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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMildred Prah
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    Mildred Prah — Billing Profile & Reimbursement Data

    NPI 1538177746 · Springfield, VA · Primary Podiatric Medicine Podiatrist

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    Mildred Prah is a primary podiatric medicine podiatrist provider located in Springfield, Virginia. This profile covers 13 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
    OrganizationMildred Prah
    Address7440 Spring Village Dr
    CitySpringfield
    StateVA
    ZIP22150
    TaxonomyPrimary Podiatric Medicine Podiatrist
    NPI EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicare$174K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,590$40$60.5K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.420$80$31.7K
    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…300$80$23.4K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.250$60$16K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.360$30$10.6K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.120$80$10.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110$70$7.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$50$5K
    G0127Trimming of dystrophic nails, any number250$20$4.3K
    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…20$120$2.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,80412,890140$80$21K
    99308574650180$50$18.9K
    1105623190110$60$11.6K
    117215250190$30$11.4K
    992131,93112,44090$60$10K
    11057146060$60$7.9K
    9934813838070$50$7.5K
    1172031150120$20$5.7K
    G01274090230$10$4.1K
    11055515060$50$3.8K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gauthami GondyVAInternal Medicine Physician$210.6K$0
    Kauser KaleemVAFamily Nurse Practitioner$191K$0
    Annie ThomasVAInternal Medicine Physician$160.5K$0
    Vijaya SunkaraVAInternal Medicine Physician$159.2K$0
    Lakshmi BhagavathulaVAInternal Medicine Physician$156.1K$0
    Jose Noel GonzalezVAFamily Nurse Practitioner$153K$0
    Shaveta KotwalVAGeriatric Medicine (Internal Medicine) Physician$149.5K$0
    Tasha YoungMDFoot & Ankle Surgery Podiatrist$148.6K$0
    Brittany PeeblesVAPsychiatric/Mental Health Nurse Practitioner$144.6K$0
    Matthew KeastVAPodiatrist$131.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freestate Medical Supply, Inc.VADurable Medical Equipment & Medical Supplies$0$13.5M
    Sultani Serenity Home Health Care Agency, LLCVAHome Health Agency$0$11.5M
    Pamir Healthcare Services, LLCVAHome Health Agency$0$10.6M
    Affection Home Health CareVAPersonal Care Attendant$0$10.3M
    House Calls Home Care LLCVAIn Home Supportive Care Agency$0$9.9M
    Grace Home Care, LLCVAHome Health Agency$0$6M
    Ritu VarmaVAAnesthesiology Physician$673.2K$2.8K
    Benjamin AdewaleVANeurology Physician$81.9K$592.2K
    Giant Of Maryland LLCVACommunity/Retail Pharmacy$446.8K$0
    Alexandra BoothVASurgery Physician$445.2K$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
    Mildred Prah — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia