Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nagashree Gundu Rao (NPI 1649484783)

Field	Value
Entity Type	Individual
Organization	Nagashree Gundu Rao
Address	21785 Filigree Ct Ste 100
City	Ashburn
State	VA
ZIP	20147
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicare	$28.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	140	$90	$12.7K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	240	$50	$11.1K
G0109	Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes	280	$10	$3.6K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	20	$30	$550
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	50	$1	$150

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Nagashree Gundu Rao — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,444	12,890	140	$80	$21K
G0108	2	20	70	$40	$5.1K
G0109	3	10	210	$10	$2.9K
95251	143	160	80	$30	$2.7K
82962	97	190	50	$1	$360

Nearby Providers

Other providers in the same ZIP code as Nagashree Gundu Rao, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nova Adult Home Care, Inc.	VA	Home Health Agency	$0	$28.7M
Oasis Home Healthcare, Inc.	VA	Home Health Agency	$0	$7.8M
A Loudoun Transport Inc	VA	Non-emergency Medical Transport (VAN)	$0	$7.3M
Rupinder Sethi	VA	Pediatrics Physician	$0	$5.6M
Sherry Maragh	VA	MOHS-Micrographic Surgery Physician	$637.8K	$0
Clinical Diagnostic Laboratories, LLC	VA	Clinical Medical Laboratory	$42.1K	$277.7K
Jeffrey Sedgewick	VA	Ophthalmology Physician	$226.2K	$0
Gauthami Gondy	VA	Internal Medicine Physician	$210.6K	$0
Jee Eun Lee Karl	VA	Family Medicine Physician	$206.5K	$0
Michael Antonis	VA	Sports Medicine (Emergency Medicine) Physician	$185.3K	$0

Nagashree Gundu Rao — Billing Profile & Reimbursement Data

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Nagashree Gundu Rao — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References