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    OpenPayerNPI Medicare & MedicaidKamala Thanapandian
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    Kamala Thanapandian — Billing Profile & Reimbursement Data

    NPI 1396984845 · Tamuning, GU · Obstetrics & Gynecology Physician

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    Kamala Thanapandian is a obstetrics & gynecology physician provider located in Tamuning, Guam. This profile covers 0 Medicare and 21 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
    OrganizationKamala Thanapandian
    Address472 Chalan San Antonio
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedFebruary 6, 2009

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

    Payer SourceTotal Paid
    Medicaid$114.5K
    Medicare$0

    Key Findings

    KAMALA THANAPANDIAN has no Medicare billing on file and a lifetime Medicaid revenue of $114.5K, making Medicaid effectively the sole payer recorded in this dataset for this NPI. The absence of any Medicare revenue means analyses of Medicare mix or cross‑payer behavior cannot be performed with the available data.

    Revenue is highly concentrated: the top three Medicaid codes by revenue account for 62.5% of this provider’s total Medicaid revenue. In particular, code 0502F drives 42.5% of Medicaid revenue ($48.7K), while 99214 ($11.8K, 10.3%) and 99213 ($11.1K, 9.7%) are the next largest contributors.

    The code mix points to a clinical focus consistent with an Obstetrics & Gynecology practice: a dominant quality/reporting-type code 0502F (no summary available) together with moderate-volume E/M visits (99214, 99213) and a heavy slate of STI and reproductive health laboratory tests (examples include 87389, 87491, 87591, 87661, 86780). This pattern suggests the provider’s operations emphasize outpatient gynecologic care and on-site or ordered laboratory screening related to sexual and reproductive health.

    Competitive standing varies by code: several lab codes (for example 87389, 87491, 87591, 87801, 87661, 86780 and others) are shown as ranks of #1 of 1 providers in-state with a 0th percentile and a note that no state peer volume comparison is available, indicating these services were uniquely reported in the in-state dataset. By contrast, core E/M services are modest relative to peers — 99214 ranks #26 of 35 (26th percentile) and 99213 ranks #35 of 48 (28th percentile) — characterizing the provider as a typical, not high-volume, participant for office visit E/M codes in-state.

    Several codes carry small absolute payment amounts but high claim counts, reflecting throughput-driven revenue: 0502F has 798 claims at an average paid/claim of $61, 99214 has 155 claims at $76 avg paid/claim, and 99213 has 231 claims at $48 avg paid/claim. Those claim volumes, particularly the large number associated with 0502F and 99213, indicate recurring, high-frequency encounters or tests rather than a revenue base built on a small number of high-dollar procedures.

    Some lab measures show anomalous peer reporting labels: 86803 and 87340 both rank among very small provider sets in-state (each #1 of 2) and are noted as 100th percentile yet described as "typical, unremarkable volume for this code." This indicates these services appear only within a very small local provider universe in the dataset, so state-percentile labels should be interpreted cautiously given the sparse peer counts.

    The provider’s NPI was enumerated on 2009-02-06 (≈17 years ago), indicating an established presence in the market; however, the lifetime revenue profile is modest at $114.5K Medicaid-only, so long tenure has not translated into large recorded Medicaid revenue in this dataset. The combination of long tenure and limited Medicaid revenue suggests the provider may operate a small or specialized practice footprint within the state Medicaid population.

    Because a single code (0502F) contributes a large share of Medicaid dollars and many lab codes are the only in-state reporters (0th percentile with no peer comparison), the provider’s Medicaid revenue is concentrated and sensitive to coding, reimbursement, or policy changes affecting those specific services. This concentration means shifts in coverage or lab-reporting practices for a small set of codes could materially change the provider’s Medicaid revenue profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0502FNo Summary found for this code800$60$48.7K
    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…160$80$11.8K
    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…230$50$11.1K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…130$70$8.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.170$50$7.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.170$50$7.7K
    0503FNo Summary found for this code40$90$3.6K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.60$40$2.3K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.80$30$2.2K
    86780The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis.130$20$2.1K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Guam median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3550900$80$201.7K
    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…2640630$90$172.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…31050$50$113.3K
    0502FNo Summary found for this code110800$60$49.1K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…110130$70$8.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.110170$50$7.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.110170$50$7.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…410120$30$5.4K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.21030$120$3.9K
    0503FNo Summary found for this code11040$90$3.6K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ssm-sluh IncMOGeneral Acute Care Hospital$0$20.6M
    Ssm Health Care GroupMOInternal Medicine Physician$0$17.3M
    Heartland Women's Healthcare, LtdILRural Health Clinic/Center$0$4.4M
    Heartland Women's Healthcare LtdILRural Health Clinic/Center$0$3.6M
    Michael SchifanoILObstetrics Physician$6.6K$1.5M
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    Michael CovlinILObstetrics & Gynecology Physician$6.8K$1.4M
    Elisabeth Beyer-nolenILObstetrics & Gynecology Physician$7.6K$1.3M
    Emily BoydILObstetrics & Gynecology Physician$10.1K$803.4K
    Matthew TreasterMOEmergency Medicine Physician$126.7K$655.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    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.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Kamala Thanapandian — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam