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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPravachan Hegde
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    Pravachan Hegde — Billing Profile & Reimbursement Data

    NPI 1801050331 · Clovis, CA · Pulmonary Disease Physician

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    Pravachan Hegde is a pulmonary disease physician provider located in Clovis, California. This profile covers 17 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
    OrganizationPravachan Hegde
    Address726 N Medical Center Dr E Ste 201
    CityClovis
    StateCA
    ZIP93611
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 14, 2008

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

    Payer SourceTotal Paid
    Medicare$69.6K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…110$170$19K
    31653The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…60$180$10.4K
    99443N/A120$90$10.4K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…50$120$6.3K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…30$120$3.4K
    31641In this procedure, the provider performs rigid or flexible bronchoscopy to view airways during a procedure. She may or may not use fluoroscopic guidance. She uses a nonexcision method, such as by…20$200$3K
    31600The provider performs tracheostomy, which is a surgical procedure in which the provider exposes the trachea, which is the windpipe, and creates an opening in it. This code represents a planned…10$240$2.9K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.30$80$2.4K
    31500The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.20$110$2.1K
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…60$30$2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992911,9527,22060$180$18.6K
    4323883030$170$6.9K
    3165363020$180$5.9K
    994433012,71030$90$5.8K
    432469912020$160$5K
    3164171020$200$4.7K
    31600112020$230$4.2K
    994423,4353,53030$60$4.1K
    31629265020$130$3.8K
    31652145020$150$3.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shashi SharmaCAInterventional Cardiology Physician$3.6M$7.3K
    Chiwai ChanCAInterventional Pain Medicine Physician$857.1K$2.3M
    Artour TorossianCARadiation Oncology Physician$2.8M$0
    Leslie StoreyCAMOHS-Micrographic Surgery Physician$2.7M$0
    Khoi LeCAClinical Cardiac Electrophysiology Physician$2.2M$357.5K
    Hoang NguyenCAInternal Medicine Physician$1.5M$0
    Steven KurtzmanTXRadiation Oncology Physician$1.5M$0
    Aaron BeanCAFoot & Ankle Surgery Podiatrist$639.2K$733.8K
    Rohit SundraniCACardiovascular Disease Physician$1.3M$0
    Leo FongCAVascular Surgery Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Valley Indian Health, IncCAClinic/Center$0$30M
    Felipe RuizCAFoot & Ankle Surgery Podiatrist$4M$3K
    Sierra Pathology Laboratory IncCAClinical Medical Laboratory$975.7K$836.6K
    Luis DehesaCADermatology Physician$615.4K$80
    Nadeem RahmanCAUrology Physician$556.4K$910
    Thomas MinorCAUrology Physician$513.9K$0
    Mark AlsonCADiagnostic Radiology Physician$446.7K$0
    Christopher KinterCAVascular Surgery Physician$405.8K$0
    Jonathan CrosbyCAPhysician Assistant$308.3K$0
    Longs Drug Stores California LLCCAPharmacy$291K$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
    Pravachan Hegde — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California