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NPI 1629103759 · Mount Airy, MD · Pain Medicine (Anesthesiology) Physician
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Sudhir Rao is a pain medicine (anesthesiology) physician provider located in Mount Airy, Maryland. This profile covers 30 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sudhir Rao |
| Address | 2702 Back Acre Cir |
| City | Mount Airy |
| State | MD |
| ZIP | 21771 |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| NPI Enumerated | February 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $700.5K |
| Medicaid | $89.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 4,920 | $60 | $290.2K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 3,600 | $40 | $133.3K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,810 | $50 | $88.7K |
| 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… | 550 | $90 | $50.4K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 130 | $180 | $23.9K |
| 99493 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 160 | $110 | $17.4K |
| 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… | 300 | $60 | $17.2K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 370 | $30 | $11K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 50 | $160 | $8.4K |
| 99204 | The 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… | 70 | $120 | $8K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64483 | 95 | 240 | 100 | $220 | $32K |
| 64635 | 123 | 160 | 50 | $410 | $28K |
| 99214 | 1,531 | 10,270 | 150 | $90 | $24.1K |
| 80307 | 2 | 170 | 190 | $60 | $23.6K |
| 64493 | 137 | 210 | 80 | $210 | $22.5K |
| 99487 | 36 | 50 | 80 | $100 | $18.2K |
| 99490 | 8 | 220 | 110 | $50 | $15K |
| 99213 | 1,919 | 9,280 | 100 | $60 | $12.5K |
| 99491 | 28 | 30 | 60 | $60 | $10.6K |
| 99484 | 7 | 30 | 170 | $30 | $9.9K |
Showing 1–10 of 30
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 1,790 | $30 | $55.6K |
| 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… | 760 | $40 | $30.4K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 40 | $40 | $1.6K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 190 | $10 | $970 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 10 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,761 | 3,670 | 680 | $90 | $310K |
| 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… | 1,057 | 3,280 | 610 | $80 | $296.1K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 9 | 20 | 190 | $20 | $33.8K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 17 | 20 | 80 | $10 | $2.9K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 139 | 180 | 190 | $1 | $620 |
Other providers in the same ZIP code as Sudhir Rao, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pejman Rohani | MD | Vascular Surgery Physician | $1M | $0 |
| Ingrid Zimmer-galler | MD | Retina Specialist (Ophthalmology) Physician | $580.8K | $0 |
| Edward Marshall | MD | Clinical Electrophysiology Physical Therapist | $234.3K | $0 |
| Alpen Patel | MD | Otolaryngology Physician | $141.2K | $0 |
| Sraddha Lamichhane | MD | Foot & Ankle Surgery Podiatrist | $125.9K | $0 |
| Michael Tholen | MD | General Practice Physician | $93.5K | $0 |
| Orchid Mesias | MD | Nurse Practitioner | $53.8K | $0 |
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