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    OpenPayerNPI Medicare & MedicaidVijay Korimilli
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    Vijay Korimilli — Billing Profile & Reimbursement Data

    NPI 1801091384 · Sugar Land, TX · Internal Medicine Physician

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    Vijay Korimilli is a internal medicine physician provider located in Sugar Land, Texas. This profile covers 14 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
    OrganizationVijay Korimilli
    Address7102 Tarrington Ave Ste 602
    CitySugar Land
    StateTX
    ZIP77479
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 15, 2007

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

    Payer SourceTotal Paid
    Medicare$695.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue totals $695.7K while there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in scale and exposure. The absence of any Medicaid revenue means the provider has no recorded participation in state Medicaid billing or a Medicaid patient mix on file.

    Revenue is highly concentrated in a small set of services: the top 3 Medicare codes by revenue account for 81.5% of this provider's total Medicare revenue. Those top codes are 99233 ($297.4K, 42.8%), 99309 ($227.8K, 32.8%), and 99310 ($41.4K, 6.0%), which together drive the bulk of billings and financial performance on Medicare.

    The code mix indicates an operational focus on inpatient and post-acute care rather than office-based primary care. High-revenue codes include 99233 (subsequent hospital inpatient care) and 99309/99310 (subsequent nursing facility care), and the practice also bills for initial hospital care (99223, $35.2K, 5.1%) and home visits (99350, $19.2K, 2.8%), suggesting the provider primarily delivers hospital- and SNF-facing services.

    Two of the largest revenue codes are statistical outliers at the national level: 99233 is labeled an "extreme outlier" and ranks #83 of 128818 providers nationally, and 99309 is also an "extreme outlier" ranking #337 of 28092. These rankings indicate the provider operates at far higher-than-typical national volume for these specific services, consistent with a specialized or high-intensity inpatient/post-acute role.

    Several secondary codes show more typical volumes: 99310 is at the 91th percentile and characterized as "typical, unremarkable volume," while 99223 ranks in the 97th percentile and is described as "notably above typical national volume." By contrast, routine outpatient office E/M is minimal (99214: 15 claims, $1.3K, 0.2% of Medicare revenue) and ranks in the 4th percentile, reinforcing that this is not a standard office-based primary care practice.

    The provider has an established NPI tenure, enumerated on 2007-06-15 (~19 years ago), which suggests a long-standing presence in the local care ecosystem and potential entrenched referral relationships with hospitals and nursing facilities. This longevity, combined with concentrated service lines, supports continuity of inpatient/SNF coverage rather than a recent market entrant profile.

    From a business risk and opportunity perspective, dependence on a few high-volume inpatient and nursing facility codes creates sensitivity to changes in hospital/SNF referral patterns or Medicare reimbursement for those codes. Because the top 3 codes account for 81.5% of Medicare revenue and Medicaid billing is absent, any disruption to hospital or post-acute contracts could materially affect overall revenue.

    Competitive posture: for the specialty services documented here the provider is a major national-volume outlier (particularly for 99233 and 99309), which positions them as a high-volume provider of hospital and nursing facility E/M services in national comparisons. However, their very limited office-based billing and zero Medicaid activity indicate a narrow market footprint focused on Medicare inpatient and post-acute care rather than broad ambulatory or dual-payer coverage.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,270$90$297.4K
    99309The 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…2,810$80$227.8K
    99310The 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…360$120$41.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…270$130$35.2K
    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…490$60$30K
    99306The 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…160$140$22.4K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…140$140$19.2K
    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…60$100$6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…60$90$5.5K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$100$2.5K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930911,840240$70$35K
    99350768090$120$24.4K
    99308531,600170$50$23.8K
    99349161,050100$80$19.5K
    99310186080$100$19K
    9923319,320100$90$17.9K
    992141,39332,500110$80$17.6K
    992324611,790100$60$15.8K
    99306384050$130$9.9K
    99223119,99040$130$9.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amir BaluchFLAnesthesiology Physician$6.4M$0
    Rajiv AgarwalTXCardiovascular Disease Physician$3.3M$0
    Armita AtashbandTXInterventional Cardiology Physician$2.5M$0
    Stanley DuchmanTXInterventional Cardiology Physician$2.2M$0
    Karan BhallaTXCardiovascular Disease Physician$2.1M$0
    Kevin LismanTXCardiovascular Disease Physician$2.1M$0
    Rakesh ShahTXCardiovascular Disease Physician$2M$0
    John IsaacTXInterventional Cardiology Physician$2M$0
    Ahmad AslamTXCardiovascular Disease Physician$1.9M$0
    Sridhar BeeramTXHematology & Oncology Physician$1.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consolidated Home Health Holdings, LLCTXHome Health Agency$0$23.3M
    Fort Bend IsdTXLocal Education Agency (LEA)$0$19.3M
    Brent EatonTXAcute Care Nurse Practitioner$5.9M$0
    David AmranTXAllergy & Immunology Physician$2.8M$0
    Tieu Vy NguyenTXOphthalmology Physician$2.8M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Ryan ValicekTXRheumatology Physician$964.7K$0
    Salman AlyTXInternal Medicine Physician$923.9K$0
    Swati JoglekarTXGeriatric Medicine (Internal Medicine) Physician$910.9K$0
    Matthew McmenemyTXOphthalmology Physician$826.9K$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
    Vijay Korimilli — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas