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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPratibha Vashista
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    Pratibha Vashista — Billing Profile & Reimbursement Data

    NPI 1528594124 · Anniston, AL · Family Medicine Physician

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    Pratibha Vashista is a family medicine physician provider located in Anniston, Alabama. This profile covers 35 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
    OrganizationPratibha Vashista
    Address1325 Quintard Ave
    CityAnniston
    StateAL
    ZIP36201
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 3, 2017

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

    Payer SourceTotal Paid
    Medicare$124.5K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$80$38.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$120$14.3K
    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…190$60$10.2K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…230$40$9.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…100$70$7.5K
    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…60$120$6.4K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.350$20$5.6K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…530$10$4.8K
    99203The provider sees a new 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 provider…50$70$3.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…470$10$3.3K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148487,330120$80$16.8K
    80053191670140$10$13.1K
    80061195590120$10$12.1K
    G04394491,52070$120$11K
    992156121,71040$110$8.1K
    992131,5196,47080$50$7.9K
    850251641,020110$10$5.9K
    992043,3153,75030$100$4.8K
    994978842050$70$4.6K
    9066282297030$70$3.3K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catherine MorrisGAInternal Medicine Physician$473.1K$0
    Jose De LimaGADiagnostic Radiology Physician$345.2K$0
    Michael GainesALFamily Medicine Physician$323.3K$0
    Salvatore BruniGAFamily Medicine Physician$300.2K$0
    Rodney SneadALEmergency Medical Services (Emergency Medicine) Physician$213.9K$0
    Kelly VolkOKPain Medicine (Physical Medicine & Rehabilitation) Physician$196.3K$0
    Scott CooperGANeurology Physician$148.1K$0
    Jill RossruckerGAPulmonary Disease Physician$139.8K$0
    Kristin OliverGANurse Practitioner$92.1K$0
    Howard McveighALFamily Medicine Physician$48.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Purohit Pediatric Clinic, LLCALSpecialist$0$23.2M
    Southern Immediate Care, LLCALUrgent Care Clinic/Center$0$12.5M
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALPediatric Dentistry$0$4.6M
    Anniston Emerg Med SvcsALAmbulance$1.1M$1.9M
    Calhoun County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$2.2M
    Mahomed SalameALCardiovascular Disease Physician$1M$0
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALOptometrist$0$914.4K
    Vishwanath ReddyALInternal Medicine Physician$228.5K$0
    Hugh MaddoxALPain Medicine (Anesthesiology) Physician$106.3K$0
    Anastasia BoodyALFamily Nurse Practitioner$37.9K$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. Alabama Distribution
    Pratibha Vashista — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama