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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNirupama Anne
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    Nirupama Anne — Billing Profile & Reimbursement Data

    NPI 1528012408 · Hershey, PA · Surgery Physician

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    Nirupama Anne is a surgery physician provider located in Hershey, Pennsylvania. This profile covers 5 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
    OrganizationNirupama Anne
    Address30 Hope Dr
    CityHershey
    StatePA
    ZIP17033
    TaxonomySurgery Physician
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$22.7K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$480$11.5K
    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…60$70$3.9K
    14001The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to…10$250$3.2K
    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…20$170$2.9K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…10$100$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    19301219020$550$14.3K
    1400121010$620$14.2K
    992134,95322,37070$60$7.7K
    992057163,09020$150$4.9K
    38900227020$120$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Our Lady Of Lourdes Memorial Hospital Inc.NYGeneral Acute Care Hospital$0$58.4M
    Mahdi TahaFLMedical Oncology Physician$2.1M$0
    Sreekanth ReddyGAMedical Oncology Physician$1.4M$0
    John DooleyGASurgery Physician$537.1K$0
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K
    Khalid SethiNYNeurological Surgery Physician$423.8K$31.6K
    Wesley PruettMNDiagnostic Radiology Physician$441.3K$770
    Charlie RouseGACardiovascular Disease Physician$412.2K$0
    Robert GardnerCADiagnostic Radiology Physician$335.5K$0
    David OuyangNYFamily Medicine Physician$232.9K$20.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Milton S Hershey Medical CenterPAGeneral Acute Care Hospital$0$78.9M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    The Vista FoundationPAPublic Health or Welfare Agency$0$19.4M
    Prelude CorporationPAClinical Medical Laboratory$4.9M$0
    Hershey Outpatient Surgery Center LLCPAAmbulatory Surgical Clinic/Center$802.7K$186.3K
    Ghulam MustafaPANuclear Medicine Physician$628.8K$140
    Rebecca RollerPAInternal Medicine Physician$608.8K$0
    Ivan ZuckerPANuclear Medicine Physician$359.6K$0
    Kristen FoeringPADermatology Physician$298.5K$0
    Shane LincePASurgery Physician$266.4K$1.1K

    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. Pennsylvania Distribution
    Nirupama Anne — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania