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    OpenPayerNPI Medicare & MedicaidNeha Gowali
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    Neha Gowali — Billing Profile & Reimbursement Data

    NPI 1538592084 · New Haven, CT · Diagnostic Radiology Physician

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    Neha Gowali is a diagnostic radiology physician provider located in New Haven, Connecticut. This profile covers 39 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
    OrganizationNeha Gowali
    Address333 Cedar St Rm Cb-30
    CityNew Haven
    StateCT
    ZIP06510
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 19, 2013

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

    Payer SourceTotal Paid
    Medicare$732.6K
    Medicaid$0

    Key Findings

    NEHA GOWALI is registered as a Diagnostic Radiology Physician in NEW HAVEN, CT with an NPI enumerated on 2013-08-19 (~13 years ago). Her lifetime Medicare revenue on file is $732.6K and there is no Medicaid billing on file, indicating Medicare constitutes essentially the entire public-payer activity captured in this dataset.

    Revenue is highly concentrated in a small set of services: the top three Medicare codes (78815, 74177, 72148) account for 63.3% of total Medicare revenue, with code 78815 alone representing $355.9K or 50.4% of the provider’s Medicare revenue. This concentration means a single service category — PET/CT imaging — is by far the primary revenue driver for this profile.

    The CPT mix demonstrates a practice oriented toward advanced cross-sectional and oncologic imaging: 78815 and 78816 (PET/CT and PET-only related services) and A9552 (FDG radiopharmaceutical) are substantial components, supplemented by CT (74177, 71250, 71260) and MRI exams (72148, 70553, 70551). This combination of PET/CT, CT abdomen/pelvis, and lumbar MRI is consistent with a diagnostic-radiology operation that handles referral-driven oncology and complex cross-sectional imaging rather than exclusively basic radiography.

    Competitive standing on the lead revenue code is above typical but not dominant: 78815 ranks #856 of 6566 providers nationally (87th percentile) and is labeled in the dataset as "typical, unremarkable volume for this code," indicating higher-than-average national volume for PET/CT but still within the range commonly seen among peers. That positioning suggests the provider is a meaningful participant in PET/CT services at a national level but not among the very highest-volume centers.

    Modalities outside PET/CT show mixed competitiveness: 72148 (lumbar MRI) ranks #959 of 14990 providers nationally (94th percentile) and 74177 (CT abdomen/pelvis with contrast) ranks #7987 of 23621 providers nationally (66th percentile), both labeled as "typical, unremarkable volume for this code." These percentiles imply relatively stronger national standing for certain MRI services and a middle-of-market position for abdominal CT work.

    There are clear statistical outliers in procedural volume for particular routine imaging codes: 76536 (head/neck soft-tissue ultrasound) ranks in the 98th percentile and is described as "notably above typical national volume for this code," and 72050 (cervical spine X‑rays) ranks in the 94th percentile and is also described as "notably above typical national volume for this code." These high-volume, lower-reimbursement studies suggest the practice also performs a substantial number of high-frequency diagnostic ultrasound and radiography exams in addition to high-value cross-sectional studies.

    Operationally, the heavy weighting toward PET/CT-related codes (78815, 78816, A9552) implies a referral-driven workflow where oncology imaging and radiotracer utilization are central; maintaining access to radiopharmaceutical supply and PET/CT capacity will be material to revenue stability. Given that the top three codes represent 63.3% of Medicare revenue, changes in utilization patterns, reimbursement, or referral networks for those services could materially affect the provider’s Medicare revenue.

    The absence of any Medicaid billing on file means this provider is effectively single-payer in the dataset (Medicare-dominated), which limits exposure to state Medicaid reimbursement but also reduces diversification of public-payer revenue. That payer mix should be considered when evaluating payer-contracting leverage, patient population mix, and potential market vulnerability to changes in Medicare policy or utilization trends.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…240$1,510$355.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.160$290$46.2K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.260$170$44.8K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…30$1,520$37.9K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…90$300$26.7K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.260$100$24.7K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries260$80$21.9K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.190$120$21.6K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.100$170$15.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.180$90$15.6K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881587060$250$22.8K
    A955221020$200$16.3K
    7417789320110$80$11.5K
    705534614060$120$11.2K
    72148918050$100$7.8K
    7881682020$250$7K
    70450140330150$30$6.7K
    7417617929060$70$5.8K
    712504729070$50$5.8K
    705515616050$70$5.7K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Medical Of Upper East Side, PLLCNYUrgent Care Clinic/Center$0$641.6M
    Summit Medical Group, IncKYFamily Medicine Physician$0$95.1M
    Glen GejermanNJRadiation Oncology Physician$6.5M$0
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Elizabeth FlemingNJAdult Health Nurse Practitioner$2.9M$0
    John SylvesterFLRadiation Oncology Physician$2.5M$0
    Edward RutkovskyNYInternal Medicine Physician$2.1M$10.3K
    Elan DiamondNJHematology & Oncology Physician$1.9M$0
    Matthew WeisslerNYHematology & Oncology Physician$1.7M$90
    William DingNJRadiation Oncology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yale UniversityCTClinical Medical Laboratory$1.4M$10.4M
    Philip M Perrino P.C.CTOptometrist$0$4.7M
    Dva Renal Healthcare IncCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.4M
    The Connection Inc.CTAdult Mental Health Clinic/Center$0$4M
    Chapel Street Dental P.C.CTGeneral Practice Dentistry$0$1.1M
    Yale UniversityCTClinical Medical Laboratory$946.4K$390
    Wei Jie ZhangCTAnesthesiology Physician$496.9K$7.6K
    Mariam TotonchyCTDermatology Physician$488.3K$0
    Nicholas VuCTDiagnostic Radiology Physician$472.5K$1.7K
    Sean ChristensenCTDermatology Physician$441.8K$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. Connecticut Distribution
    Neha Gowali — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut