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    OpenPayerNPI Medicare & MedicaidPavan Reddy
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    Pavan Reddy — Billing Profile & Reimbursement Data

    NPI 1932161155 · Wichita, KS · Hematology & Oncology Physician

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    Pavan Reddy is a hematology & oncology physician provider located in Wichita, Kansas. This profile covers 117 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
    OrganizationPavan Reddy
    Address818 N Emporia St Ste 403
    CityWichita
    StateKS
    ZIP67214
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 4, 2006

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

    Payer SourceTotal Paid
    Medicare$6.7M
    Medicaid$0

    Key Findings

    The provider’s code mix is consistent with an infusion-oriented hematology & oncology practice that administers high-cost immunotherapies and monoclonal antibodies in-office. Top injectable oncology agents in the portfolio include pembrolizumab (J9271), nivolumab (J9299), and daratumumab (J9145), and the presence of high-volume chemotherapy administration codes (96413) and multiple supportive-care injectables indicates a clinically integrated infusion service line rather than a primarily consultative or referral-only model.

    Revenue is highly concentrated in a small set of products: the top 3 Medicare codes by revenue account for 49.7% of this provider’s total Medicare revenue. Those top-three contributors are J9271 ($1.5M, 24.3% of Medicare revenue), J9299 ($934.1K, 14.9%), and J9145 ($658.1K, 10.5%), together forming the largest single block of billed Medicare dollars for this provider.

    This provider is effectively single-payer in scope: total Medicare revenue is $6.7M while there is no Medicaid billing on file. The absence of Medicaid activity means payer strategy, capacity, and financial exposure will be dominated by Medicare reimbursement dynamics and inpatient/outpatient Medicare policy changes.

    For several high-value oncology drugs this provider reports national-level volumes well above peers: J9271 ranks #58 of 1841 providers nationally (97th percentile) and is described as notably above typical national volume, while J9299 ranks #34 of 505 (93rd percentile) and is also notably above typical national volume. In contrast, J9145 sits at a more typical level for its market (rank #5 of 14, 69th percentile), indicating that the provider’s outsized footprint is concentrated in specific immuno-oncology agents rather than uniformly across all monoclonals.

    Advanced imaging is a material revenue stream: PET/CT 78815 generated $423.7K (6.8% of Medicare revenue) and ranks #356 of 6566 providers nationally (95th percentile), reported as notably above typical national volume. High utilization of fused PET/CT suggests frequent use of staging and response-evaluation imaging in conjunction with the provider’s infusion treatments, reinforcing the integrated diagnostic-treatment workflow.

    Operational volume metrics show several statistical outliers on common outpatient visit and chemotherapy administration codes: 99213 produced $117.5K (1.9% of Medicare revenue) and ranks #967 of 457151 providers nationally (100th percentile; labeled an extreme outlier), and 96413 produced $108K (1.7%) and ranks #38 of 7514 providers nationally (100th percentile; extreme outlier). These extreme outlier rankings indicate unusually high visit and administration throughput relative to national peers, consistent with a high-volume infusion practice.

    Supportive-care and ancillary therapy patterns are notable: denosumab (J0897) appears at $371.6K (5.9% of Medicare revenue) with a rank of #303 of 10057 (97th percentile; notably above typical national volume), and granisetron extended-release (J1627) ranks #8 of 119 providers nationally (94th percentile). The provider also uses biosimilars (Q5115, Q5107) at modest-to-typical levels, indicating adoption of biosimilar alternatives alongside originator biologics rather than exclusive reliance on one product class.

    The NPI was enumerated on 2006-04-04 (~20 years ago), indicating long tenure in the market. Coupled with high national-percentile ranks on multiple drug-administration and visit codes, this tenure is consistent with an established, practice-based oncology operation that has built sustained infusion capacity over time.

    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.

    117 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg35,400$40$1.5M
    J9299Injection, nivolumab, 1 mg38,920$20$934.1K
    J9145Injection, daratumumab, 10 mg15,670$40$658.1K
    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.…400$1,070$423.7K
    J1930Injection, lanreotide, 1 mg9,120$40$383K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj9,540$40$372.1K
    J0897Injection, denosumab, 1 mg19,560$20$371.6K
    J9022Injection, atezolizumab, 10 mg3,240$60$207.4K
    J9173Injection, durvalumab, 10 mg3,110$60$192.7K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg3,930$30$133.6K

    Showing 1–10 of 117

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 117 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    117 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927142028,900$40$1.1M
    J929931024,550$20$637.2K
    J19304109,180$40$402.7K
    J91451106,660$50$394.7K
    J90224103,910$60$301.1K
    J91442106,300$40$257.2K
    J91735103,480$60$230.3K
    J93128102,500$60$194.7K
    J15685103,690$30$129K
    Q51077104,440$20$106.5K

    Showing 1–10 of 117

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Via Christi Hospitals Wichita Inc.KSGeneral Acute Care Hospital$0$8.9M
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Dennis MooreKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Craig Resources LLCKSHome Health Agency$0$97.3M
    Paradigm Services IncKSIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$42.4M
    Wesley Medical Center LLCKSGeneral Acute Care Hospital$0$30.2M
    Gracemed Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$18.3M
    Healthcore Clinic IncKSFederally Qualified Health Center (FQHC)$0$15.3M
    Diversified Family Services LLCKSHome Health Agency$0$13.9M
    Alpha ServiceKSDevelopmentally Disabled Services Day Training Agency$0$12.1M
    Carepoint Emergency Medicine Kansas LLCKSEmergency Medicine Physician$0$11.8M
    Hunter Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$10.4M
    Infusion LLCKSHome Infusion Therapy Pharmacy$0$6.5M

    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. Kansas Distribution
    Pavan Reddy — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas