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    OpenPayerNPI Medicare & MedicaidRachot Vacharothone
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    Rachot Vacharothone — Billing Profile & Reimbursement Data

    NPI 1548228497 · South Jordan, UT · Internal Medicine Physician

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    Rachot Vacharothone is a internal medicine physician provider located in South Jordan, Utah. This profile covers 10 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
    OrganizationRachot Vacharothone
    Address10464 S Redwood Rd
    CitySouth Jordan
    StateUT
    ZIP84095
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 2, 2006

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

    Payer SourceTotal Paid
    Medicare$10.1K
    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.

    10 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…40$80$2.8K
    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…20$110$2.4K
    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…30$60$1.7K
    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…20$70$1.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$40$810
    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.50$20$720
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$290
    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…30$10$210
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…20$1$30
    J0696Injection, ceftriaxone sodium, per 250 mg80$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,9984,08080$80$11.6K
    992132,7673,68060$50$6.4K
    992049771,79030$100$4.1K
    992039791,36030$70$2.7K
    9637231144040$10$780
    8742674020$30$680
    8780464020$20$490
    878803913020$20$290
    8100349165030$1$110
    J0696376080$1$50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    After Hours Medical LLCUTUrgent Care Clinic/Center$0$3.2M
    Tooele Clinic CorpUTFamily Medicine Physician$0$1.3M
    James McintyreUTSports Medicine (Family Medicine) Physician$112.6K$0
    Jason AllenUTPhysician Assistant$94K$0
    Olyna AgeeNVFamily Nurse Practitioner$49.7K$0
    Marilyn EkMNFamily Nurse Practitioner$45.4K$0
    Elizabeth RogersNDPhysician Assistant$43K$0
    Amanda WardUTFamily Nurse Practitioner$42.8K$0
    Troy EdenNVPhysician Assistant$33.9K$490
    Medallus & Vacharothone LtdNDFamily Medicine Physician$0$33.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTHome Infusion Therapy Pharmacy$0$38.1M
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$26.9M
    Parenting PossibilitiesUTBehavior Analyst$0$12.5M
    Ihc Health Services IncUTHome Health Agency$0$9.6M
    Ihc Health Services IncUTCommunity Based Hospice Care Agency$0$6.5M
    Roselene DalanheseUTClinical Social Worker$0$3M
    Physician Group Of Utah IncUTSpecialist$0$2.8M
    See Healthcare, LLCUTCommunity Based Hospice Care Agency$0$2.1M
    Prime Labs LLCUTClinical Medical Laboratory$1.7M$385.3K
    City Of South JordanUTLand Ambulance$258K$1.6M

    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. Utah Distribution
    Rachot Vacharothone — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah