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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMadhan Mohan
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    Madhan Mohan — Billing Profile & Reimbursement Data

    NPI 1669482816 · Pineville, KY · Internal Medicine Physician

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    Madhan Mohan is a internal medicine physician provider located in Pineville, Kentucky. This profile covers 8 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
    OrganizationMadhan Mohan
    Address850 Riverview Rd
    CityPineville
    StateKY
    ZIP40977
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 9, 2006

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

    Payer SourceTotal Paid
    Medicare$12.9K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…70$60$4.4K
    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…20$130$2.8K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$60$2.1K
    99222The 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…20$100$1.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.140$10$850
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.120$1$500
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…40$10$360
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…20$10$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992321,6522,860100$60$11.6K
    992231,4011,94040$130$8.6K
    992221,5782,07030$90$4.5K
    9923825158030$60$2.7K
    93010400890120$10$1.9K
    8303652588050$10$1.2K
    8030517927030$10$690
    82947106040$1$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coffee Medical Group LLCTNRural Health Clinic/Center$0$12.1M
    Pineville Community Health Center IncKYRural Health Clinic/Center$0$7.5M
    Coffee Medical Group LLCTNRural Health Clinic/Center$0$6.3M
    Pineville Community Health Center IncKYGeneral Acute Care Hospital$0$3.7M
    Coffee Medical Group LLCTNRural Acute Care Hospital$0$3.6M
    Charles DrummondTNVascular Surgery Physician$708.5K$8.9K
    Jean LesslyTNInternal Medicine Physician$308.7K$18.1K
    Jeffrey GarlandVAInternal Medicine Physician$196.4K$420
    Anton DanielTNInternal Medicine Physician$145.3K$1.2K
    Ravi SinghTNPsychiatry Physician$127.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Log Mountain Family Healthcare LLCKYFamily Nurse Practitioner$0$4M
    County Of BellKYLand Ambulance$172.6K$482.2K
    Corey CampbellKYPhysician Assistant$170.9K$0
    Grace RunionsKYPsychiatric/Mental Health Nurse Practitioner$25.5K$220
    Chasity KingKYFamily Nurse Practitioner$15.8K$0
    Martha Combs-woolumKYInternal Medicine Physician$15.8K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Madhan Mohan — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky