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    OpenPayerNPI Medicare & MedicaidAnuradha Guthikonda
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    Anuradha Guthikonda — Billing Profile & Reimbursement Data

    NPI 1609197318 · Humacao, PR · Endocrinology, Diabetes & Metabolism Physician

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    Anuradha Guthikonda is a endocrinology, diabetes & metabolism physician provider located in Humacao, Puerto Rico. This profile covers 7 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
    OrganizationAnuradha Guthikonda
    Address355 Ave Font Martelo Ste 105
    CityHumacao
    StatePR
    ZIP00791
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJune 16, 2010

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

    Payer SourceTotal Paid
    Medicare$41.4K
    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.

    7 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…320$100$30.3K
    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…40$130$4.5K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…90$30$2.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.200$10$1.6K
    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…20$70$1.4K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…130$10$1.3K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…70$1$210

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141747050$80$6.6K
    992131,3931,53050$60$4.2K
    992042520020$110$2.7K
    364157638070$10$1.2K
    9525111020$30$1.2K
    830363229040$10$820
    8296211050$1$170

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aswartha PothulaILInterventional Cardiology Physician$870.4K$121.2K
    Srikanth KasulaIAInterventional Cardiology Physician$861.7K$9.8K
    Rafat PadariaIACardiovascular Disease Physician$705.1K$0
    Robert PodeILOphthalmology Physician$581.5K$47.6K
    Edmund CoyneIACardiovascular Disease Physician$623K$920
    Kathleen KeyesIACardiovascular Disease Physician$614.8K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Maurice BinnsILEmergency Medicine Physician$65.5K$522.5K
    Faraz ManazirILInterventional Cardiology Physician$477.1K$78.2K
    Chloe PayneDEDermatology Physician$541.5K$11.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr Jose A Nassar & AsociadosPRRadiology Clinic/Center$0$6.3M
    Laboratorio Clinico Roxell IncPRClinical Medical Laboratory$0$1.9M
    Redes De Salud Inc.PRSpecialist$0$1.7M
    Jimergency Medical Transport Inc.PRAmbulance$46.2K$1.5M
    Yamilka Abreu DelgadoPRGastroenterology Physician$0$1.2M
    Eastern Retina Consultants Of Puerto Rico, PscPROphthalmology Physician$0$1.2M
    Instituto De Radioterapia Avanzada Del Este, PscPRRadiation Oncology Clinic/Center$0$1.1M
    Servicios Anatomico Patologicos Oriental, Inc.PRClinical Medical Laboratory$2.6K$1.1M
    Vc Partners LLCPRDiagnostic Radiology Physician$0$1M
    Ivette RodriguezPRPediatric Dentistry$0$936.9K

    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. Puerto Rico Distribution
    Anuradha Guthikonda — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico