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    OpenPayerNPI Medicare & MedicaidGuatham Kalahasty
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    Guatham Kalahasty — Billing Profile & Reimbursement Data

    NPI 1467552679 · Richmond, VA · Cardiovascular Disease Physician

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    Guatham Kalahasty is a cardiovascular disease physician provider located in Richmond, Virginia. This profile covers 29 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGuatham Kalahasty
    Address1250 E Marshall St
    CityRichmond
    StateVA
    ZIP23298
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedSeptember 25, 2006

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

    Payer SourceTotal Paid
    Medicare$110.1K
    Medicaid$1.6K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.40$390$16.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.2,170$10$13K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…70$170$11.2K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…480$20$10K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…10$660$9.3K
    93295In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…290$30$7.3K
    93650In this procedure, the provider destroys the muscle fibers that conduct electrical impulses in the heart to treat an abnormal heart rhythm. He accesses the heart through a catheter inserted through…10$440$6.1K
    33225In this add–on procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle at the same time as he inserts an…20$350$5.6K
    93297The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…310$20$5.5K
    92960In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.60$80$4.7K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33249244020$1,290$23.2K
    33208199030$520$17.3K
    33228163020$690$12.3K
    992917101,95050$170$12.2K
    992324,2734,46080$60$11K
    9921311,32112,44090$60$10K
    9329448160290$20$7.9K
    93650132020$430$7.8K
    33225133020$360$6.4K
    9329529130150$30$5.1K

    Showing 1–10 of 29

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.270$10$1.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.129280190$1$32.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Commonwealth University Health System AuthorityVAGeneral Acute Care Hospital$0$658.3M
    Mcv Associated PhysiciansVAAnesthesiology Physician$0$99M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Yevgeniy ShildkrotVAOphthalmology Physician$1.5M$0
    Rekha KishoreVADiagnostic Radiology Physician$1.1M$0
    Lisa EdsallVADermatology Physician$814.3K$0
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Matthew DohertyVADiagnostic Ultrasound Physician$540.2K$0
    Joseph IuornoVAOphthalmology Physician$534.2K$0
    Shields CallahanVAMOHS-Micrographic Surgery Physician$526.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dentistry VcuVADentist$0$12.5M
    Matthew HerczykVADiagnostic Radiology Physician$750.5K$47.4K
    Paul FangVADiagnostic Radiology Physician$688K$0
    Tahir KhanVAInternal Medicine Physician$480.4K$8.9K
    William DenneyVAInternal Medicine Physician$396.1K$0
    Laurie CuttinoVARadiation Oncology Physician$350.4K$0
    Michelle GarnettVADiagnostic Radiology Physician$305.4K$0
    Alex MunozVADiagnostic Radiology Physician$265.2K$0
    Charlotte CockrellVADiagnostic Radiology Physician$264.5K$0
    Tilahun GoshuVAAcute Care Nurse Practitioner$259.1K$0

    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. Virginia Distribution
    Guatham Kalahasty — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Guatham Kalahasty — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia