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    OpenPayerNPI Medicare & MedicaidKarthik Gujja
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    Karthik Gujja — Billing Profile & Reimbursement Data

    NPI 1780843086 · Westbury, NY · Cardiovascular Disease Physician

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    Karthik Gujja is a cardiovascular disease physician provider located in Westbury, New York. This profile covers 34 Medicare and 23 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
    OrganizationKarthik Gujja
    Address1600 Stewart Ave Ste 105
    CityWestbury
    StateNY
    ZIP11590
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJune 3, 2008

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$394.9K

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37227N/A90$10,860$988.4K
    37229N/A140$5,910$828K
    37231N/A30$11,460$309.3K
    37225N/A50$4,960$242.9K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…80$1,620$123.4K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…40$1,280$51K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…100$410$40.3K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…170$230$39K
    37233N/A30$1,020$30.5K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…170$180$29.5K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722955030$7,190$395.3K
    3723121030$11,480$378.7K
    3722713030$9,400$328.9K
    37225125030$4,570$191.9K
    36465498050$1,240$101.4K
    3648265040$1,570$77K
    37252577030$860$62.2K
    3723361030$980$40.3K
    933061,5011,990200$110$30.7K
    7845228190060$280$25.8K

    Showing 1–10 of 34

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A150$760$109.5K
    37227N/A80$1,350$105K
    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…1,430$40$55.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…250$170$41.2K
    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…1,020$30$30.4K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…250$60$14K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…300$40$13K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…920$10$8.3K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…530$20$8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…380$20$6.5K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    23 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…5,66619,110360$70$321K
    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…4,03116,550220$90$186.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…2,2095,420210$70$154.3K
    99203The provider sees a new 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 provider…3,7224,700130$100$136.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…9021,710290$110$129.3K
    37227N/A310110$570$82.8K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…299730190$110$81.3K
    37229N/A42030$1,020$63.2K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…117360100$100$43.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…366420180$60$35.4K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Sinai HospitalNYGeneral Acute Care Hospital$0$278.8M
    Icahn School Of Medicine At Mount SinaiNYCardiovascular Disease Physician$0$21.7M
    Mount Sinai Medical Center Of Florida, IncFLGeneral Acute Care Hospital$0$18.3M
    Nimesh PatelNYLegal Medicine$671.3K$2M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    Jessica LeeNYOphthalmology Physician$1.9M$120.9K
    Shane MeehanNYDermatopathology (Pathology) Physician$1.9M$4.1K
    David PinhasNYOphthalmology Physician$1.4M$330.5K
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M
    Jeffrey WeinbergNYDermatology Physician$273.5K$1.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jmd Care Services IncNYHome Health Agency$0$169.2M
    Maxim Of New York, LLCNYHome Health Agency$0$20.8M
    Island Eye Surgicenter LLCNYAmbulatory Surgical Clinic/Center$9.5M$2.6M
    Stephen ScarantinoNYObstetrics & Gynecology Physician$230.8K$6.8M
    Lynda PiboonNYObstetrics & Gynecology Physician$62.2K$3.1M
    Gastro Operating Company LLCNYAmbulatory Surgical Clinic/Center$894.3K$1.7M
    Teresita Santiago-escaleraNYObstetrics & Gynecology Physician$35.3K$1M
    Carman Ave Drugs IncNYCommunity/Retail Pharmacy$428.4K$0
    Kwan-iong JakobsenNYPhysical Medicine & Rehabilitation Physician$379.7K$0
    Stanley BerkeNYOphthalmology Physician$353.4K$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. New York Distribution
    Karthik Gujja — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Karthik Gujja — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York