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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKruthika Shanmugam
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    Kruthika Shanmugam — Billing Profile & Reimbursement Data

    NPI 1811349822 · Berkley, MI · Neurology Physician

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    Kruthika Shanmugam is a neurology physician provider located in Berkley, Michigan. This profile covers 6 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
    OrganizationKruthika Shanmugam
    Address2728 Phillips Ave
    CityBerkley
    StateMI
    ZIP48072
    TaxonomyNeurology Physician
    NPI EnumeratedJuly 1, 2016

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

    Payer SourceTotal Paid
    Medicare$32.8K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth160$100$14.9K
    G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth150$50$7.5K
    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…50$110$5.3K
    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…20$90$1.8K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$70$1.8K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…40$40$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    958165513030$150$6.7K
    992221,3464,81030$100$5K
    G040721050$50$4.4K
    992044,0606,28030$110$4.2K
    G042612020$100$2.9K
    9922118759020$60$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unity Limited PartnershipWICommunity Based Hospice Care Agency$0$16.2M
    Kevan LewisWIMOHS-Micrographic Surgery Physician$1.2M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Riley SmythWIDiagnostic Radiology Physician$805.1K$320
    Arlene RichardsonILDiagnostic Radiology Physician$83.6K$553.9K
    Terence RyanMIFamily Medicine Physician$441.3K$0
    Ademola ObajuluwaILDiagnostic Radiology Physician$62.6K$312.3K
    Aaron GouldILDiagnostic Radiology Physician$126.2K$209.3K
    Trudi ParkerMNDiagnostic Radiology Physician$317.2K$0
    James GastWIFamily Medicine Physician$279.9K$36.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cataract Specialty Surgical Center, LLCMIAmbulatory Surgical Clinic/Center$545.2K$0
    Asadulla MohammedMIPulmonary Disease Physician$332.4K$0
    Salim AhmedMIClinical Cardiac Electrophysiology Physician$302K$0
    Dinesh ShahMIInternal Medicine Physician$300.3K$0
    Steven ShanbomMIOphthalmology Physician$295.1K$0
    Armen KorkigianMIInternal Medicine Physician$289.5K$0
    Olaf KronemanMINephrology Physician$281.4K$0
    Neelum GuptaMIInternal Medicine Physician$263.8K$0
    Brandon WeberMIPhysician Assistant$205K$0
    Sujana GundlapalliMICardiovascular Disease Physician$199.2K$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. Michigan Distribution
    Kruthika Shanmugam — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan