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NPI 1649652470 · Springfield, IL · Vascular & Interventional Radiology Physician
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Pranav Sharma is a vascular & interventional radiology physician provider located in Springfield, Illinois. This profile covers 35 Medicare and 10 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 | Pranav Sharma |
| Address | 1025 S 6th St |
| City | Springfield |
| State | IL |
| ZIP | 62703 |
| Taxonomy | Vascular & Interventional Radiology Physician |
| NPI Enumerated | June 29, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $77K |
| Medicaid | $7.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
35 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36558 | The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,… | 80 | $190 | $15.1K |
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 50 | $170 | $8.1K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 40 | $100 | $4.3K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 20 | $250 | $4.2K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 30 | $120 | $3.6K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 90 | $30 | $2.9K |
| 32555 | In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance. | 40 | $80 | $2.9K |
| 36247 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 20 | $140 | $2.9K |
| 49406 | The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained. | 20 | $150 | $2.8K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 90 | $30 | $2.4K |
Showing 1–10 of 35
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
35 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36902 | 29 | 80 | 40 | $910 | $84.5K |
| 77067 | 423 | 510 | 320 | $50 | $25.3K |
| 77063 | 406 | 490 | 320 | $30 | $15.7K |
| 74177 | 970 | 1,020 | 120 | $80 | $11.7K |
| 36581 | 5 | 30 | 20 | $470 | $11.2K |
| 36247 | 13 | 30 | 20 | $300 | $8.6K |
| 70450 | 786 | 890 | 200 | $30 | $7.9K |
| 36561 | 95 | 190 | 20 | $320 | $6.7K |
| 36558 | 1 | 150 | 20 | $230 | $5K |
| 36248 | 3 | 10 | 30 | $70 | $3.9K |
Showing 1–10 of 35
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 100 | $30 | $2.5K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 100 | $30 | $2.5K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 20 | $70 | $1.1K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 70 | $10 | $420 |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 60 | $1 | $260 |
| 77001 | Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the… | 30 | $10 | $240 |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 30 | $10 | $190 |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 10 | $10 | $130 |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 10 | $10 | $60 |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 10 | $1 | $40 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 848 | 880 | 570 | $60 | $62.9K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 459 | 620 | 340 | $40 | $29.4K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 370 | 530 | 270 | $20 | $12.7K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 1,055 | 1,150 | 1,520 | $1 | $10.5K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 1,194 | 1,410 | 610 | $10 | $8.4K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 794 | 840 | 120 | $10 | $4.3K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 685 | 700 | 140 | $10 | $2.6K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 189 | 230 | 50 | $10 | $980 |
| 76937 | The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures. | 38 | 50 | 50 | $10 | $880 |
| 77001 | Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the… | 13 | 30 | 30 | $10 | $740 |
Other providers in the same ZIP code as Pranav Sharma, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Central Counties Health Centers, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $32.5M |
| Springfield Clinic, LLP | IL | Clinical Medical Laboratory | $3.5M | $7.4M |
| America Ambulance Service, Inc. | IL | Ambulance | $1M | $7.5M |
| Gateway Foundation, Inc. | IL | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $8.4M |
| Aleksandr Kagan | IL | Ophthalmology Physician | $2.8M | $1.5M |
| Springfield Clinic LLP | IL | Ambulatory Surgical Clinic/Center | $3.5M | $0 |
| Robert Lowenthal | IL | Ophthalmology Physician | $3.2M | $62.6K |
| Sangamon Area Special Education Dist | IL | Local Education Agency (LEA) | $0 | $2.9M |
| Ramanath Bhandari | IL | Ophthalmology Physician | $2.5M | $144.9K |
| Joseph Baima | IL | Diagnostic Radiology Physician | $217.4K | $708.3K |
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