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

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

Prasad Vankineni (NPI 1700958873)

Field	Value
Entity Type	Individual
Organization	Prasad Vankineni
Address	420 Lowell Dr.
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Gastroenterology Physician
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicare	$112.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45388	In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…	170	$210	$35.2K
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…	270	$60	$15.8K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	80	$170	$12.8K
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…	100	$90	$8.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	70	$100	$6.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	90	$60	$5.4K
99222	The 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…	50	$100	$4.7K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	$170	$3.1K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	40	$60	$2.8K
99204	The provider sees a new 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 provider…	30	$110	$2.7K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Prasad Vankineni — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	76	210	50	$240	$18.2K
45388	2	30	50	$250	$17.8K
99214	4,055	7,330	120	$80	$16.8K
99232	2,512	2,530	100	$60	$13.3K
43249	84	100	30	$220	$11.5K
45380	132	190	40	$160	$11K
43239	85	240	50	$100	$9.4K
G0105	11	130	30	$230	$8.4K
99213	931	6,470	80	$50	$7.9K
43248	36	50	30	$160	$6.1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hh Physician Care	AL	Internal Medicine Physician	$0	$2.7M
Suresh Karne	AL	Gastroenterology Physician	$145K	$0
Rami Hawari	AL	Gastroenterology Physician	$131.3K	$0
Joseph Brasco	AL	Gastroenterology Physician	$109.6K	$0

Prasad Vankineni — Billing Profile & Reimbursement Data

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Prasad Vankineni — 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

Frequently Asked Questions

References