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    OpenPayerNPI Medicare & MedicaidRamadevi Medavarapu
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    Ramadevi Medavarapu — Billing Profile & Reimbursement Data

    NPI 1427298520 · Las Cruces, NM · Hematology & Oncology Physician

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    Ramadevi Medavarapu is a hematology & oncology physician provider located in Las Cruces, New Mexico. This profile covers 38 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
    OrganizationRamadevi Medavarapu
    Address4391 E Lohman Ave
    CityLas Cruces
    StateNM
    ZIP88011
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMarch 2, 2009

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only practice: total Medicare revenue is $1.5M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates the provider’s payer mix is concentrated on Medicare beneficiaries and commercial/other payers (if any), rather than state Medicaid programs, which has implications for network contracting and payment-risk exposure.

    Revenue is highly concentrated in a small set of oncology drugs and high-intensity visits — the precomputed top 3 Medicare codes account for 83.6% of total Medicare revenue. In particular, J9271 (pembrolizumab) alone represents $997.6K or 65.7% of Medicare revenue, creating material dependence on one high-cost immunotherapy for practice revenue.

    The clinical mix and code profile identify a community hematology/oncology infusion practice: large volumes of J9271 (23.2K claims) and J0897 (denosumab, 9.4K claims) plus chemotherapy administration codes like 96413 (571 claims) and supportive-agent billing (Q5108, 516 claims) indicate routine onsite delivery of systemic cancer therapy and related supportive care. These patterns align with a practice focused on office-based infusion of oncology biologics and cytotoxics rather than predominantly inpatient oncology consults.

    Competitive standing for the practice’s top drug is above average but not uniquely dominant: J9271 ranks #274 of 1841 providers nationally (85th percentile) and is labeled “typical, unremarkable volume,” meaning the provider delivers high absolute pembrolizumab revenue ($997.6K) but sits in the upper-middle of national peers rather than among top few national centers. Similarly, J0897 ranks #1280 of 10057 (87th percentile; typical, unremarkable volume), so denosumab use is above typical but not exceptional.

    There are striking statistical outliers in E/M coding intensity that suggest a heavier-than-typical case complexity or different visit mix: 99215 generates $102K (791 claims) and ranks #554 of 145531 providers nationally at the 100th percentile, described as an “extreme outlier, far above typical national volume.” The provider also reports 99205 (164 claims, $25.6K) at the 99th percentile (rank #729 of 66257; extreme outlier), indicating unusually high volumes of high-complexity new- and established-patient office encounters relative to national peers.

    Chemotherapy administration codes show above-typical infusion activity: 96413 (571 claims, $53.7K) ranks #480 of 7514 providers (94th percentile; notably above typical national volume) and add-on infusion codes such as 96367 (960 claims, $20.2K) rank #86 of 4032 (98th percentile; notably above typical national volume). These data support that infusion throughput and multi-drug sessions are meaningful operational components of the practice.

    The provider’s tenure is long-established: NPI enumerated 2009-03-02 (~17 years ago), indicating sustained enrollment in Medicare and likely an established referral base and operational infrastructure for oncology services. That longevity combined with the revenue and code mix suggests an entrenched outpatient oncology practice rather than a new or transient clinician.

    From a business-risk and contracting perspective, the concentration in a single high-cost drug (J9271 at 65.7% of Medicare revenue) and the Medicare-only billing profile create both negotiating leverage and vulnerability: payers or reimbursement changes affecting pembrolizumab or chemotherapy infusion reimbursement could materially impact practice revenue, while the strong E/M intensity (extreme outlier status for 99215/99205) may support negotiation for higher visit-based rates or targeted utilization reviews by payers.

    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg23,200$40$997.6K
    J0897Injection, denosumab, 1 mg9,360$20$168.5K
    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…790$130$102K
    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…570$90$53.7K
    Q5108Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg520$100$49.5K
    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…340$90$29.9K
    99205The provider sees a new 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 provider…160$160$25.6K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…960$20$20.2K
    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…340$60$19.9K
    96417In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…190$50$8.7K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711109,400$40$469.6K
    J08977503,150$20$113.2K
    Q5108210520$90$39.9K
    96413140170$90$17.7K
    J3490102040$150$16.7K
    Q511011052,800$1$13.4K
    992143592,70090$70$12.9K
    99215496040$110$7.8K
    992132352,44060$50$7.3K
    9922328749030$130$7.3K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phc-las Cruces IncNMGeneral Acute Care Hospital$0$64.8M
    John PitcherNMOphthalmology Physician$5.1M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0
    Phc-las Cruces IncNMFamily Medicine Physician$0$2.7M
    Richard HwangTXRetina Specialist (Ophthalmology) Physician$2.6M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Joseph FurlongTXDiagnostic Radiology Physician$2.4M$39.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain Shadows Home Care Services, IncNMHome Health Agency$0$92.9M
    Las Cruces Medical Center LLCNMGeneral Acute Care Hospital$0$86.8M
    Addus Healthcare, Inc.NMIn Home Supportive Care Agency$0$81.1M
    Las Cruces Physician Services LLCNMOrthopaedic Surgery Physician$0$62.9M
    Multicultural Evaluation & Consultation Associates LLCNMEarly Intervention Provider Agency$0$59.3M
    Quality Life Services, LLCNMSpecialist$0$44.9M
    Las Cruces Physician Practices, LLCNMFamily Medicine Physician$0$22.8M
    Southwest Emergency Medical Associates Of Nm PCNMEmergency Medicine Physician$0$20.3M
    Milagro De Vida Community Services LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.2M
    Joseph B. Furlong, P.A.NMSpecialist$0$14.4M

    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. New Mexico Distribution
    Ramadevi Medavarapu — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico