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    OpenPayerNPI Medicare & MedicaidAnkur Lodha
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    Ankur Lodha — Billing Profile & Reimbursement Data

    NPI 1598951436 · Lafayette, LA · Interventional Cardiology Physician

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    Ankur Lodha is a interventional cardiology physician provider located in Lafayette, Louisiana. This profile covers 61 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
    OrganizationAnkur Lodha
    Address443 Heymann Blvd
    CityLafayette
    StateLA
    ZIP70503
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedSeptember 24, 2007

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer Medicare: lifetime Medicare revenue on file is $1.2M and there is no Medicaid billing on file. The NPI was enumerated on 2007-09-24 (approximately 19 years ago), indicating a long-tenured practice focused on Medicare beneficiaries rather than dual Medicaid/Medicare mix.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes (78492, 37225, A9555) account for 51.4% of total Medicare revenue. Those three codes individually represent $241.2K (21.9%), $201.7K (18.3%), and $122.7K (11.2%) of Medicare revenue respectively, so a majority of revenue depends on a narrow procedural/imaging mix.

    The code mix strongly signals a nuclear cardiology and PET stress-testing capability: 78492 (myocardial perfusion PET imaging) is the single largest code at $241.2K and A9555 (Rubidium rb-82 per study dose) contributes $122.7K; additionally, J2785 (regadenoson) appears with 816 claims, $40 avg paid/claim and $32.6K revenue. Together these items — a high-volume myocardial perfusion PET code, radiopharmaceutical billing, and pharmacologic stress agent use — indicate an on-site cardiac PET/stress imaging service line.

    There is also a meaningful interventional/endovascular component to the practice. 37225 (no description available in the file) is the second-highest revenue driver at $201.7K with a high avg paid/claim ($5762) and is described in the data as a typical national-volume code; separately, 37215 (carotid stent with embolic protection) generates $49.5K and is called an "extreme outlier, far above typical national volume," ranking #2 of 304 — together these findings point to substantive high-reimbursement procedural activity alongside imaging.

    Clinical access and longitudinal management appear significant given unusually high office E/M volume: 99214 shows 1.3K claims, $86 avg paid/claim and $108.8K revenue, and is labeled an "extreme outlier, far above typical national volume" (99th percentile). This level of established-visit activity suggests sustained follow-up and management of complex cardiac patients in addition to episodic procedures and testing.

    The provider reports above-typical volumes in vascular and echocardiographic diagnostics, supporting an integrated vascular/diagnostic footprint. Examples include 93880 (duplex arterial scanning) with 368 claims, $45.6K revenue and a 98th-percentile, "notably above typical" ranking, plus 93306 (transthoracic echo) with 477 claims and $55.3K revenue (84th percentile), indicating capacity for noninvasive vascular and cardiac imaging beyond PET.

    Competitive standing is mixed: for several specialized procedures the provider ranks very highly (e.g., 37215 ranks #2 of 304 nationally at the 100th percentile), while for common cardiac imaging and radiopharmaceuticals the provider sits at solid but not dominant levels (e.g., 78492 ranks #99 of 926, 89th percentile; A9555 ranks #326 of 1266, 74th percentile). In aggregate, the practice behaves like a small-to-mid-sized Medicare revenue center with niche strengths in selected high-reimbursement interventional and cardiac imaging services.

    Operational and revenue concentration risks are evident: no Medicaid revenue is reported and a majority share (51.4%) of Medicare revenue is sourced from just three codes (78492, 37225, A9555). Payers or network managers evaluating contracting or referral strategy should note the dependence on cardiac PET/radiopharmaceutical services and select interventional codes when assessing continuity of access for these services in Lafayette, LA.

    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.

    61 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…220$1,080$241.2K
    37225N/A40$5,760$201.7K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries230$540$122.7K
    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…1,270$90$108.8K
    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…480$120$55.3K
    37215The provider places an intravascular stent into a cervical carotid artery under imaging guidance. He may place the stent through a percutaneous catheter or via an open incision. He also places an…70$760$49.5K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…370$120$45.6K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…50$780$38.8K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…40$920$38.4K
    J2785Injection, regadenoson, 0.1 mg820$40$32.6K

    Showing 1–10 of 61

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    61 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78492550100$1,080$123.4K
    3722532020$3,450$79.3K
    A9555760130$540$75.1K
    3647571050$840$66.5K
    3646572030$950$62.5K
    3725231040$510$25.9K
    3721511020$770$22.2K
    9330656390200$90$22.2K
    93229466030$580$18.7K
    99214936,670110$80$16.5K

    Showing 1–10 of 61

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health Shreveport LLCLAGeneral Acute Care Hospital$0$98.1M
    Lsuhn Billing LLCLAMulti-Specialty Clinic/Center$0$45.7M
    Cardiovascular Institute Of The South, LLCLACardiovascular Disease Physician$0$32.6M
    Lafayette General Medical Center IncLAGeneral Acute Care Hospital$0$31.1M
    Opelousas General Hospital AuthorityLAGeneral Acute Care Hospital$0$27.2M
    St Martin Hospital, Inc.LACritical Access Hospital$0$12.8M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Jennings American Legion Hospital, Inc.LAGeneral Acute Care Hospital$0$5.2M
    Ochsner American Legion Hospital LLCLAGeneral Acute Care Hospital$0$4.6M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$37.7M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$28.5M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$13.1M
    Coolidge Emergency Group LLCLAEmergency Medicine Physician$0$11.1M
    Pediatrust Acadiana, LLCLAMedically Fragile Infants and Children Day Care$0$8.6M
    Critical Care Newborn ServicesLANeonatal-Perinatal Medicine Physician$0$7.6M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$6.9M
    A Blessing Personal Home CareLAIn Home Supportive Care Agency$0$6.4M
    Priority Medical Care Inc.LAHome Health Agency$0$6.2M
    Bryan G Sibley Md ApmcLAPediatrics Physician$0$6M

    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
    Ankur Lodha — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana