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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrashant Mudireddy
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    Prashant Mudireddy — Billing Profile & Reimbursement Data

    NPI 1568669661 · Greenville, NC · Gastroenterology Physician

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    Prashant Mudireddy is a gastroenterology physician provider located in Greenville, North Carolina. This profile covers 24 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
    OrganizationPrashant Mudireddy
    Address521 Moye Blvd Ste C3
    CityGreenville
    StateNC
    ZIP27834
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 2, 2007

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

    Payer SourceTotal Paid
    Medicare$120.6K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…80$290$24.4K
    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…130$100$12.3K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…40$290$10.5K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.40$240$9.7K
    43277Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…50$200$9.6K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…50$140$7.8K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$260$6.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$120$5.8K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…120$40$5.2K
    43254An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the procedure, the provider uses an…20$190$4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538536356070$290$33.4K
    9921415,64518,060110$80$15.1K
    4538032852040$180$13.7K
    4539044020$500$11.6K
    4323925656060$120$11K
    432495517030$270$9.7K
    43259133030$200$9K
    4327414020$310$8.3K
    4327611020$320$7.9K
    9921314,37716,32070$50$7.1K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    East Carolina HealthNCGeneral Acute Care Hospital$0$8.2M

    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. North Carolina Distribution
    Prashant Mudireddy — 6 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina