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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshish Koirala
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    Ashish Koirala — Billing Profile & Reimbursement Data

    NPI 1649415837 · Charleston, WV · Pulmonary Disease Physician

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    Ashish Koirala is a pulmonary disease physician provider located in Charleston, West Virginia. This profile covers 16 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
    OrganizationAshish Koirala
    Address3100 Maccorkle Ave Se Ste 205
    CityCharleston
    StateWV
    ZIP25304
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedDecember 3, 2008

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

    Payer SourceTotal Paid
    Medicare$85.5K
    Medicaid$0

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…110$170$19K
    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…200$90$17.8K
    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…80$120$9.6K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation100$70$7K
    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…70$100$6.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$130$6.3K
    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…40$130$5.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…40$100$4.2K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.30$100$3.3K
    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…20$60$1.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992321,1961,34090$60$11.9K
    992147392,740100$70$11.8K
    9923331366060$90$11.4K
    992915642040$160$9.8K
    95811173040$190$8.2K
    9922332378030$130$7.9K
    992132,4912,86080$50$7.5K
    G0399110100$70$7K
    9921517847030$110$6.8K
    9581083030$180$6.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mass General Brigham Medical Group Northern Massachusetts IncMAEmergency Medicine Physician$0$30.2M
    Michael IndelicatoMARheumatology Physician$1.4M$0
    Khalid SyedMARheumatology Physician$1.4M$0
    Garrett BombaNHEmergency Medicine Physician$513.6K$18.9K
    Joshua TarkanMANephrology Physician$477.6K$0
    Jane PreotleRIEmergency Medicine Physician$2.2K$429.3K
    Emily LiuMAEndocrinology, Diabetes & Metabolism Physician$424.9K$1.2K
    Isaac PouratiMAClinical Cardiac Electrophysiology Physician$420.9K$1.3K
    Stephen BeaudoinMAInternal Medicine Physician$387.7K$0
    Sunny SrivastavaMACardiovascular Disease Physician$361.8K$500

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Healthteam Critical Care Transport LLCWVLand Ambulance$2.5M$19.8M
    Cabin Creek Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$8.2M
    Holistic, IncWVFamily Medicine Physician$0$8M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$7.1M
    Imad ShammaaWVOrthodontics and Dentofacial Orthopedics Dentistry$0$5.2M
    Summit Bhc West Virginia LLCWVSubstance Use Disorder Rehabilitation Hospital Unit$0$5.1M
    General Anesthesia Services IncWVAnesthesiology Physician$0$4.3M
    Neurology & Headache Clinic PLLCWVNeurology Physician$0$3.8M
    Bioscrip Infusion Services, LLCWVHome Infusion Therapy Pharmacy$0$3.3M
    Don E. Skaff, Dds, Inc.WVPediatric Dentistry$0$2M

    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. West Virginia Distribution
    Ashish Koirala — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia