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

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

Rajinder Prasad (NPI 1417928565)

Field	Value
Entity Type	Individual
Organization	Rajinder Prasad
Address	34453 King Street Row
City	Lewes
State	DE
ZIP	19958
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider reports $1.1M in total Medicare revenue and has no Medicaid billing on file, making their public payer mix effectively single-payer Medicare for the dataset shown. Analysts should treat Medicaid as absent when modeling this provider’s state-level safety-net exposure or dual-eligible population activity.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 58.0% of the provider’s total Medicare revenue. Those top three are 99214 ($293.2K, 26.6%), 78452 ($179.1K, 16.2%), and 93306 ($167.1K, 15.2%), indicating most revenue is driven by a small set of office visit and cardiac imaging services.

The code mix indicates a hybrid outpatient cardiology practice with a strong imaging and testing footprint: 99214 shows very high office visit volume (3.2K claims, $91 avg, $293.2K revenue), while 78452 (601 claims, $298 avg, $179.1K) and 93306 (1.4K claims, $121 avg, $167.1K) point to frequent use of SPECT myocardial perfusion imaging and transthoracic echocardiography as core revenue drivers. This combination suggests the practice integrates diagnostic imaging with high-volume ambulatory care.

Device implantation and monitoring are a meaningful secondary service line: 33285 (22 claims, $3508 avg, $77.2K revenue, 7.0%) shows procedural implantation revenue, and remote/device follow-up codes such as G2066 (956 claims, $28 avg, $26.8K) and 93297 (938 claims, $19 avg, $17.8K) indicate ongoing remote interrogation and monitoring workflows. Together these items point to a business model that includes both in-office procedures and recurring device management revenue.

Several codes place this provider well above typical national volumes: 99214 ranks #173 of 479517 providers nationally (100th percentile; extreme outlier), 78452 ranks #51 of 14946 providers nationally (100th percentile; extreme outlier), 93306 ranks #109 of 24624 providers nationally (100th percentile; extreme outlier), and 93000 ranks #40 of 71016 providers nationally (100th percentile; extreme outlier). These rank and percentile positions characterize the provider as a national high-volume outlier for multiple core cardiology services rather than a modest participant.

The mix of inpatient E/M and observation codes alongside outpatient visits indicates practice scope across care sites: 99233 (300 claims, $28.2K, 2.6%) and 99223 (182 claims, $25.1K, 2.3%) show substantial hospital-based follow-up and initial inpatient care presence in addition to outpatient work. This suggests the provider staffs or consults in acute settings as well as running a busy ambulatory diagnostic operation.

There is a notable divergence between volume and average payment across services: high-claim, low-unit-payment services such as 93000 (2.8K claims, $10 avg, $28.3K) and 99214 (3.2K claims, $91 avg, $293.2K) generate large parts of revenue through volume, whereas lower-claim, higher-unit-payment services like 33285 (22 claims, $3508 avg, $77.2K) contribute meaningfully via per-procedure reimbursement. This pattern is important when modeling revenue sensitivity to changes in utilization versus fee schedule adjustments.

The provider’s NPI was enumerated on 2006-01-27 (~20 years ago), indicating long-standing Medicare participation. That tenure, combined with the high-volume and device-management code mix, suggests an established cardiology practice with sustained operations and mature procedural and remote-monitoring workflows.

Medicare: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	3,220	$90	$293.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	600	$300	$179.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,380	$120	$167.1K
33285	The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.	20	$3,510	$77.2K
J2785	Injection, regadenoson, 0.1 mg	1,330	$40	$57.4K
99215	The 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…	380	$130	$49.6K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	270	$130	$35.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,830	$10	$28.3K
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…	300	$90	$28.2K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	960	$30	$26.8K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Rajinder Prasad — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	2	70	450	$100	$51.8K
78452	2	60	120	$250	$40.3K
33285	6	20	20	$1,310	$30.1K
J2785	4	30	390	$40	$26.9K
99214	6	1,830	150	$80	$25.5K
93880	15	80	70	$110	$16.6K
99233	64	500	80	$90	$15.4K
99232	371	730	120	$60	$14.2K
99213	744	1,810	120	$60	$13.6K
99215	22	570	40	$120	$11K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Delaware Cardiovascular Associates, P.A.	DE	Cardiovascular Disease Physician	$0	$5.4M
Gaetano Pastore	DE	Cardiovascular Disease Physician	$2.5M	$0
Anthony Furey	DE	Cardiovascular Disease Physician	$2M	$0
Cardiology Physicians, LLC	DE	Cardiovascular Disease Physician	$0	$1.6M
Anthony Clay	DE	Cardiovascular Disease Physician	$1.2M	$0
Alan Micklin	DE	Cardiovascular Disease Physician	$989.1K	$0
Ehtasham Qureshi	DE	Cardiovascular Disease Physician	$975.7K	$0
Mouhanad Freih	DE	Cardiovascular Disease Physician	$796K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M
Egnm LLC	DE	Ambulatory Surgical Clinic/Center	$2.2M	$13.6K
Focus Behavioral Health At The Beach LP	DE	Counseling Psychologist	$0	$2.2M

Rajinder Prasad — 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