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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRakesh Mandal
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    Rakesh Mandal — Billing Profile & Reimbursement Data

    NPI 1629336524 · Madison, WI · Clinical Pathology/Laboratory Medicine Physician

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    Rakesh Mandal is a clinical pathology/laboratory medicine physician provider located in Madison, Wisconsin. This profile covers 23 Medicare and 126 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
    OrganizationRakesh Mandal
    Address600 Highland Ave
    CityMadison
    StateWI
    ZIP53792
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedApril 27, 2012

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

    Payer SourceTotal Paid
    Medicaid$547.9K
    Medicare$67.1K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…880$20$18.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…500$30$14K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.180$60$11K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…240$30$6.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…70$60$3.9K
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.70$40$2.6K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.30$50$1.5K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…30$50$1.3K
    88365The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…30$30$1K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…100$10$940

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305138300460$40$44.8K
    883418240190$30$7.4K
    883422827090$40$6.9K
    883079721060$60$5K
    8818924070$60$4.8K
    863343850100$20$4.8K
    841654450170$10$4.7K
    8831213015040$40$4.5K
    88173638050$50$4.2K
    88112839090$20$2.8K

    Showing 1–10 of 23

    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.

    126 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.7,900$10$39.5K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…150$250$37.6K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…620$60$33.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10,260$1$30.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…920$30$29.5K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1,370$20$27.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1,370$20$27.4K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…560$40$23.5K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…490$40$20K
    0241UN/A250$80$19.1K

    Showing 1–10 of 126

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    126 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…92170720$70$272.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.882603,590$20$232.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.105190620$40$226.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.71160990$30$191.8K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.5660970$30$180.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.71160970$30$174.2K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1232202,770$20$120.2K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…99190940$20$115.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…143260750$40$99K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.4270500$30$95.6K

    Showing 1–10 of 126

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manuel DoriaILAnatomic Pathology & Clinical Pathology Physician$117.7K$2.3M
    Galen KesslerILAnatomic Pathology & Clinical Pathology Physician$106K$2M
    Nibha SaxenaOHAnatomic Pathology & Clinical Pathology Physician$64.1K$2M
    Vidhu KaushikMNClinical Pathology/Laboratory Medicine Physician$59.6K$1.9M
    Viren PatelPAAnatomic Pathology & Clinical Pathology Physician$69.4K$1.5M
    Ronnie AbrahamCAAnatomic Pathology & Clinical Pathology Physician$217.4K$297.9K
    Dionnee JamesKSAnatomic Pathology & Clinical Pathology Physician$107K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    David LewisWIOphthalmology Physician$1.4M$0
    Jagroop BasraonWIClinical Cardiac Electrophysiology Physician$1.1M$0
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Daniel Guerra RodasWINephrology Physician$147.6K$462.1K
    Ali PirastehWIDiagnostic Radiology Physician$498.3K$0
    Robert HegemanWIMedical Oncology Physician$393.7K$0
    Michael ChristopherWIDermatology Physician$386K$0
    Mark MounajjedWIInfectious Disease Physician$381.5K$0
    Christine VetterWIDiagnostic Radiology Physician$367.5K$0

    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. Wisconsin Distribution
    Rakesh Mandal — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Rakesh Mandal — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin