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    v1.0.28
    OpenPayerNPI Medicare & MedicaidUmesh Yalavarthy
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    Umesh Yalavarthy — Billing Profile & Reimbursement Data

    NPI 1568584878 · Euclid, OH · Nephrology Physician

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    Umesh Yalavarthy is a nephrology physician provider located in Euclid, Ohio. This profile covers 14 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
    OrganizationUmesh Yalavarthy
    Address25301 Euclid Ave
    CityEuclid
    StateOH
    ZIP44117
    TaxonomyNephrology Physician
    NPI EnumeratedApril 6, 2007

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

    Payer SourceTotal Paid
    Medicare$255K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,250$60$76.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…460$90$42.7K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…110$280$29.1K
    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…310$90$26.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$130$20.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…90$220$19.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$100$14.1K
    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…50$120$5.5K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…90$60$4.9K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…30$160$4.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960104220100$270$32.5K
    992143,02920,010100$70$11.7K
    992331815,57070$90$11.2K
    992912,4363,08040$170$10.4K
    909612021040$220$10.1K
    99232718,05070$60$8.7K
    992233655,59040$130$7.6K
    9921311,91520,00070$50$6.6K
    90962286030$150$5.5K
    992042,4158,33030$100$4.4K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamal AzemOHNephrology Physician$256.1K$230
    Andrew LazarOHNephrology Physician$175.1K$0
    Rafael GarciaOHInternal Medicine Physician$143.4K$0
    Jeffrey LautmanOHSpecialist$132.2K$1.9K
    Ari MosenkisOHSpecialist$33.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Landmark Recovery Of Ohio LLCOHSubstance Abuse Rehabilitation Facility$0$26.3M
    20611 Euclid Operating Co., LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$13.3M
    Moore Counseling & Mediation Services, Inc.OHProfessional Counselor$0$9.2M
    Sean CuppOHSports Medicine (Family Medicine) Physician$97.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Umesh Yalavarthy — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio