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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTulasi Priya Gummadi
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    Tulasi Priya Gummadi — Billing Profile & Reimbursement Data

    NPI 1710142005 · St Louis Park, MN · Medical Oncology Physician

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    Tulasi Priya Gummadi is a medical oncology physician provider located in St Louis Park, Minnesota. This profile covers 16 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
    OrganizationTulasi Priya Gummadi
    Address3931 Louisiana Ave S
    CitySt Louis Park
    StateMN
    ZIP55426
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJuly 25, 2008

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

    Payer SourceTotal Paid
    Medicare$146.6K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj2,700$40$97.2K
    Q5111Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg150$110$16.1K
    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…60$140$8.5K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…60$100$6.6K
    99205The provider sees a new 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 provider…40$170$5.8K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.50$50$2.8K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.40$50$2.2K
    99204The 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…20$130$2.1K
    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$2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.170$10$1.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J914441503,780$40$163.7K
    Q5111210190$110$20K
    9641312123070$100$11.5K
    992159354,06030$120$5.9K
    992231,7662,36030$130$5K
    992053001,35020$150$4.1K
    96401458060$60$3.7K
    992042,2133,34020$110$3.6K
    963659326030$50$3.2K
    964179210050$50$2.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Park Nicollet ClinicMNFamily Medicine Physician$0$210M
    North Memorial Health CareMNAmbulance$0$112.8M
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Park Nicollet Methodist HospitalMNGeneral Acute Care Hospital$0$17.2M
    Stellis Health, PAMNMulti-Specialty Clinic/Center$0$8.6M
    Maple Grove Hospital CorporationMNGeneral Acute Care Hospital$0$7.6M
    North Memorial Health CareMNPrimary Care Clinic/Center$0$7.4M
    Tria Orthopaedic Center LLCMNOrthopaedic Surgery Physician$0$7.3M
    Summit Orthopedics, LtdMNOrthopaedic Surgery Physician$0$6.7M
    North Memorial Health CareMNHospitalist Physician$0$5.6M

    Nearby Providers

    Other providers in the same ZIP code as Tulasi Priya Gummadi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care Clinics, LLCMNPsychologist$0$13.9M
    Por, LLCMNCase Management Agency$0$10.9M
    Medway Support Services. LLCMNHealth Maintenance Organization$0$10.2M
    Hoy & Associates Inc.MNCommunity/Behavioral Health Agency$0$9.5M
    Behavioral Dimensions, Inc.MNCognitive & Behavioral Psychologist$0$8.6M
    Kaire LLCMNCommunity/Behavioral Health Agency$0$8.2M
    Sholom Community Alliance Home Health CareMNHome Health Agency$0$6.7M
    Melissa ShermanMNInternal Medicine Physician$625.1K$0
    Turang BehbahaniMNHematology & Oncology Physician$613.9K$0
    Karen RabenauMNHematology & Oncology Physician$312.7K$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.

    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. Minnesota Distribution
    Tulasi Priya Gummadi — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota