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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPrasanna Sugathan
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    Prasanna Sugathan — Billing Profile & Reimbursement Data

    NPI 1598847733 · Lake Charles, LA · Cardiovascular Disease Physician

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    Prasanna Sugathan is a cardiovascular disease physician provider located in Lake Charles, Louisiana. This profile covers 31 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
    OrganizationPrasanna Sugathan
    Address501 Dr. Michael Debakey Dr.
    CityLake Charles
    StateLA
    ZIP70601
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 19, 2006

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

    Payer SourceTotal Paid
    Medicare$222.6K
    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.

    31 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…550$90$49.2K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…30$1,680$43.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…450$70$31.7K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries30$670$21.5K
    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…220$60$13.7K
    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…80$130$10K
    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…110$90$9.8K
    93355The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…60$160$9.8K
    J2785Injection, regadenoson, 0.1 mg140$50$6.6K
    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…30$110$3.6K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78431203050$1,370$158.9K
    A95555060130$540$75.1K
    9330667390200$90$22.2K
    992146256,670110$80$16.5K
    J2785102150220$40$16K
    7845224725050$190$13.7K
    992337072,01070$90$12.3K
    992151,3851,65040$110$8.4K
    992131,1796,06070$50$8.1K
    992235722,33040$130$7.7K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger ClinicPASurgery Physician$0$74.6M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    St. Luke's Physician Group, Inc.PAEmergency Medicine Physician$0$28.8M
    Geisinger Pharmacy LLCPAPharmacy$0$26.7M
    The Milton S. Hershey Medical Center Physicians GroupPASports Medicine (Neuromusculoskeletal Medicine) Physician$0$26.6M
    St Lukes HospitalPAGeneral Acute Care Hospital$0$20.8M
    Geisinger Clinic - Outpatient PsychPACounselor$0$19.6M
    Geisinger ClinicPADiagnostic Radiology Physician$0$14.9M
    Geisinger ClinicPAFamily Medicine Physician$0$13.4M
    Calcasieu Cameron Hospital Service DistrictLAGeneral Acute Care Hospital$0$12.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Louisiana Hospital Association IncLAGeneral Acute Care Hospital$0$42.9M
    Swla Center For Health ServicesLAFederally Qualified Health Center (FQHC)$0$33.2M
    Children's Clinic Of Southwest Louisiana, Inc.LAPediatrics Physician$0$24M
    Heaven-on-earth Network, Inc.LAPersonal Care Attendant$0$20.5M
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$16.8M
    The Pathology Laboratory, Inc.LAClinical Medical Laboratory$1.6M$13.7M
    All About You Home Healthcare IncLAIn Home Supportive Care Agency$0$11.3M
    Professional Emergency Medicine Management -- Lake Charles LLCLAEmergency Medicine Physician$0$10.8M
    Compassionate Covenant Adult Day Health Care Inc.LAAdult Day Care Clinic/Center$0$10.6M
    Christus Health Southwestern LouisianaLAGeneral Acute Care Hospital$0$10.2M

    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.

    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. Louisiana Distribution
    Prasanna Sugathan — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana