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    OpenPayerNPI Medicare & MedicaidEranga Haththotuwa
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    Eranga Haththotuwa — Billing Profile & Reimbursement Data

    NPI 1669477618 · Dover, DE · Cardiovascular Disease Physician

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    Eranga Haththotuwa is a cardiovascular disease physician provider located in Dover, Delaware. This profile covers 35 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
    OrganizationEranga Haththotuwa
    Address200 Banning St Ste 310
    CityDover
    StateDE
    ZIP19904
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJune 16, 2005

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

    Payer SourceTotal Paid
    Medicare$694.5K
    Medicaid$0

    Key Findings

    ERANGA HATHTHOTUWA has $694.5K in total Medicare revenue and no Medicaid billing on file, making this an effectively single‑payer Medicare practice with no recorded Medicaid revenue streams to diversify payer exposure. This concentration means analyses and contract negotiations should focus on Medicare utilization and reimbursement trends rather than dual‑payer dynamics.

    Revenue is highly concentrated in a small set of services: the top 3 Medicare codes by revenue account for 51.9% of this provider's total Medicare revenue. Those top contributors are 99214 ($155.3K, 22.7%), 78452 ($105.2K, 15.4%), and 93306 ($94.5K, 13.8%), indicating a heavy reliance on a mixed portfolio of office E/M and advanced cardiac imaging for revenue generation.

    The code mix and dollar volumes point to a cardiology practice built around outpatient evaluation and cardiac imaging: 99214 volumes suggest substantial established‑patient clinic visits, while 78452 (SPECT) and 93306 (2D echocardiography) revenues indicate significant nuclear cardiology and echo services. The presence of J2785 (regadenoson) at $39K (5.7%) further supports a high throughput of pharmacologic stress testing tied to the SPECT studies.

    For competitive standing, the provider is a national high‑volume outlier on several key codes. 99214 ranks #2389 of 479517 (100th percentile; extreme outlier), 78452 ranks #421 of 14946 (97th percentile; notably above typical national volume), and 93306 ranks #911 of 24624 (96th percentile; notably above typical national volume), signaling that this clinician operates at a scale for these services that far exceeds typical national peers.

    Operational throughput appears strong for electrocardiography as well: 93000 shows 1.3K claims and ranks #707 of 71016 (99th percentile; extreme outlier) while 93010 ranks #1294 of 50616 (97th percentile; notably above typical national volume). These ECG volumes are consistent with a high‑volume cardiology clinic supporting a steady stream of diagnostic testing in addition to imaging.

    Device and remote monitoring activity exists but is proportionally smaller: 33285 (implantable cardiac rhythm monitor insertion) contributes $56.8K (8.3%) and ranks #971 of 1716 (38th percentile; typical, unremarkable volume), and remote interrogation/monitoring codes such as 93294, 93298, and 93297 each contribute modest revenue (e.g., 93294 $3.1K, 0.5%) at mid‑range national percentiles. This pattern suggests the practice performs device procedures and follow‑up monitoring, but device work is not the primary revenue driver.

    The single‑payer Medicare orientation creates potential operational and financial risk or opportunity tied directly to Medicare policy and utilization trends because there is no Medicaid activity recorded to offset reimbursement shifts. Strategic reviews should prioritize Medicare fee schedule changes, imaging utilization management, and stress testing protocols given how much revenue is concentrated in those areas.

    The provider has a long tenure in the Medicare program — NPI enumerated 2005-06-16 (~21 years ago) — which, combined with multiple extreme and notably above‑typical national rankings, indicates an established practice with sustained high volumes for selected cardiology services. Longstanding enrollment plus concentrated high volumes in imaging and E/M suggest institutionalized workflows and referral patterns supporting the observed billing profile.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,710$90$155.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…310$350$105.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…790$120$94.5K
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.20$3,550$56.8K
    J2785Injection, regadenoson, 0.1 mg910$40$39K
    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…400$100$37.5K
    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…520$60$32.5K
    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…220$140$31.1K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose310$60$18.7K
    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…140$130$18.5K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933061170450$100$51.8K
    78452860120$250$40.3K
    33285112020$1,310$30.1K
    J2785730390$40$26.9K
    99214281,830150$80$25.5K
    93880438070$110$16.6K
    992333750080$90$15.4K
    9923298730120$60$14.2K
    992131,6361,810120$60$13.6K
    992158657040$120$11K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M
    Eranga Cardiology, PADECardiovascular Disease Physician$0$1.1M
    Tyler YerkesDEPhysician Assistant$1.1M$0
    Sankalp PathakNJInterventional Cardiology Physician$639.9K$0
    Pranitha NainiVAMedical Oncology Physician$595.3K$0
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$37.9M
    At Home Infucare, LLCDEHome Health Agency$0$28.5M
    Amazing Home Care AgencyDEHome Health Agency$0$18.7M
    Dedicated To Women Ob-gyn, P.A.DEObstetrics & Gynecology Physician$0$11.1M
    Help At Home Of Delaware, LLCDEIn Home Supportive Care Agency$0$10.7M
    A Center For Mental Wellness, Inc.DEMental Health Counselor$0$9.9M
    State Of DelawareDECase Management Agency$0$9.2M
    West Dover Dental, LLCDEDentist$0$9M
    Americare Home SolutionsDEIn Home Supportive Care Agency$0$8.4M
    Vicdania Health Services LLCDEHome Health Agency$0$7.4M

    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. Delaware Distribution
    Eranga Haththotuwa — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware