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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGanesh Raj
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    Ganesh Raj — Billing Profile & Reimbursement Data

    NPI 1790882488 · Victoria, TX · Urology Physician

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    Ganesh Raj is a urology physician provider located in Victoria, Texas. This profile covers 12 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
    OrganizationGanesh Raj
    Address605 E San Antonio St Ste 509e
    CityVictoria
    StateTX
    ZIP77901
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 17, 2006

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

    Payer SourceTotal Paid
    Medicare$91.1K
    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.

    12 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…350$80$29.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg190$140$25.9K
    A9589Instillation, hexaminolevulinate hydrochloride, 100 mg10$970$12.6K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…70$170$12.3K
    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…40$130$5.6K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$110$1.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$90$1.3K
    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…20$40$880
    96402In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.30$30$800
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.40$10$280

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A958931060$960$45.1K
    J921754270110$130$18.4K
    992146,02632,500110$80$17.6K
    5200024660060$160$12K
    992157,5928,73040$120$9.2K
    9921325,75029,79070$60$8.4K
    992046,26316,38030$110$5.6K
    5233212819020$170$3.5K
    51798560680130$10$1.5K
    9640223339040$20$1.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Billie MarekTXMedical Oncology Physician$1.6M$0
    Selena StuartTXHematology & Oncology Physician$1.6M$0
    James StaffordTXRadiation Oncology Physician$1.5M$0
    Dinesh SundarakumarTXDiagnostic Radiology Physician$916K$0
    Samir HadiNVVascular & Interventional Radiology Physician$642.2K$0
    Miltiadis LeonTXInterventional Cardiology Physician$541.2K$0
    Christopher HaddadTXCardiovascular Disease Physician$389.8K$0
    Rudy HaddadTXCardiovascular Disease Physician$379K$0
    Neil D'souzaFLRadiation Oncology Physician$349.3K$0
    Subramanya Gajaraju VenkataTXInterventional Cardiology Physician$307.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Iii Education Service CenterTXEarly Intervention Provider Agency$0$16.7M
    Noe OlveraTXRheumatology Physician$1.5M$0
    Scott SteinTXRheumatology Physician$1.4M$0
    Gary CoxTXDermatology Physician$1.1M$192.6K
    Dakshesh-kumar ParikhTXCardiovascular Disease Physician$793.6K$0
    Ajay GaallaTXCardiovascular Disease Physician$739.3K$0
    Harish ChandnaTXCardiovascular Disease Physician$733.3K$0
    John MikusTXDiagnostic Radiology Physician$440.5K$0
    Frank ParmaTXFamily Medicine Physician$429.6K$0
    Santiago MarroquinTXDiagnostic Radiology Physician$427.5K$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. Texas Distribution
    Ganesh Raj — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas