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    OpenPayerNPI Medicare & MedicaidRitu Munjal
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    Ritu Munjal — Billing Profile & Reimbursement Data

    NPI 1881672046 · Cedar Rapids, IA · Family Medicine Physician

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    Ritu Munjal is a family medicine physician provider located in Cedar Rapids, Iowa. This profile covers 11 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
    OrganizationRitu Munjal
    Address202 10th Street Se
    CityCedar Rapids
    StateIA
    ZIP52403
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider reports $1M in total Medicare revenue and has no Medicaid billing on file, making their publicly reported billing effectively single‑payer Medicare. The precomputed top-3 Medicare codes by revenue account for 92.2% of this provider's Medicare revenue, indicating a highly concentrated Medicare revenue base.

    Revenue is heavily concentrated in a small set of injectable/office procedures: J0897 (denosumab) drives $571.3K or 56.0% of Medicare revenue and J3111 (romosozumab) drives $317.5K or 31.1%. Together with 99214 (which contributes $51.8K or 5.1%), these three codes make up the 92.2% concentration, signaling the practice’s economics are dominated by administration of bone‑health biologic therapies and a small number of office E/M visits.

    Operationally, the mix of high-volume biologic drug codes (J0897: 31.7K claims; J3111: 39.7K claims) plus a high injection administration code (96372: 905 claims, $10K revenue) points to a practice model that routinely delivers in‑office injectable therapeutics and associated point-of-care services. The presence of monitoring labs such as 83970 (577 claims, $23.1K) and 82306 (421 claims, $12.2K) is consistent with longitudinal management and safety monitoring of these therapies.

    Competitive standing is mixed by code: for J0897 the provider ranks #86 of 10057 (99th percentile; extreme outlier), meaning their denosumab volume is far above typical national volumes. By contrast J3111 ranks #114 of 970 (88th percentile; characterized in the source as typical/unremarkable), so romosozumab activity is elevated but not similarly extreme. 99214 ranks #27694 of 479517 (94th percentile; notably above typical), indicating above‑average E/M volume for established patient visits.

    Several codes are flagged as statistical outliers in the provided descriptors beyond J0897: 99205 (163 claims, $22.3K; ranks #736 of 66257, 99th percentile; extreme outlier) and 96372 (905 claims; ranks #502 of 58224, 99th percentile; extreme outlier) suggest unusually high utilization of both high‑complexity new patient visits and physician‑administered injections relative to peers. These outlier flags suggest the practice’s service delivery intensity differs materially from typical family medicine patterns.

    The provider’s clinical throughput includes routine phlebotomy and common lab panels—36415 (602 claims, $4.8K) and 80053 (587 claims, $5.9K)—supporting an office practice that performs on‑site specimen collection and basic metabolic monitoring. Combined with the PTH test 83970 (577 claims, $23.1K), this lab activity aligns with chronic management protocols for patients on bone‑targeted biologics.

    From a payer‑mix and business risk perspective, having $1M in Medicare revenue with no Medicaid billing on file indicates limited public payer diversification; the practice’s financial exposure is concentrated in Medicare reimbursement policy and drug payment for the specific biologics that dominate revenue. Any changes in Medicare coverage, reimbursement rates, or drug pricing for codes like J0897 and J3111 could materially affect reported revenue.

    The provider has an NPI enumerated on 2006-01-06 (~20 years ago), indicating long-standing enrollment that may reflect an established local presence and operational continuity. Combined with the code‑level concentration and the outlier rankings on several administration and high‑complexity visit codes, the data portray an established, specialized service pattern within a Medicare‑dominated billing profile.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg31,740$20$571.3K
    J3111Injection, romosozumab-aqqg, 1 mg39,690$10$317.5K
    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…680$80$51.8K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.580$40$23.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…160$140$22.3K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…420$30$12.2K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…910$10$10K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.590$10$5.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.600$10$4.8K
    84100The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.160$10$820

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J311112012,180$10$112K
    J089721901,920$20$74.1K
    992142664,690100$70$14.4K
    8397045040$40$8.3K
    99205148020$140$4.2K
    82306723040$30$2.8K
    800534751080$10$2.7K
    364151511,450130$10$2.4K
    96372252040$10$700
    8410086040$1$590

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physicians' Clinic Of Iowa, PCIASurgery Physician$0$4.9M
    Bogdan CherascuIARheumatology Physician$2.4M$0
    Vijay AluriIARheumatology Physician$2M$0
    Bharat JenigiriIAMedical Oncology Physician$1.5M$0
    William FusselmanIAHematology & Oncology Physician$1.3M$0
    Rasa BuntinasIAHematology & Oncology Physician$1.1M$0
    Harinder SinghIARheumatology Physician$789.3K$0
    Jonathan RippentropIAUrology Physician$487.4K$0
    Thomas RichardsonIAUrology Physician$373K$0
    Sandeep MunjalIAAdult Reconstructive Orthopaedic Surgery Physician$322K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Medical CenterIAGeneral Acute Care Hospital$0$26.4M
    Eastern Iowa Health CenterIAFamily Medicine Physician$0$24.5M
    Eastern Iowa Health CenterIAFamily Medicine Physician$0$18.5M
    Eastern Iowa Health CenterIAGeneral Practice Dentistry$0$14.4M
    Linn County Emergency Medicine PCIAEmergency Medicine Physician$0$9.8M
    C R Iv Service IncIAHome Infusion Therapy Pharmacy$0$5.8M
    Mercy Medical CenterIACardiovascular Disease Physician$0$5.1M
    C R Pharmacy Service IncIAOxygen Equipment & Supplies (DME)$0$2.4M
    Eastern Iowa Sleep Center, LLCIASleep Disorder Diagnostic Clinic/Center$243.7K$1.6M
    Rapids DentalIADental Clinic/Center$0$1.7M

    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. Iowa Distribution
    Ritu Munjal — 5 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa