hospital$0$16.4M
    Arkansas Department Of Health Family Planning ClinicARPublic Health or Welfare Agency$0$15.6M
    Pediatrix Medical Group Of Arkansas PAARNeonatal-Perinatal Medicine Physician$0$14.6M
    Chenal Family Therapy, PlcARMental Health Counselor$0$12.2M
    Francis A. Allen School For Exceptional Children, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.9M
    Arkansas Department Of Health StdARPublic Health or Welfare Agency$0$8.4M

    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. Arkansas Distribution
    Naveen Yarlagadda — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas