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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSmitha Reddy
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    Smitha Reddy — Billing Profile & Reimbursement Data

    NPI 1750534715 · Poway, CA · Rheumatology Physician

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    Smitha Reddy is a rheumatology physician provider located in Poway, California. This profile covers 31 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
    OrganizationSmitha Reddy
    Address15725 Pomerado Rd Ste 117
    CityPoway
    StateCA
    ZIP92064
    TaxonomyRheumatology Physician
    NPI EnumeratedNovember 3, 2008

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

    Payer SourceTotal Paid
    Medicare$196.4K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…720$100$67.9K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…860$40$36K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…160$90$14.3K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…640$20$10.9K
    86146The lab analyst performs the technical lab test to analyze the sample, such as serum, for the presence of beta 2 glycoprotein I antibody. Report one unit for each antibody.280$30$6.9K
    86147The lab analyst performs the technical lab test to analyze for the presence of antibodies to cardiolipin, also called antiphospholipids. Report this code once for each immunoglobulin class the…280$30$6.9K
    83520The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the…360$20$6.1K
    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…50$120$6.1K
    99213The 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…80$70$5.4K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.130$30$3.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8623541601,220$20$75.7K
    861461430240$20$45.3K
    861471740200$20$44.7K
    835201640230$20$23.5K
    992142,98637,970120$90$23.2K
    868003350180$20$16.1K
    9921513,09515,36050$130$14.4K
    9921317,46634,66080$70$13.2K
    2061125188070$90$13.2K
    863764680190$10$13.1K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Huan LeCAPulmonary Disease Physician$335.6K$4.6M
    Walter NahmCADermatology Physician$3.1M$0
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Alexander SalloumCAVascular Surgery Physician$2.8M$0
    Frank LusherCADermatology Physician$241.3K$2.2M
    Sandeep KhannaCAOphthalmology Physician$436.6K$1.9M
    Michael SamuelCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Albert SharfCACardiovascular Disease Physician$1.3M$819.5K
    Paul DatoCAUrology Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palomar HealthCAGeneral Acute Care Hospital$0$46.7M
    Michael AmmarCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Shafi KhalidCAInterventional Pain Medicine Physician$444.6K$290.3K
    Mark VierraCASpecialist$425.7K$0
    Kevin OwsleyCASports Medicine (Orthopaedic Surgery) Physician$296.2K$0
    Michael CutlerCAAdult Medicine Physician$159.6K$0
    Ashish WadhwaCAOtolaryngology Physician$158.9K$0
    Philip BalikianCAOrthopaedic Surgery Physician$138.5K$0
    Michael LinCADiagnostic Radiology Physician$118.9K$0
    Akber SafiCAInternal Medicine Physician$96.3K$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. California Distribution
    Smitha Reddy — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California