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NPI 1598739724 · Washington, DC · Infectious Disease Physician
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Krishna Dass is a infectious disease physician provider located in Washington, District of Columbia. This profile covers 6 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Krishna Dass |
| Address | 106 Irving St Nw |
| City | Washington |
| State | DC |
| ZIP | 20010 |
| Taxonomy | Infectious Disease Physician |
| NPI Enumerated | February 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $299K |
This provider is predominantly Medicaid-reimbursed: reported Total Medicaid revenue is $1.7M compared with Total Medicare revenue of $299K, indicating Medicaid is the materially larger payer relationship on file. Both payers are present on the profile, but scale is heavily weighted toward Medicaid dollars.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 96.2% of this provider's Total Medicare revenue, driven primarily by 99232 ($145K, 48.6% of Medicare revenue), 99223 ($115.8K, 38.8%), and 99233 ($26.4K, 8.8%). Two of those codes (99232 and 99223) are flagged as extreme outliers nationally—99232 ranks #1250 of 177383 (99th percentile) and 99223 ranks #153 of 139583 (100th percentile)—which indicates the provider’s Medicare billing is narrowly focused on high-volume inpatient hospital E/M encounters.
Medicaid revenue is also concentrated in a small set of inpatient-focused codes: the precomputed top-3 Medicaid codes account for 82.1% of Total Medicaid revenue and are led by 99232 ($819.4K, 47.5%), 99255 ($346K, 20.1%), and 99254 ($249K, 14.4%). State-level ranks show particularly strong positioning for inpatient consult codes—99255 ranks #1 of 7 in-state (100th percentile, notably above typical state volume) and 99254 ranks #2 of 11 (90th percentile, notably above typical state volume)—signaling a dominant role in complex inpatient consultations within the state Medicaid market.
The code mix and descriptions point to an operating model centered on inpatient and observation care and inpatient consultations rather than outpatient clinic practice: high-revenue codes on both payers are 99223/99222/99232/99233 and inpatient consult codes like 99254 and 99255, all of which describe initial and subsequent hospital/observation E/M visits or extended inpatient consultations involving high levels of medical decision making and prolonged face-to-face time. This pattern is consistent with an Infectious Disease Physician delivering consultative services and follow-up care in hospital settings.
Competitive standing differs by payer scope: for Medicare this provider is an extreme national outlier on key hospital E/M codes (99223 at the 100th percentile and 99232 at the 99th percentile), indicating volumes far above typical national peers for those codes. For Medicaid the provider is a top in-state consult resource—most notably 99255 at #1 of 7 in-state (100th percentile)—showing clear local market leadership for high-complexity inpatient consults.
Claim-level volumes and payment rates reinforce an inpatient-focused throughput: Medicaid shows much higher claim counts for core codes (e.g., 99232 has 18.6K claims and $819.4K revenue on Medicaid vs 2.1K claims and $145K revenue on Medicare) while average paid per claim differs by payer (for example, 99223 avg paid/claim is $153 on Medicare and $54 on Medicaid, and 99232 avg paid/claim is $70 on Medicare and $44 on Medicaid). These raw counts and per-claim figures underline that the provider’s operational scale is larger in Medicaid but payment levels per encounter are higher in Medicare for identical code sets.
The provider has long tenure in the NPI registry (enumerated 2006-02-14, ~20 years), which likely corresponds with established hospital affiliations and sustained inpatient referral patterns that could explain the concentrated inpatient consult volumes and high state-market ranking for consult codes.
Because both payers show high revenue concentration in a few inpatient/consult codes (Medicare top-3 = 96.2% of Medicare revenue; Medicaid top-3 = 82.1% of Medicaid revenue) and several codes are statistical outliers or notably above typical volumes, analysts should consider a focused operational review to understand the provider’s care model, contractual arrangements with facilities, and how inpatient consult capacity is deployed across payers; this is a descriptive monitoring recommendation and not an implication of misconduct.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The 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… | 2,070 | $70 | $145K |
| 99223 | The 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… | 760 | $150 | $115.8K |
| 99233 | The 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… | 250 | $110 | $26.4K |
| 99222 | The 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… | 60 | $120 | $6.7K |
| 99214 | The 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… | 30 | $100 | $3.1K |
| 99213 | The 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… | 20 | $80 | $1.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The 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… | 18,620 | $40 | $819.4K |
| 99255 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at… | 1,960 | $180 | $346K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 1,640 | $150 | $249K |
| 99223 | The 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… | 3,330 | $50 | $179.7K |
| 99233 | The 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… | 1,740 | $70 | $123.6K |
| 99214 | The 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… | 90 | $50 | $4.5K |
| 99222 | The 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… | 30 | $50 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99233 | The 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… | 17 | 50 | 580 | $60 | $424.9K |
| 99214 | The 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… | 244 | 310 | 750 | $70 | $321.6K |
| 99232 | The 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… | 8 | 70 | 320 | $40 | $259.9K |
| 99223 | The 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… | 5 | 40 | 300 | $100 | $193.8K |
| 99255 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at… | 1 | 10 | 70 | $170 | $87.5K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 2 | 10 | 190 | $140 | $66.5K |
| 99222 | The 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… | 26 | 40 | 110 | $70 | $49.6K |
Other providers in the same ZIP code as Krishna Dass, ranked by combined Medicare and Medicaid revenue.
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