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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Madhuri Pratinidhi (NPI 1679590038)

Field	Value
Entity Type	Individual
Organization	Madhuri Pratinidhi
Address	1504 Sullivan Ave
City	South Windsor
State	CT
ZIP	06074
Taxonomy	Family Medicine Physician
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicare	$28.9K
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…	160	$90	$15.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$140	$8.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	70	$70	$4.5K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	20	$40	$610
82274	The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…	30	$20	$540

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. Connecticut Distribution

Madhuri Pratinidhi — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,014	6,480	90	$90	$14.2K
G0439	718	1,510	60	$130	$10K
99213	3,244	6,440	70	$60	$8.1K
G0179	75	90	30	$30	$1.6K
82274	7	20	30	$20	$670

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Collins Medical Associates 2 PC	CT	Internal Medicine Physician	$0	$9M
James Murphy	CT	Ophthalmology Physician	$246.5K	$0
Philip Minotti	CT	Adult Reconstructive Orthopaedic Surgery Physician	$223.3K	$0
John Mccallum	CT	Orthopaedic Surgery Physician	$182.9K	$0
Stephen Nelson	CT	Orthopaedic Surgery Physician	$177.5K	$0
Shirvinda Wijesekera	CT	Orthopaedic Surgery of the Spine Physician	$176.1K	$0
John Irving	CT	Orthopaedic Surgery Physician	$171.9K	$0
Joseph Sokol	CT	Ophthalmology Physician	$170.2K	$0
Rakesh Patel	CT	Pain Medicine (Anesthesiology) Physician	$131K	$0
Curtis Campbell	CT	Orthopaedic Surgery Physician	$130.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manchester Pediatric Associates LLC	CT	Pediatrics Physician	$0	$11.1M
Reliable Respiratory, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$5M
South Windsor Board Of Education	CT	Local Education Agency (LEA)	$0	$2M
Manchester Family Care LLC	CT	Clinic/Center	$0	$1.9M
Evergreen Endoscopy Center, LLC	CT	Ambulatory Surgical Clinic/Center	$225K	$945.6K
Peter Benet	CT	Psychiatry Physician	$72.9K	$945.4K
Timothy Quan	CT	Rheumatology Physician	$360.8K	$0
John Wysocki	CT	Gastroenterology Physician	$244.7K	$0
Vipul Dua	CT	Orthopaedic Surgery Physician	$216.8K	$0
Pavan Kolluri	CT	Emergency Medicine Physician	$188.2K	$0

Madhuri Pratinidhi — Billing Profile & Reimbursement Data

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Madhuri Pratinidhi — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References