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    OpenPayerNPI Medicare & MedicaidSasidhar Guthikonda
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    Sasidhar Guthikonda — Billing Profile & Reimbursement Data

    NPI 1851595367 · Humacao, PR · Interventional Cardiology Physician

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    Sasidhar Guthikonda is a interventional cardiology physician provider located in Humacao, Puerto Rico. This profile covers 21 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
    OrganizationSasidhar Guthikonda
    Address355 Calle Font Martelo Ste 105
    CityHumacao
    StatePR
    ZIP00791
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedJune 11, 2007

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

    Payer SourceTotal Paid
    Medicare$132.2K
    Medicaid$0

    Key Findings

    This provider is listed as an Interventional Cardiology Physician and the Medicare code mix confirms a combined outpatient E/M and cath lab focus: billing is concentrated in office evaluation/management (99214) together with percutaneous coronary intervention (92928) and angiographic imaging/supervision (93458). The presence of both high-volume E/M claims and a range of cardiac catheterization/angiography codes indicates the practice delivers both clinic-based follow-up and procedure-based services.

    Revenue is tightly concentrated in a small set of services: the precomputed top three Medicare codes account for 73.0% of this provider's total Medicare revenue, and the practice’s Total Medicare revenue is $132.2K. Within that mix, 99214 alone represents $62.2K (47.1% of Medicare revenue), making a single office/E/M code the dominant revenue driver.

    Payer mix is effectively single-payer: the record shows Total Medicare revenue of $132.2K and no Medicaid billing on file, indicating the provider operates without measurable Medicaid reimbursement. This concentration means analyses or negotiations that focus on Medicare will capture the large majority of this clinician’s public-payer activity.

    On competitive standing, 99214 is a clear outlier in volume: the provider submitted 732 claims for 99214 with an $85 avg paid/claim and ranks #23871 of 479517 providers nationally (95th percentile; notably above typical national volume for this code), signaling unusually high office-visit throughput compared with peers. By contrast, the procedure-oriented top codes show more typical volumes: 92928 has 45 claims and $402 avg paid/claim ($18.1K revenue) and ranks #994 of 5112 (79th percentile; typical, unremarkable volume), while 93458 has 89 claims and $182 avg paid/claim ($16.2K revenue) and ranks #904 of 7990 (88th percentile; typical, unremarkable volume).

    Procedure-level counts suggest a modest cath lab throughput relative to the high E/M volume: the provider submitted 45 claims for 92928 ($18.1K) and 89 claims for 93458 ($16.2K), and several other angiography/diagnostic catheterization codes appear at much lower counts (for example, 93460: 13 claims, $253 avg paid/claim, $3.3K revenue; 93454: 16 claims, $162 avg paid/claim, $2.6K). This pattern—high clinic visit volume with limited procedural claim counts—suggests the practice may prioritize ambulatory management and selective interventional cases rather than high-volume interventional throughput.

    The provider’s Medicare activity includes routine diagnostic cardiology testing beyond cath procedures, evidenced by high counts for electrocardiography and noninvasive vascular studies (e.g., 93000: 330 claims, $10 avg paid/claim, $3.3K revenue; 93880: 76 claims, $28 avg paid/claim, $2.1K revenue), supporting a mixed outpatient diagnostic service line alongside interventional work. These ancillary diagnostic codes contribute meaningful clinical breadth despite being smaller revenue contributors.

    This NPI has a long tenure: enumerated on 2007-06-11 (~19 years ago), which indicates an established billing presence in Medicare. Combined with the concentrated revenue profile and the dominance of 99214 in revenue, the data are consistent with a long-standing clinician who generates steady outpatient visit volume and maintains a smaller-scale interventional caseload.

    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.

    21 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…730$90$62.2K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…50$400$18.1K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…90$180$16.2K
    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…80$120$8.8K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…330$10$3.3K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…10$250$3.3K
    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…60$60$3.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…60$50$3K
    93454In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…20$160$2.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…80$30$2.1K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9292811030$400$12.1K
    7845272060$210$10.1K
    9923221722080$60$7.9K
    99214147050$80$6.6K
    9345811020$190$4.6K
    933062516030$110$4.3K
    9392574020$150$3.5K
    9346011010$250$3.3K
    9388039020$120$2.8K
    99204220020$110$2.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Salem HealthORGeneral Acute Care Hospital$0$65.7M
    Rchp Billings - Missoula LLCMTSpecialist$0$13.1M
    Salem Health Professional ServicesORGeneral Acute Care Hospital$0$6M
    Caribbean Heart Institute LLCPRClinical Cardiac Electrophysiology Physician$0$5.7M
    Rchp Billings - Missoula LLCMTGeneral Acute Care Hospital$0$4M
    Jonathan BusbeeGAInternal Medicine Physician$266.2K$1.6M
    Todd MurdockMTOphthalmology Physician$103.7K$1M
    Amy KingmanGACardiovascular Disease Physician$641.2K$0
    Sujoy GillVAPulmonary Disease Physician$564.5K$0
    Markus PorkertGACardiovascular Disease Physician$493.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr Jose A Nassar & AsociadosPRRadiology Clinic/Center$0$6.3M
    Laboratorio Clinico Roxell IncPRClinical Medical Laboratory$0$1.9M
    Redes De Salud Inc.PRSpecialist$0$1.7M
    Jimergency Medical Transport Inc.PRAmbulance$46.2K$1.5M
    Yamilka Abreu DelgadoPRGastroenterology Physician$0$1.2M
    Eastern Retina Consultants Of Puerto Rico, PscPROphthalmology Physician$0$1.2M
    Instituto De Radioterapia Avanzada Del Este, PscPRRadiation Oncology Clinic/Center$0$1.1M
    Servicios Anatomico Patologicos Oriental, Inc.PRClinical Medical Laboratory$2.6K$1.1M
    Vc Partners LLCPRDiagnostic Radiology Physician$0$1M
    Ivette RodriguezPRPediatric Dentistry$0$936.9K

    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. Puerto Rico Distribution
    Sasidhar Guthikonda — 8 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico