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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSusheel Gundewar
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    Susheel Gundewar — Billing Profile & Reimbursement Data

    NPI 1639364581 · Aberdeen, SD · Interventional Cardiology Physician

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    Susheel Gundewar is a interventional cardiology physician provider located in Aberdeen, South Dakota. This profile covers 40 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
    OrganizationSusheel Gundewar
    Address310 S Penn St
    CityAberdeen
    StateSD
    ZIP57401
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedSeptember 12, 2007

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

    Payer SourceTotal Paid
    Medicare$448.9K
    Medicaid$0

    Key Findings

    This provider’s billing profile is effectively single‑payer: total Medicare revenue is $448.9K and there is no Medicaid billing on file. The absence of Medicaid activity means analysis, network negotiations, and utilization patterns should be interpreted as Medicare‑centric rather than dual‑payer, which concentrates commercial/Medicaid risk elsewhere in the market.

    Revenue is concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 41.6% of the provider’s total Medicare revenue. The largest three contributors are 93306 ($67.7K, 15.6%), 99214 ($66.5K, 15.4%), and 99223 ($45.7K, 10.6%), indicating a mix of diagnostic echocardiography, ambulatory E/M, and high‑acuity inpatient E/M drive a large share of billing.

    The code mix signals an interventional cardiology practice that blends diagnostic imaging, inpatient care, and procedural interventions. High revenue and volume in echocardiography and ECG interpretation codes such as 93306 and 93010, combined with cath/angiography codes (93458, 93460) and PCI code 92928, show both imaging and catheterization services are central to operations rather than purely outpatient clinic work.

    Several imaging and monitoring codes are statistical outliers nationally, suggesting unusually high volume in those lines of service: 93306 ranks #85 of 24624 providers (100th percentile; extreme outlier) and 93010 ranks #341 of 50616 providers (99th percentile; extreme outlier). Remote/device monitoring and long‑duration ECG interpretation are also high relative to peers—93248 ranks #28 of 5736 providers (100th percentile; extreme outlier) and 93018 ranks #54 of 11835 providers (100th percentile; extreme outlier)—pointing to a major emphasis on diagnostic throughput and device surveillance.

    Interventional procedure volumes are above typical for national peers but lower in absolute counts than imaging and E/M activity, indicating procedural capability without very high PCI throughput. For example, 92928 shows 78 claims and $27.5K (6.4% of Medicare revenue) and ranks #268 of 5112 providers (95th percentile; notably above typical national volume), while supervisory imaging for angiography 93458 (132 claims, $21.3K, 4.9%) ranks #282 of 7990 providers (96th percentile; notably above typical national volume).

    Device and remote monitoring services form a meaningful recurring revenue stream and a distinct service line: 93294 has 713 claims and $14.3K (3.3% of Medicare revenue) and ranks #504 of 7466 providers (93th percentile; notably above typical national volume), while 93296 and 93298 add technical and professional remote monitoring activity. These codes signal ongoing longitudinal device management (pacemakers, loop recorders) that supports repeat contact and downstream follow‑up.

    Inpatient and observation care are important to this provider’s mix, consistent with hospital‑based interventional cardiology practice. High‑acuity E/M codes are substantial: 99223 accounts for $45.7K (10.6%) and ranks #2132 of 139583 providers (98th percentile; extreme outlier), and 99232 accounts for $28.5K (6.6%) and ranks #16227 of 177383 providers (91th percentile; typical, unremarkable volume), indicating significant initial and subsequent inpatient encounters.

    The provider is long‑tenured in Medicare enrollment, which supports continuity and established referral patterns: NPI enumerated (registered) 2007-09-12 (~19 years ago). Combined with the concentrated Medicare revenue and high national ranks in specific diagnostic and monitoring codes, tenure suggests an established cardiology practice with entrenched imaging and device management capabilities.

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,440$50$67.7K
    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…990$70$66.5K
    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…350$130$45.7K
    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…530$50$28.6K
    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…480$60$28.5K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…80$350$27.5K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…130$160$21.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.3,240$10$19.4K
    99204The 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…200$90$18.1K
    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…180$90$16.4K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9292862070$380$27.7K
    93306260250$50$21.4K
    3320871050$380$17.7K
    9345863040$180$11.9K
    99214171,66090$70$11.4K
    992336329060$90$10.8K
    G2066210130$60$9.9K
    992324057080$60$9.2K
    78452140140$60$8.6K
    93294620310$20$8.2K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Avera MckennanSDFamily Medicine Physician$0$10.6M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Avera MckennanSDHome Infusion Agency$0$6.7M
    Avera MckennanSDAir Ambulance$0$5.3M
    Avera St MarysSDMulti-Specialty Clinic/Center$0$4.6M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adjustment Training Center, Inc.SDDevelopmentally Disabled Services Day Training Agency$0$40.3M
    Northeastern Mental Health CenterSDMental Health Counselor$0$10.1M
    Vision Care Associates, LLPSDOptometrist$0$6M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$4.4M
    John BormesSDOphthalmology Physician$2.6M$0
    Avera St. Luke'sSDFamily Medicine Physician$0$2.3M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$1.9M
    Avera At HomeSDHome Health Agency$0$1.6M
    Avera St LukesSDGeneral Acute Care Hospital$0$1.5M
    Ty HansonSDDermatology Physician$1.2M$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. South Dakota Distribution
    Susheel Gundewar — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota