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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West 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. West 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.

Pradeep Chadha (NPI 1659508638)

Field	Value
Entity Type	Individual
Organization	Pradeep Chadha
Address	1200 Jd Anderson Drive
City	Morgantown
State	WV
ZIP	26505
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 17, 2009

Payer Source	Total Paid
Medicare	$603.3K
Medicaid	$0

Key Findings

This provider’s billing is effectively single-payer: Total Medicare revenue is $603.3K and there is no Medicaid billing on file. The absence of any Medicaid revenue on record indicates the provider’s patient mix and reimbursement exposure are concentrated in the Medicare population.

Revenue is highly concentrated in three inpatient E/M codes: the precomputed top 3 Medicare codes account for 90.8% of this provider's total Medicare revenue. Those codes are 99233 ($287.9K, 47.7% of Medicare revenue), 99232 ($177.1K, 29.4% of Medicare revenue), and 99223 ($82.9K, 13.7% of Medicare revenue), which together drive the vast majority of receipts.

The code mix and descriptions point to a hospital-based internal medicine practice focused on inpatient care and transitions: the top-paid codes are 99233 and 99232 (subsequent hospital inpatient/observation care) and 99223 (initial hospital inpatient/observation care). Additional use of 99239 (hospital discharge day management) reinforces that the provider performs frequent inpatient follow-up and discharge management rather than outpatient-only services.

National ranking shows exceptionally high volume for core inpatient E/M codes: 99233 ranks #68 of 128818 providers nationally (100th percentile; extreme outlier), 99232 ranks #475 of 177383 providers nationally (100th percentile; extreme outlier), and 99223 ranks #245 of 139583 providers nationally (100th percentile; extreme outlier). These ranks characterize the provider as a major national-volume outlier for hospital-based E/M services rather than a modest local participant.

There is some critical care and discharge-day activity but it is less dominant than the main inpatient E/M work: 99239 accounts for $26.2K (4.4% of Medicare revenue) and ranks #740 of 62398 providers nationally (99th percentile; extreme outlier), while 99291 (critical care) accounts for $22.3K (3.7% of Medicare revenue) with rank #8953 of 71290 providers nationally (87th percentile; typical, unremarkable volume). This pattern suggests occasional critical care involvement but a primary focus on standard inpatient evaluation and management.

Operational intensity is reflected in claim counts and average allowed amounts: 99233 shows 3.3K claims at $86 avg paid/claim, 99232 shows 3.1K claims at $57 avg paid/claim, and 99223 shows 663 claims at $125 avg paid/claim. Those high claim volumes for subsequent and initial inpatient E/M codes are consistent with a shift-based or high-throughput inpatient/internal medicine role.

The provider’s tenure is well-established: NPI enumerated on 2009-06-17 (~17 years ago), indicating a long-standing billing footprint in Medicare. Combined with the concentrated Medicare revenue of $603.3K and no Medicaid billing, the profile suggests a stable, established inpatient-focused practice with concentrated payer exposure to Medicare.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	3,350	$90	$287.9K
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…	3,110	$60	$177.1K
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…	660	$130	$82.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	320	$80	$26.2K
99291	Critical 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…	140	$160	$22.3K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	30	$140	$4.5K
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	$80	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Pradeep Chadha — 5 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	5	1,340	90	$60	$11.9K
99233	2	660	60	$90	$11.4K
99291	41	420	40	$160	$9.8K
99223	2	780	30	$130	$7.9K
99239	4	370	70	$90	$7K
99222	561	1,080	30	$100	$4.5K
99236	1	10	20	$150	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospitalist Medicine Physicians Of West Virginia, PLLC	WV	Internal Medicine Physician	$0	$4.1M
Sanjay Bharti Md PLLC	WV	Internal Medicine Physician	$0	$2.4M
Sanjay Bharti	WV	Internal Medicine Physician	$934.5K	$5.9K
Alemeshet Gudeta	MD	Internal Medicine Physician	$296.1K	$0
Gabriella Olson	WV	Family Medicine Physician	$207.8K	$0
David Warren	AZ	Hospitalist Physician	$206.1K	$0
Babak Barmar	WV	Nephrology Physician	$200.5K	$0
Erica Knotts	WV	Medical Physician Assistant	$196.9K	$0
Cathy Funk	WV	Internal Medicine Physician	$175.6K	$0
Sonia Nasery	WV	Internal Medicine Physician	$174K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of Pittsburgh, Inc.	WV	Nursing Care Agency	$0	$23.1M
Monongalia County General Hospital Company	WV	General Acute Care Hospital	$0	$16.3M
Monongalia Emergency Medical Services Inc	WV	Ambulance	$1.4M	$11.3M
Gr&w, Inc	WV	Clinical Neuropsychologist	$0	$12.2M
Cardinal Pediatrics PLLC	WV	Pediatrics Physician	$0	$11.1M
Pace Training And Evaluation Center, Inc	WV	Developmentally Disabled Services Day Training Agency	$0	$9.2M
Therapy Services, LLC	WV	Speech-Language Pathologist	$0	$8.5M
Monongalia County General Hospital Company	WV	Specialist	$0	$6.8M
Gary Miller	WV	Ophthalmology Physician	$6.3M	$0
West Virginia Emergency Physicians, LLP	WV	Emergency Medicine Physician	$0	$4.7M

Pradeep Chadha — Billing Profile & Reimbursement Data

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Pradeep Chadha — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References