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NPI 1609953272 · Albuquerque, NM · Family Medicine Physician
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Bhalachandra Kulkarni is a family medicine physician provider located in Albuquerque, New Mexico. This profile covers 8 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Bhalachandra Kulkarni |
| Address | 12836 Lomas Blvd Ne |
| City | Albuquerque |
| State | NM |
| ZIP | 87112 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $202.2K |
| Medicare | $24K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 80 | $120 | $9.4K |
| 99212 | The 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,… | 180 | $40 | $6.3K |
| 99213 | The 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… | 120 | $50 | $5.7K |
| G0444 | Annual depression screening, 5 to 15 minutes | 80 | $20 | $1.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 100 | $10 | $820 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 30 | $1 | $100 |
| G0102 | Prostate cancer screening; digital rectal examination | 10 | $10 | $90 |
| 82270 | The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive… | 20 | $1 | $70 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,850 | $80 | $148.2K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 540 | $90 | $50K |
| 99213 | The 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… | 70 | $50 | $3.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 120 | $1 | $250 |
| G0444 | Annual depression screening, 5 to 15 minutes | 10 | $10 | $180 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 30 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 781 | 930 | 910 | $80 | $521.6K |
| 99214 | The 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… | 357 | 960 | 1,010 | $90 | $490K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 10 | 60 | 60 | $110 | $78.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 187 | 250 | 890 | $1 | $38K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 123 | 150 | 250 | $1 | $7.2K |
| G0444 | Annual depression screening, 5 to 15 minutes | 37 | 40 | 90 | $10 | $5K |
Other providers in the same ZIP code as Bhalachandra Kulkarni, ranked by combined Medicare and Medicaid revenue.
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