Loading...
NPI 1699017087 · Lowell, MA · Anatomic Pathology & Clinical Pathology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Madhavi Rayapudi is a anatomic pathology & clinical pathology physician provider located in Lowell, Massachusetts. This profile covers 21 Medicare and 1 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 | Madhavi Rayapudi |
| Address | 295 Varnum Ave |
| City | Lowell |
| State | MA |
| ZIP | 01854 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | March 23, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $58.7K |
| Medicaid | $610 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 730 | $30 | $22.6K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 90 | $70 | $6K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 190 | $30 | $5.6K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 220 | $20 | $5.2K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 30 | $150 | $3.7K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 40 | $60 | $2.2K |
| 84165 | The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic… | 150 | $10 | $1.8K |
| 88361 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted… | 50 | $40 | $1.7K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 20 | $70 | $1.4K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 60 | $20 | $1.4K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 213 | 520 | 530 | $40 | $53.4K |
| 84165 | 34 | 60 | 250 | $10 | $13.7K |
| 86334 | 40 | 60 | 160 | $20 | $12.8K |
| 88312 | 223 | 240 | 40 | $70 | $11.3K |
| 88341 | 214 | 430 | 210 | $30 | $9K |
| 88342 | 128 | 470 | 120 | $40 | $8.3K |
| 88307 | 161 | 350 | 80 | $70 | $7.5K |
| 88189 | 53 | 60 | 70 | $70 | $7.3K |
| G0416 | 59 | 100 | 30 | $160 | $7.1K |
| 88112 | 133 | 190 | 110 | $30 | $6.2K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 20 | $40 | $610 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 327 | 350 | 380 | $30 | $118.2K |
Other providers in the same ZIP code as Madhavi Rayapudi, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Lowell General Hospital | MA | General Acute Care Hospital | $0 | $159.6M |
| Commonwealth Of Massachusetts | MA | Case Management Agency | $0 | $16.9M |
| Merrimack Valley Emergency Associates, Inc. | MA | Emergency Medicine Physician | $0 | $15.1M |
| Lgh Medical Group, Inc. | MA | Hospitalist Physician | $0 | $5.7M |
| Sivaram Yamajala | MA | Internal Medicine Physician | $54.1K | $636K |
| Seema Sahib | MA | Internal Medicine Physician | $635.4K | $7.5K |
| Dragan Petakov | MA | Internal Medicine Physician | $102.4K | $107.9K |
| Naomi Jiang | MA | Radiation Oncology Physician | $150.1K | $0 |
| Kevin Hewitt | MA | Diagnostic Neuroimaging (Radiology) Physician | $102.6K | $0 |
| George Potamitis | MA | Physical Therapist | $83.2K | $0 |
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.