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    OpenPayerNPI Medicare & MedicaidHima Atluri
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    Hima Atluri — Billing Profile & Reimbursement Data

    NPI 1609866052 · Decatur, IL · Geriatric Medicine (Internal Medicine) Physician

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    Hima Atluri is a geriatric medicine (internal medicine) physician provider located in Decatur, Illinois. This profile covers 27 Medicare and 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationHima Atluri
    Address2981 N Main St
    CityDecatur
    StateIL
    ZIP62526
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedOctober 26, 2005

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

    Payer SourceTotal Paid
    Medicare$231.3K
    Medicaid$119K

    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.

    27 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…630$80$49.1K
    J0897Injection, denosumab, 1 mg2,220$20$40K
    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…590$60$34.5K
    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…200$90$18.5K
    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…230$60$14.5K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…70$160$10.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$8.7K
    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…60$140$8.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…110$70$7.8K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…80$90$7.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08972264102,520$20$90.8K
    992331,9155,990100$100$18.7K
    992141,13318,540110$80$17.1K
    992322,0047,96090$60$12.4K
    992232,3636,19050$140$10.4K
    9921368517,39070$60$8.8K
    992391,1332,61070$90$8.4K
    906777212,54020$270$8K
    992047,2308,58030$110$5.6K
    992221,4475,73030$100$5.3K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 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…1,570$40$61.1K
    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…2,040$30$57K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$20$640
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…10$20$200
    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…40$1$40

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,29314,680300$50$48.7K
    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…2,01414,190280$20$38.9K
    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…4,0184,800210$30$29.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,5741,590360$10$23K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…2,4933,33090$10$7.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David NormanILPediatrics Physician$0$5.4M
    Philip DyILMedical Oncology Physician$4.4M$549.3K
    Gibran MahmudILHematology & Oncology Physician$2.2M$477.7K
    James WadeILMedical Oncology Physician$2.6M$35.2K
    Bassam MaaloufILHematology & Oncology Physician$1.8M$770.9K
    Sebastien KairouzILHematology & Oncology Physician$2.1M$425.9K
    Hanna SabaILHematology & Oncology Physician$2.2M$334K
    Ankit DesaiILRetina Specialist (Ophthalmology) Physician$1.7M$119.2K
    Venkata DamarlaILHematology & Oncology Physician$1.7M$106.4K
    James BockILFamily Medicine Physician$674.4K$770K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$8.6M
    Maurice SchuetzILAnatomic Pathology & Clinical Pathology Physician$85.7K$1.1M
    Michael StauderILOptometrist$123.4K$729.7K
    Jonathan LockeILDiagnostic Radiology Physician$335.8K$508.5K
    Jeffrey BoorsteinILDiagnostic Radiology Physician$185.7K$558.2K
    Mario VelascoILMedical Oncology Physician$569.8K$124K
    Mark MuscatoILDiagnostic Radiology Physician$270.6K$394.7K
    Gailey Eye Surgery-decatur LLCILAmbulatory Surgical Clinic/Center$599.5K$0
    Perry GuaglianoneILHematology & Oncology Physician$411.8K$119.6K
    Benjamin EsparazILHematology & Oncology Physician$391.4K$62.9K

    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.

    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. Illinois Distribution
    Hima Atluri — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Hima Atluri — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois