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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTara Adhikari
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    Tara Adhikari — Billing Profile & Reimbursement Data

    NPI 1508068594 · Blue Ash, OH · Rheumatology Physician

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    Tara Adhikari is a rheumatology physician provider located in Blue Ash, Ohio. This profile covers 17 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
    OrganizationTara Adhikari
    Address9403 Kenwood Rd Ste C100
    CityBlue Ash
    StateOH
    ZIP45242
    TaxonomyRheumatology Physician
    NPI EnumeratedJune 3, 2007

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)23,430$30$773K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)118,800$1$475.2K
    J1602Injection, golimumab, 1 mg, for intravenous use10,040$10$110.4K
    J0897Injection, denosumab, 1 mg3,600$20$68.4K
    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…420$90$39.3K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.640$50$34K
    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…380$90$32.7K
    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…250$130$32.6K
    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…80$160$11.9K
    99204The provider sees a new 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 provider…30$110$3.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J071731050,200$1$296K
    J01292407,360$30$290K
    J1602233012,730$10$167.6K
    J0897942302,880$20$79.5K
    9641322210130$90$16.8K
    992142,05820,010100$70$11.7K
    9640126090$50$7K
    992151174,95030$110$5.9K
    364151,4771,91090$10$5.4K
    206101,1861,64060$50$4.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Bon Secours Medical Group Richmond Primary Care LLCVAFamily Medicine Physician$0$15.1M
    Mercy Health Physicians Cincinnati Specialty Care LLCOHSurgery Physician$0$7.1M
    Chacko AlappattOHRheumatology Physician$3.3M$6.4K
    Soha MousaOHRheumatology Physician$979.7K$0
    Nelson WattsOHEndocrinology, Diabetes & Metabolism Physician$878.7K$0
    Emily FisherOHDermatology Physician$437K$0
    Rajinder SinghCAClinical Cardiac Electrophysiology Physician$380.2K$0
    Suresh NayakOHOrthopaedic Surgery Physician$362K$0
    Timothy SchoonoverOHNeurology Physician$356.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Hospice Of Cincinnati IncorporatedOHCommunity Based Hospice Care Agency$0$54M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M

    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. Ohio Distribution
    Tara Adhikari — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio