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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMadhu Kandarpa
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    Madhu Kandarpa — Billing Profile & Reimbursement Data

    NPI 1891999413 · Kettering, OH · Nephrology Physician

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    Madhu Kandarpa is a nephrology physician provider located in Kettering, Ohio. This profile covers 15 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
    OrganizationMadhu Kandarpa
    Address1362 E Stroop Rd
    CityKettering
    StateOH
    ZIP45429
    TaxonomyNephrology Physician
    NPI EnumeratedJune 14, 2007

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

    Payer SourceTotal Paid
    Medicare$180.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…550$60$33.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…100$220$21.6K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…80$270$20.5K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…460$30$13.9K
    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…100$140$13.5K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…380$40$13.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…300$40$10.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…240$40$10.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.290$40$10K
    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…190$50$9.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960149220100$270$32.5K
    90966567060$220$17.1K
    992145,62520,010100$70$11.7K
    992334,0975,57070$90$11.2K
    994582070230$30$10.1K
    909611521040$220$10.1K
    992323678,05070$60$8.7K
    99490104420100$40$8.1K
    992238765,59040$130$7.6K
    994542070150$30$7.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pikeville Medical Center IncKYGeneral Acute Care Hospital$0$181.5M
    T J Samson Community HospitalKYGeneral Acute Care Hospital$0$95.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Pikeville Medical Center Inc.KYMulti-Specialty Clinic/Center$0$34.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Ut Regional One Physicians IncTNSurgery Physician$0$24.1M
    T J Samson Community HospitalKYFamily Medicine Physician$0$15.5M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Theoria MedicalMIInternal Medicine Physician$0$9.6M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kav Health Group LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$24.6M
    Heartland Hospice Services LLCOHCommunity Based Hospice Care Agency$0$20.7M
    Kettering Network Radiologists IncOHDiagnostic Radiology Physician$0$16.1M
    Assisted Care By Black Stone Of Dayton, LLCOHHome Health Agency$0$12.4M
    City Of KetteringOHAmbulance$431.8K$1.1M
    Shahzad FarukhiOHInternal Medicine Physician$69.3K$1.4M
    Eugene KirklandOHDermatology Physician$1.3M$0
    Phillip HallOHMOHS-Micrographic Surgery Physician$651.7K$0
    Jason BallinOHDermatology Physician$578.9K$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. Ohio Distribution
    Madhu Kandarpa — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio