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NPI 1730165986 · Christiansted, VI · Internal Medicine Physician
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Ramesh Lakhram is a internal medicine physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 3 Medicare and 2 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 | Ramesh Lakhram |
| Address | 4007 Estate Diamond Ruby |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | December 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $43.5K |
| Medicaid | $9.5K |
This provider’s billing is concentrated in a narrow set of inpatient and dialysis services: Medicare revenue totals $43.5K while Medicaid revenue is $9.5K, indicating Medicare is the larger payer by scale for this clinician’s billings. The presence of both inpatient E/M codes (99233, 99223) and a dialysis procedure code (90937) points to a mixed practice that includes hospital-based inpatient care and provision of hemodialysis services.
Revenue concentration is extreme on both payers: the top three Medicare codes account for 100.0% of Medicare revenue, driven by 99233 (51.0% of Medicare revenue), 90937 (30.2%), and 99223 (18.8%). Likewise, the top three Medicaid codes account for 100.0% of Medicaid revenue, with 99233 contributing 64.4% and 99223 contributing 35.6% of Medicaid revenue, showing a two-code dominance on Medicaid.
Service-line signal: the top Medicare code 99233 (241 claims, $92 avg paid/claim, $22.2K revenue) and 99223 (60 claims, $136 avg paid/claim, $8.2K revenue) are hospital inpatient/observation E/M services, while 90937 (164 claims, $80 avg paid/claim, $13.1K revenue) is hemodialysis. This mix suggests the provider operates primarily in a hospital setting managing inpatient evaluations and also bills for dialysis encounters under Medicare, indicating a clinical focus that bridges general inpatient internal medicine and dialysis care.
Payer-specific per-claim payment patterns show divergence on identical E/M codes: for 99233 the provider reported $92 avg paid/claim on Medicare (241 claims, $22.2K) versus $31 avg paid/claim on Medicaid (199 claims, $6.2K). The difference in average paid/claim between payers for the same code is notable in the raw figures provided and may reflect payer fee schedules or facility vs professional billing distinctions.
Competitive standing — Medicare: nationally, 99233 ranks #26063 of 128818 providers (80th percentile; typical, unremarkable volume for this code), 90937 ranks #38 of 280 providers (86th percentile; typical, unremarkable volume for this code), and 99223 ranks #48313 of 139583 providers (65th percentile; typical, unremarkable volume for this code). These ranks place the provider as a modest to solid participant nationally on these codes with relatively stronger standing on the dialysis code 90937 compared with peers billing that procedure.
Competitive standing — Medicaid (in-state): the provider is the top reporter of 99233 in-state, ranking #1 of 5 providers (100th percentile; typical, unremarkable volume for this code), while 99223 ranks #3 of 4 providers (33th percentile; typical, unremarkable volume for this code). This indicates a dominant in-state position for subsequent inpatient E/M services (99233) but more modest in-state volume for initial inpatient E/M (99223).
Tenure and operational implication: the provider’s NPI has been enumerated since 2005-12-20 (~21 years ago), indicating a long-established billing history. Given the small overall lifetime revenue totals ($43.5K Medicare, $9.5K Medicaid) combined with concentrated code mix, the practice footprint appears focused and limited in scale despite lengthy tenure, with most clinical activity concentrated in a few hospital-based and dialysis service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 240 | $90 | $22.2K |
| 90937 | Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing… | 160 | $80 | $13.1K |
| 99223 | The 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… | 60 | $140 | $8.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 200 | $30 | $6.2K |
| 99223 | The 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… | 40 | $90 | $3.4K |
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99223 | The 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… | 3 | 10 | 60 | $130 | $14.1K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 1 | 10 | 100 | $80 | $7.4K |
Other providers in the same ZIP code as Ramesh Lakhram, ranked by combined Medicare and Medicaid revenue.
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