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NPI 1649428574 · Maple Grove, MN · Gastroenterology Physician
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Prakash Viswanathan is a gastroenterology physician provider located in Maple Grove, Minnesota. This profile covers 17 Medicare and 1 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 | Prakash Viswanathan |
| Address | 9855 Hospital Dr Ste 102b |
| City | Maple Grove |
| State | MN |
| ZIP | 55369 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | September 4, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $58.6K |
| Medicaid | $1.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 130 | $120 | $15K |
| 99232 | The 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… | 80 | $70 | $5.8K |
| 43255 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding. | 30 | $170 | $5K |
| 43274 | The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to… | 10 | $370 | $4.8K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 40 | $100 | $4K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 50 | $60 | $3.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 20 | $130 | $2.9K |
| 43264 | The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images… | 20 | $120 | $2.9K |
| 45382 | The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the… | 10 | $230 | $2.8K |
| 99223 | The 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… | 20 | $160 | $2.8K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 43274 | 29 | 30 | 30 | $290 | $8.4K |
| 45380 | 272 | 310 | 30 | $160 | $7.3K |
| 43239 | 67 | 310 | 30 | $110 | $5.2K |
| 99232 | 1,284 | 3,640 | 60 | $60 | $5.2K |
| 99223 | 1,626 | 2,360 | 30 | $130 | $5K |
| 43259 | 22 | 20 | 20 | $180 | $4.8K |
| 43242 | 20 | 20 | 20 | $180 | $4.4K |
| 99213 | 7,743 | 9,120 | 50 | $50 | $4K |
| 45378 | 15 | 60 | 20 | $180 | $3.6K |
| 43264 | 25 | 40 | 30 | $100 | $3.3K |
Showing 1–10 of 17
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $40 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 67 | 90 | 140 | $60 | $98.8K |
Other providers in the same ZIP code as Prakash Viswanathan, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Al Shifa Dentistry PA | MN | Dental Clinic/Center | $0 | $18.4M |
| Regency Home Healthcare Services LLC | MN | Home Health Agency | $0 | $11.1M |
| Children's Clinic Network | MN | Primary Care Clinic/Center | $0 | $10M |
| Osseo Area Schools | MN | Local Education Agency (LEA) | $0 | $8.8M |
| Miso Dentistry, PC | MN | Dentist | $0 | $8.4M |
| Interventional Spine And Pain Physicians, PA | MN | Specialist | $0 | $5.5M |
| North Memorial Health Care | MN | Urgent Care Clinic/Center | $0 | $4.5M |
| Metropolitan Surgical Center, LLC | MN | Ambulatory Surgical Clinic/Center | $1.6M | $1.3M |
| Asim Khan | MN | Rheumatology Physician | $2.4M | $0 |
| Sumi Patel | MN | Rheumatology Physician | $364.5K | $0 |
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