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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Suraj Reddy (NPI 1740485275)

Field	Value
Entity Type	Individual
Organization	Suraj Reddy
Address	610 Broadway Blvd Ne
City	Albuquerque
State	NM
ZIP	87102
Taxonomy	Dermatology Physician
NPI Enumerated	June 15, 2007

Payer Source	Total Paid
Medicare	$547.1K
Medicaid	$0

Key Findings

This provider is a dermatology-focused clinician whose Medicare revenue mix is driven primarily by office visits, lesion destructions, biopsies, and surgical pathology—consistent with a procedural dermatology practice that performs high volumes of lesion treatment and specimen processing. Top billing includes 99213 office visits and multiple destruction/excision codes (17000, 17003, 17110) alongside pathology codes (88305, 88309), indicating a workflow that spans clinic-based procedures through histopathologic evaluation.

Revenue concentration is moderate-to-high: the three highest-revenue Medicare codes together account for 40.1% of the provider's total Medicare revenue, so a relatively small set of services is responsible for a large share of lifetime Medicare receipts. The largest single code is 99213 ($101.8K, 18.6% of Medicare revenue), with lesion destruction codes 17110 ($70.1K, 12.8%) and 17000 ($47.9K, 8.7%) also contributing materially.

Payer mix is effectively single-payer: lifetime Medicaid revenue is listed as none and there is no Medicaid billing on file, while total Medicare revenue is $547.1K, so the provider operates with Medicare as the only reported public payer in this dataset. This concentration means analyses of public-payer exposure should treat this provider as Medicare-dominant with no observed Medicaid activity.

Competitive standing on several high-volume dermatology procedures is well above typical national levels. The provider ranks in the 100th percentile nationally for 99213 (described as an "extreme outlier" for volume), and similarly ranks very highly for lesion destruction/add-on codes such as 17003 (99th percentile, "extreme outlier") and 17110 (99th percentile, "extreme outlier"). These ranks indicate substantially higher-than-typical national volumes for common dermatology procedures.

Other procedural and pathology codes show a mix of typical and elevated participation: 88305 surgical pathology ($45.3K, 8.3%) is in the 69th percentile (described as typical/unremarkable), while higher-level pathology 88309 ($24.9K, 4.6%) ranks in the 98th percentile ("notably above typical national volume"). This pattern suggests the provider submits a meaningful number of higher-complexity pathology examinations in addition to routine specimens.

The provider shows notable procedural throughput for multi-lesion destruction workflows: 17003 appears with 7.4K claims and $37K revenue (6.8% of Medicare revenue) and is labeled an "extreme outlier," while add-on and multiple-lesion codes such as 17004 and 17111 also contribute. Together these line items imply frequent same-day treatment of multiple premalignant or benign lesions, aligning with a high-volume lesion clinic model.

Clinical complexity and reconstructive procedures are also present at meaningful levels: several complex repair codes (13121, 13132, 13101) and excision codes for malignant lesions (11602, 11642, 11622) appear in the top codes list and collectively contribute to the provider's Medicare revenue. These entries indicate that the practice performs surgical repairs and excisions beyond simple office procedures, supporting a scope that includes procedural dermatologic surgery.

Tenure in the NPI registry is long: the provider’s NPI was enumerated on 2007-06-15, approximately 19 years ago. This longevity coupled with concentrated Medicare revenue and high national ranks on several codes suggests an established clinical practice with sustained procedural throughput over many years.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,820	$60	$101.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	920	$80	$70.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,550	$30	$47.9K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	430	$110	$47.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	870	$50	$45.3K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	670	$60	$39.5K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	7,410	$10	$37K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	90	$320	$26.8K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	80	$340	$26.1K
88309	The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	80	$330	$24.9K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Suraj Reddy — 12 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	19	70	530	$30	$28.5K
13132	3	10	60	$210	$13.6K
99214	489	2,700	90	$70	$12.9K
11102	3	70	140	$60	$11.6K
17110	2	100	80	$70	$10.5K
17000	2	110	220	$30	$10.4K
17004	2	60	50	$100	$9.3K
17111	9	10	30	$80	$8.7K
13121	2	10	20	$230	$7.8K
99213	5	2,440	60	$50	$7.3K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Connolly	NM	MOHS-Micrographic Surgery Physician	$292.8K	$0
Shilpa Reddy	NM	Dermatology Physician	$246.3K	$0
Brian Costello	NM	Medical Physician Assistant	$166.2K	$0
Rebecca Smith-sealy	NM	Family Nurse Practitioner	$134.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tricore Reference Laboratories	NM	Clinical Medical Laboratory	$0	$64.8M
Bright Horizons, Inc.	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$46.9M
Lovelace Health System LLC	NM	General Acute Care Hospital	$0	$45.2M
Tricore Inc.	NM	Clinical Medical Laboratory	$7M	$35.8M
App Of New Mexico Ed PLLC	NM	Emergency Medicine Physician	$0	$42M
Duke City Recovery Toolbox LLC	NM	Community/Behavioral Health Agency	$108.4K	$28M
Metro Treatment Of New Mexico LP	NM	Methadone Clinic	$220.4K	$27.9M
Enchanted Care Solutions, LLC	NM	Home Health Agency	$0	$25.8M
Open Skies Healthcare	NM	Community/Behavioral Health Agency	$0	$23.8M
Krossroads Integrative Health And Recovery Solutions Inc	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M

Suraj Reddy — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References