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    OpenPayerNPI Medicare & MedicaidSri Krishna Mukkamala
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    Sri Krishna Mukkamala — Billing Profile & Reimbursement Data

    NPI 1710184148 · Cumming, GA · Hospitalist Physician

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    Sri Krishna Mukkamala is a hospitalist physician provider located in Cumming, Georgia. This profile covers 19 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
    OrganizationSri Krishna Mukkamala
    Address1200 Northside Forsyth Dr
    CityCumming
    StateGA
    ZIP30041
    TaxonomyHospitalist Physician
    NPI EnumeratedJune 29, 2007

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

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    This provider’s commercial picture is effectively single‑payer at the public level: lifetime Medicare revenue is $3.4M while there is no Medicaid billing on file, meaning Medicaid does not appear in the payer mix and Medicare accounts for the entirety of recorded public‑payer revenue. Analysts should treat this profile as concentrated in Medicare when modeling payer exposure and access to publicly insured populations.

    Revenue is heavily concentrated in a very small set of intravitreal drug codes: J2777 ($1.5M revenue, 42.9% of total Medicare revenue), J0178 ($1M, 30.5%), and J2778 ($357.8K, 10.5%) — the three together account for 83.8% of Medicare revenue. This concentration indicates that most of the provider’s Medicare dollars are derived from a few high‑value ophthalmic therapeutics rather than a broad mix of evaluation & management or surgical codes.

    The CPT/HCPCS mix and code descriptions show an operational focus on retina care and intravitreal therapy: large volumes for J2777 (faricimab), J0178 (aflibercept), and J2778 (ranibizumab) paired with high counts of retinal imaging (92134) and intravitreal injection procedures (67028) are consistent with a retina‑oriented ophthalmic practice that delivers frequent drug injections and diagnostic imaging. These service types dominate the reimbursement profile rather than general medical inpatient or broad primary care services.

    Competitive standing is strong for several ophthalmology items: J2777 ranks #103 of 2039 nationally (95th percentile) and 92134 ranks #748 of 26868 (97th percentile, described as an extreme outlier), indicating volumes far above typical national peers for key retina injections and imaging. Several other codes (92014 at the 96th percentile and 99204 at the 97th percentile) are also notably above typical national volume, which together suggest the provider is a prominent national participant for select ophthalmic procedures and drug administration.

    Payment and utilization patterns diverge by code: J2777 shows very high claim count (50.6K claims) with a low average paid/claim ($29) yet produces $1.5M in revenue, while J0178 has far fewer claims (1.5K) but a much higher avg paid/claim ($683) generating $1M. This mix — high‑volume, low‑unit payments alongside lower‑volume, high‑unit payments — implies operational processes optimized for frequent in‑office injections as well as periodic administration of higher‑priced agents.

    Operational throughput is substantial for certain procedures: examples include 50.6K claims for J2777, 2.4K claims for 92134, and 1.7K claims for 67028, showing consistent procedural activity around intravitreal injections and posterior‑segment imaging. Those volumes suggest a steady, high‑frequency outpatient procedural workflow rather than episodic or largely inpatient care.

    There is a notable taxonomy/data mismatch to flag: the listed taxonomy is Hospitalist Physician but the billing composition is dominated by ophthalmology/retina therapeutic and diagnostic codes. This divergence is a concrete data point analysts should investigate further when reconciling credentialing, group affiliation, or specialty reporting.

    The provider’s NPI has long tenure on file (enumerated 2007-06-29, ~19 years ago), which supports interpretation that the observed high volumes and concentrated service mix reflect an established practice pattern rather than a short‑term or transient billing change. Given the heavy dependence on a small set of high‑revenue ophthalmic drugs (top 3 = 83.8%), changes in formulary coverage, reimbursement, or supply could materially affect the provider’s Medicare revenue profile.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg50,580$30$1.5M
    J0178Injection, aflibercept, 1 mg1,530$680$1M
    J2778Injection, ranibizumab, 0.1 mg2,000$180$357.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,750$100$173K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,030$90$92K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,350$30$72.9K
    J3490Unclassified drugs30$1,760$58.1K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg470$120$55.9K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…360$70$23.1K
    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…180$130$22.8K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781570970$680$700.6K
    J277724014,100$30$524.3K
    J277810301,170$180$286.2K
    67028880720$90$71.9K
    J2781210320$120$43.6K
    67042192020$1,200$31.1K
    6710831010$1,260$25.2K
    6703641020$1,120$23.6K
    J3490395050$320$19.8K
    9201430850130$80$19.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephanie VanderveldtGAOphthalmology Physician$4.1M$0
    Alexander BottiniGARetina Specialist (Ophthalmology) Physician$3M$0
    David Chin YeeGARetina Specialist (Ophthalmology) Physician$2.9M$0
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Robert StoltzGASpecialist$2.6M$0
    Hyung ChoGAOphthalmology Physician$2.5M$0
    Sean KohGAOphthalmology Physician$2.5M$0
    Atul SharmaGAOphthalmology Physician$2.2M$0
    Mark RivelleseGAOphthalmology Physician$2.1M$0
    Rahul KomatiILRetina Specialist (Ophthalmology) Physician$1.9M$0

    Nearby Providers

    Other providers in the same ZIP code as Sri Krishna Mukkamala, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Center For Joint Surgery, LLCGAAmbulatory Surgical Clinic/Center$8.4M$0
    Gregg SoiferGAPhysical Medicine & Rehabilitation Physician$814.4K$0
    Charles DecookGAOrthopaedic Surgery Physician$759.9K$0
    Forsyth Eye Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$689K$0
    Georgia Interventional Pain - C, LLCGAAmbulatory Surgical Clinic/Center$659.4K$0
    Angie RinkGAProfessional Counselor$0$541.3K
    Bhaskar ReddyGACardiovascular Disease Physician$521.6K$0
    Julia BranchGAFamily Nurse Practitioner$488.4K$0
    American Health Imaging Of Georgia, LLCGARadiology Clinic/Center$416.8K$0
    Charles NunezGAOptometrist$310.8K$105.3K

    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. Georgia Distribution
    Sri Krishna Mukkamala — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia