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    OpenPayerNPI Medicare & MedicaidSathyanarayan Reddy
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    Sathyanarayan Reddy — Billing Profile & Reimbursement Data

    NPI 1609828037 · Bridgeport, WV · Cardiovascular Disease Physician

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    Sathyanarayan Reddy is a cardiovascular disease physician provider located in Bridgeport, West Virginia. This profile covers 19 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
    OrganizationSathyanarayan Reddy
    Address527 Medical Park Drive
    CityBridgeport
    StateWV
    ZIP26330
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$521.3K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the operative payer story: Total Medicare revenue is $521.3K and there is no Medicaid billing on file, so the practice is effectively single-payer Medicare in scale for the record shown. Absence of any Medicaid activity means comparisons and competitive posture should be evaluated primarily against Medicare peers rather than a dual-payer mix.

    Revenue is highly concentrated in a few diagnostic and E/M codes — the precomputed top 3 Medicare codes by revenue account for 50.6% of this provider's total Medicare revenue. Those top three are 78452 (383 claims, $283 avg paid/claim, $108.4K revenue, 20.8% of Medicare revenue), 99214 (1K claims, $89 avg paid/claim, $91.3K revenue, 17.5%), and 93306 (649 claims, $98 avg paid/claim, $63.6K revenue, 12.2%); this concentration highlights reliance on a narrow set of procedures and office visits for the majority of billed Medicare dollars.

    Clinical/service-line mix is strongly diagnostic cardiology and ambulatory cardiology care: high-revenue codes include nuclear myocardial perfusion imaging (78452) with linked radiopharmaceutical billing (A9500, 700 claims, $87 avg paid/claim, $60.9K revenue), stress-agent administration (J2785, 1.1K claims, $43 avg paid/claim, $48.2K revenue), and transthoracic echocardiography (93306). The presence of 93000 ECGs and 93015 stress test interpretation, plus vascular duplex 93880, indicates a workflow centered on noninvasive cardiac testing and stress imaging with complementary office-based E/M visits.

    At the code level the provider is a high-volume outlier for several imaging and monitoring services: 78452 ranks #213 of 14946 providers nationally (99th percentile; extreme outlier) and A9500 ranks #70 of 4099 (98th percentile; extreme outlier), signaling unusually large SPECT/nuclear activity relative to national peers. Echocardiography (93306) and office visits (99214) also sit well above typical national volumes — 93306 at the 93rd percentile and 99214 at the 98th percentile — so the practice competes strongly on procedural throughput for key cardiology diagnostics.

    Operationally, the practice pairs a large number of low-reimbursement monitoring/EKG claims with fewer high-reimbursement imaging events: 93000 appears 1.5K times at $10 avg paid/claim for $15.3K revenue and ranks #434 of 71016 providers nationally (99th percentile; extreme outlier), while high-dollar imaging codes like 78452 and 93306 generate the bulk of revenue. This mix is typical of outpatient cardiology operations that perform many point-of-care EKGs and stress tests to support a smaller set of higher-paid imaging procedures.

    Evidence of hospital-based activity is present but smaller in scale: initial and subsequent inpatient E/M codes such as 99222 (131 claims, $102 avg paid/claim, $13.4K revenue) and 99232 (398 claims, $62 avg paid/claim, $24.7K revenue) show the provider sees some inpatient or observation encounters in addition to outpatient work. These codes sit in typical national volume ranges (both described as typical, unremarkable volume), suggesting hospital care is a supplementary component rather than the primary revenue engine.

    Despite several code-level national outlier rankings, the provider’s overall lifetime Medicare revenue of $521.3K is modest in absolute scale; the profile is one of concentrated strength in specific cardiology diagnostics rather than broad, high-dollar procedural dominance across many services. Analysts should interpret the provider as a specialized diagnostic cardiology practice with notable per-code market power (especially in nuclear cardiology) but limited total Medicare dollar volume.

    The NPI tenure indicates an established practice presence: this provider was enumerated on 2006-05-16 (~20 years ago). Long enumeration combined with concentrated, repeatable procedure volumes (e.g., repeated SPECT, echo, stress tests) supports the interpretation of a steady outpatient cardiology operation with entrenched diagnostic workflows rather than a newly emergent practice.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…380$280$108.4K
    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…1,030$90$91.3K
    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…650$100$63.6K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose700$90$60.9K
    J2785Injection, regadenoson, 0.1 mg1,120$40$48.2K
    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…490$60$29.2K
    99232The 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…400$60$24.7K
    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…190$130$24.3K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…350$50$15.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,530$10$15.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9500120320$80$25.9K
    J2785110370$40$18.8K
    933069110190$60$15.8K
    992321771,34090$60$11.9K
    99214182,740100$70$11.8K
    7845229070$130$11.2K
    93458495040$190$9.6K
    992131522,86080$50$7.5K
    93015110130$40$6.4K
    938801513030$50$4.8K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Hospital Center, IncWVGeneral Acute Care Hospital$0$63.3M
    Emory Medical Care Foundation IncGAInternal Medicine Physician$0$41.4M
    The Emory Clinic IncGAAmbulatory Surgical Clinic/Center$1.4M$26.6M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    United Hospital Center, Inc.WVInternal Medicine Physician$0$13.7M
    Christopher SteltonFLRetina Specialist (Ophthalmology) Physician$4.2M$0
    Joseph RicottaFLVascular Surgery Physician$4M$0
    Jorge FortunFLOphthalmology Physician$3.7M$0
    Robin RayGAOphthalmology Physician$3.5M$0
    Vasileios AssikisGAHematology & Oncology Physician$3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Specialists, Inc.WVInfectious Disease Physician$0$11.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.3M
    Bridgeport Behavioral ClinicWVPsychiatry Physician$0$5.7M
    Doctors Specialty CareWVAddiction Medicine (Family Medicine) Physician$0$4.1M
    Delta Lifestyle SolutionsWVFamily Medicine Physician$0$4.1M
    Lincare IncWVDurable Medical Equipment & Medical Supplies$0$4M
    Cornerstone Pediatric Therapy Center, LLCWVPediatric Occupational Therapist$0$3.7M
    Mountain State Medical Specialties, PLLCWVDermatology Physician$0$3.6M
    Seyed MomenWVPediatric Dentistry$0$3.2M
    Community Care Of West Virginia, Inc.WVCommunity/Behavioral Health Agency$0$2.6M

    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. West Virginia Distribution
    Sathyanarayan Reddy — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia