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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPradeep Bhambhvani
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    Pradeep Bhambhvani — Billing Profile & Reimbursement Data

    NPI 1831287374 · Birmingham, AL · Diagnostic Radiology Physician

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    Pradeep Bhambhvani is a diagnostic radiology physician provider located in Birmingham, Alabama. 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
    OrganizationPradeep Bhambhvani
    Address619 19th Street South
    CityBirmingham
    StateAL
    ZIP35233
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicare$506K
    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
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…270$1,110$300.3K
    A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie1,510$50$74.2K
    A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie70$740$54.5K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries250$190$47K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…10$1,140$13.7K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…70$50$3.6K
    78451In this procedure, the provider performs a single SPECT study of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$50$2K
    79101In this procedure, the provider injects a radiopharmaceutical substance into the venous blood stream to treat the patient’s condition.20$70$1.6K
    78195In this procedure, the provider uses a gamma–emitting radioactive tracer to diagnose and localize diseases of the lymphatics and lymph nodes.30$40$1.4K
    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…20$60$1.2K

    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
    A980051080$720$65.2K
    A95872101,040$50$56.1K
    78815715040$610$47.6K
    A9552940130$190$29.4K
    78816182020$790$22.9K
    7845220525050$210$16.2K
    78451244060$120$6.9K
    992031,7822,21030$70$3.1K
    7883011020$50$2K
    7910111020$70$1.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    University Of Alabama At BirminghamALClinical Medical Laboratory$2.9K$3.2M
    Chelsea CockrellMSFamily Nurse Practitioner$3M$0
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$2.7M
    Primary Care ClinicALPediatrics Physician$0$1.9M
    Mathew SappALRetina Specialist (Ophthalmology) Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratory Corporation Of America HoldingsALClinical Medical Laboratory$60.5M$289.1M
    The Children's Hospital Of AlabamaALChildren's Hospital$0$59M
    M&o Enterprises LLCALHome Infusion Therapy Pharmacy$0$31.2M
    Medical Resources, IncALOxygen Equipment & Supplies (DME)$0$23.6M
    Southern Lab Partners, LLCALClinical Medical Laboratory$5.4M$14.4M
    Jefferson County Board Of HealthALPublic Health or Welfare Agency$0$12.2M
    The Children's Hospital Of AlabamaALPsychologist$0$12M
    The Children's Hospital Of AlabamaALPediatrics Physician$0$7.5M
    Pediatric Anesthesia Associates PCALAnesthesiology Physician$0$7.2M
    Pediatric Radiology Associates PCALPediatric Radiology Physician$0$6.8M

    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. Alabama Distribution
    Pradeep Bhambhvani — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama