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    OpenPayerNPI Medicare & MedicaidAdarsh Hiremath
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    Adarsh Hiremath — Billing Profile & Reimbursement Data

    NPI 1578735478 · Gastonia, NC · Internal Medicine Physician

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    Adarsh Hiremath is a internal medicine physician provider located in Gastonia, 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
    OrganizationAdarsh Hiremath
    Address2610 Aberdeen Blvd
    CityGastonia
    StateNC
    ZIP28054
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 31, 2008

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

    Payer SourceTotal Paid
    Medicare$135.1K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…420$130$55.3K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…140$100$14.1K
    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…160$90$13.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.610$10$6.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…560$10$4.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.90$50$3.8K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…310$10$3.7K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$140$2.7K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…100$20$2.3K
    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$120$1.9K

    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
    800531151,400100$10$16.5K
    9641310528090$90$15.8K
    992147,25118,060110$80$15.1K
    99215685,72040$110$7.7K
    850251691,92080$10$7.4K
    83615204070$10$6.8K
    Q013823010,200$1$6.1K
    9636510730060$50$5K
    992051,4272,29020$140$4.9K
    992046,5918,43030$110$4.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$58.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$56.5M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$38.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.7M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$20.1M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$15.1M
    The Charlotte-mecklenburg Hospital AuthorityNCPediatrics Physician$0$8.1M
    Carolinas Physicians Network IncNCPediatrics Physician$0$7.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Comprehab LLCNCPhysical Therapist$0$129.7M
    Hughes Behavioral And Mental Health Services Inc.NCDevelopmentally Disabled Services Day Training Agency$0$59.8M
    Gaston Memorial Hospital, IncorporatedNCGeneral Acute Care Hospital$0$49.2M
    Carolina Therapeutic Services, IncNCCommunity/Behavioral Health Agency$0$46.7M
    Partners Behavioral Health ManagementNCMental Health Clinic/Center (Including Community Mental Health Center)$0$43.7M
    Center For Emotional HealthNCAddiction Psychiatry Physician$0$40.1M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$32.9M
    Support IncorporatedNCCommunity/Behavioral Health Agency$0$19.1M
    Gastonia Physician Services, PLLCNCEmergency Medicine Physician$0$15.8M
    Gaston Adolescent Center, Inc.NCCommunity/Behavioral Health Agency$0$14.4M

    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. North Carolina Distribution
    Adarsh Hiremath — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina