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    OpenPayerNPI Medicare & MedicaidVishnu Vardhan Reddy Naravadi
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    Vishnu Vardhan Reddy Naravadi — Billing Profile & Reimbursement Data

    NPI 1760611776 · Charleston, WV · Gastroenterology Physician

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    Vishnu Vardhan Reddy Naravadi is a gastroenterology physician provider located in Charleston, West Virginia. This profile covers 11 Medicare and 6 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)

    FieldValue
    Entity TypeIndividual
    OrganizationVishnu Vardhan Reddy Naravadi
    Address2930 Chesterfield Ave
    CityCharleston
    StateWV
    ZIP25304
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 11, 2009

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

    Payer SourceTotal Paid
    Medicare$41.7K
    Medicaid$39.9K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…80$190$15.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$7.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.60$60$3.3K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…30$110$3K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.30$90$2.8K
    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…30$70$2.1K
    99233The 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…20$90$1.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.7K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$120$1.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…10$110$1.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992321,1241,34090$60$11.9K
    992142,2472,740100$70$11.8K
    9923357966060$90$11.4K
    45385127040$200$10.4K
    992132,7342,86080$50$7.5K
    4324831030$170$5.6K
    43239309040$90$5.5K
    45380597030$120$4.8K
    992221681,08030$100$4.5K
    45378516020$130$3.5K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.190$150$29.3K
    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…160$30$5.5K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…30$70$2.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$70$2.1K
    91200The provider uses elastography to determine whether tumors in the liver are nonmalignant or benign and to distinguish a lesion from normal tissue. Tumors show less elasticity or resumption of their…30$20$460
    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…10$30$430

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,2331,2701,240$30$245K
    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…7831,030890$50$221K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.4970530$170$183.7K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…3540200$220$86.8K
    91200The provider uses elastography to determine whether tumors in the liver are nonmalignant or benign and to distinguish a lesion from normal tissue. Tumors show less elasticity or resumption of their…810190$20$7.8K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…11030$70$2.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Healthteam Critical Care Transport LLCWVLand Ambulance$2.5M$19.8M
    Cabin Creek Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$8.2M
    Holistic, IncWVFamily Medicine Physician$0$8M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$7.1M
    Imad ShammaaWVOrthodontics and Dentofacial Orthopedics Dentistry$0$5.2M
    Summit Bhc West Virginia LLCWVSubstance Use Disorder Rehabilitation Hospital Unit$0$5.1M
    General Anesthesia Services IncWVAnesthesiology Physician$0$4.3M
    Neurology & Headache Clinic PLLCWVNeurology Physician$0$3.8M
    Bioscrip Infusion Services, LLCWVHome Infusion Therapy Pharmacy$0$3.3M
    Don E. Skaff, Dds, Inc.WVPediatric Dentistry$0$2M

    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. West Virginia Distribution
    Vishnu Vardhan Reddy Naravadi — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Vishnu Vardhan Reddy Naravadi — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia