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    OpenPayerNPI Medicare & MedicaidSunil Kalla
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    Sunil Kalla — Billing Profile & Reimbursement Data

    NPI 1699726240 · Henderson, NV · Cardiovascular Disease Physician

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    Sunil Kalla is a cardiovascular disease physician provider located in Henderson, Nevada. This profile covers 41 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSunil Kalla
    Address2779 W Horizon Ridge Pkwy
    CityHenderson
    StateNV
    ZIP89052
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$743.1K
    Medicaid$15.9K

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…90$1,330$116K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…70$1,050$77.7K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…480$140$66.9K
    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…710$90$61.4K
    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…530$110$57.6K
    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…160$330$51.3K
    99213The 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…770$70$50.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…520$50$25K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…540$40$19.8K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…210$90$19.6K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A952681090$580$168.3K
    3646551070$1,040$163K
    78492192040$980$107.9K
    3648251050$1,320$91.3K
    93229305030$660$56.3K
    36475101050$880$50K
    3647841040$800$40.6K
    992326901,340140$60$23.7K
    9330623250190$90$22.5K
    992142323,610110$80$19K

    Showing 1–10 of 41

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$140$12.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.270$10$2.2K
    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…10$90$1.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…167170180$80$120.5K
    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…17736090$70$28.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.89210200$1$21.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nevada Heart And Vascular Center Resh LLPNVCardiovascular Disease Physician$0$14.1M
    Stephen SavranNVCardiovascular Disease Physician$2.4M$320
    Rafael ValenciaNVCardiovascular Disease Physician$2.3M$121.1K
    Sanjay MalhotraNVCardiovascular Disease Physician$2M$59.5K
    Chowdhury AhsanNVCardiovascular Disease Physician$1.8M$64K
    Shahabuddin KhanNVCardiovascular Disease Physician$1.7M$67.1K
    William ReshNVCardiovascular Disease Physician$807.7K$163.3K
    Thomas LambertNVCardiovascular Disease Physician$934.3K$580
    Cres MirandaNVInterventional Cardiology Physician$711.4K$37.1K
    Nicholas TselikisNVCardiovascular Disease Physician$725.2K$12.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Platinum Hospitalists LLPNVHospitalist Physician$0$38.8M
    Urgent Care Nevada, LLCNVUrgent Care Clinic/Center$0$34.9M
    Dignity HealthNVGeneral Acute Care Hospital$0$18.7M
    Behavioral Health Solutions LLCNVCommunity/Behavioral Health Agency$0$11.4M
    Lamotte Pediatrics, LLPNVPediatrics Physician$0$9.4M
    Minghsun Liu Md PCNVInfectious Disease Physician$0$5.1M
    Optimized Management LLCNVClinical Social Worker$0$5M
    Misch/hyun/hodapp Healthcare, LLPNVPediatrics Physician$0$4.5M
    Ellsworth Cox Pediatric Dentistry LLCNVPediatric Dentistry$0$3.7M
    Total Infusion Care LLCNVHome Infusion Therapy Pharmacy$0$3.1M

    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. Nevada Distribution
    Sunil Kalla — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Sunil Kalla — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada