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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Sri Vardhan Reddy Kooturu (NPI 1760633457)

Field	Value
Entity Type	Individual
Organization	Sri Vardhan Reddy Kooturu
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 1, 2008

Payer Source	Total Paid
Medicare	$585.5K
Medicaid	$0

Key Findings

This provider’s entire recorded payer footprint is concentrated in Medicare with Total Medicare revenue of $585.5K and no Medicaid billing on file; the practice should be treated as effectively single-payer (Medicare) in scale. Analysts evaluating network exposure or reimbursement risk will note there is no Medicaid contribution to revenue for this NPI.

Revenue is highly concentrated in a small set of nursing-facility codes: the precomputed top three Medicare codes account for 88.2% of the provider’s total Medicare revenue, with 99308 contributing $270.8K (46.2%), 99306 contributing $124.8K (21.3%), and 99309 contributing $121.6K (20.7%). This concentration indicates that a handful of E/M codes drive the bulk of revenue and that shifts in reimbursement or utilization for those codes would materially affect revenue.

The code mix (99306, 99308, 99309, and 99316) points to a practice focused on nursing facility care and transitions: initial and subsequent nursing facility E/M visits plus nursing facility discharge management are the primary services delivered. The presence of 99316 at $54.3K (9.3%) further supports active involvement in discharge management rather than a general outpatient-only practice.

Several of the nursing-facility codes show national dominance by this provider: 99308 ranks #180 of 25763 (99th percentile; extreme outlier), 99306 ranks #34 of 12836 (100th percentile; extreme outlier), and 99316 ranks #5 of 6630 (100th percentile; extreme outlier). Those rankings indicate this NPI is a nationally notable high-volume provider for specific nursing-facility services rather than a modest or typical biller.

Payout per encounter varies across the top codes (99306 average paid/claim $160, 99309 $95, 99308 $66), and the largest revenue line (99308 at $270.8K) is driven by very high claim volume (4.1K claims) despite a lower average payment. This mix suggests the practice generates revenue through frequent, lower-paid subsequent nursing-facility visits alongside fewer higher-paid initial evaluations.

Non–nursing-facility inpatient codes appear to be peripheral to the business: 99233 accounts for $3.3K (0.6%), 99239 $1.9K (0.3%), and 99232 $1.6K (0.3%) of Medicare revenue. These hospital inpatient/observation codes represent a small fraction of billed activity, indicating limited inpatient-ward workload relative to nursing-facility services.

The provider’s NPI was enumerated on 2008-10-01 (~18 years ago), demonstrating long tenure in Medicare billing; this longevity supports the interpretation of sustained relationships with nursing facilities and an established workflow for long-term care E/M services. Analysts should consider this experience when assessing continuity of referrals and operational stability.

From a payer-strategy and contracting perspective, the absence of Medicaid billing combined with concentrated Medicare dependency highlights both a strength and a vulnerability: the provider is highly specialized and successful within Medicare nursing-facility E/M lines, but lacks diversification into Medicaid. For payers or health systems evaluating partnerships or risk, this profile signals a focused asset for Medicare SNF-related programs and a potential target for outreach if Medicaid participation is desired.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	4,100	$70	$270.8K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	780	$160	$124.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,280	$100	$121.6K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	470	$120	$54.3K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	60	$140	$7.6K
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…	30	$110	$3.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$100	$1.9K
99232	The 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…	20	$70	$1.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	10	$20	$220

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Sri Vardhan Reddy Kooturu — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99306	1	20	20	$150	$15.2K
99309	2	100	70	$70	$14.7K
99233	197	290	60	$90	$11.9K
99232	480	560	70	$60	$10K
99310	10	20	40	$100	$9.8K
99308	1	90	50	$50	$8.7K
99239	174	210	60	$90	$7.3K
99316	1	10	20	$110	$6.5K
99307	22	20	30	$20	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Wallace	CA	Critical Care Medicine (Internal Medicine) Physician	$634.3K	$0
Zahid Shaikh	CA	Internal Medicine Physician	$509.3K	$0
Kristofer Richter	CA	Internal Medicine Physician	$494.9K	$0
Mohammed Abo Khamis	CA	Pulmonary Disease Physician	$151.4K	$21.9K
Manny Zewdu	MO	Hospitalist Physician	$171.4K	$0
Patrick Wong	CA	Critical Care Medicine (Internal Medicine) Physician	$142.8K	$0
Arashdeep Goraya	NM	Hospitalist Physician	$113.3K	$0
Naeem Rana	CA	Critical Care Medicine (Internal Medicine) Physician	$97.1K	$0
Thanh Huynh	CA	Family Medicine Physician	$92.5K	$0
Ali Abdul Wahid	CA	Family Medicine Physician	$620	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Care Center	ND	Federally Qualified Health Center (FQHC)	$0	$12.7M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M
Encompass Family Support Services	ND	Community/Behavioral Health Agency	$0	$4.2M
Family Health Care Center	ND	Dental Clinic/Center	$0	$1.8M
Gregory Pippin	ND	Otolaryngology Physician	$48.4K	$1.7M
Encompass Family Support Services	ND	Early Intervention Provider Agency	$0	$1M
Midwest Mental Health Clinic PLLC	ND	Psychiatric/Mental Health Nurse Practitioner	$0	$1M
Donald Stallman	ND	Diagnostic Radiology Physician	$610.1K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Midwest Mental Health Clinic PLLC	ND	Addiction (Substance Use Disorder) Counselor	$0	$405.6K

Sri Vardhan Reddy Kooturu — Billing Profile & Reimbursement Data

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Sri Vardhan Reddy Kooturu — 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