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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPranay Prabhakar
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    Pranay Prabhakar — Billing Profile & Reimbursement Data

    NPI 1942696471 · Greensboro, NC · Cardiovascular Disease Physician

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    Pranay Prabhakar is a cardiovascular disease physician provider located in Greensboro, North Carolina. This profile covers 14 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
    OrganizationPranay Prabhakar
    Address1220 Magnolia St
    CityGreensboro
    StateNC
    ZIP27401
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 10, 2015

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

    Payer SourceTotal Paid
    Medicare$46K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$90$13.4K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose30$240$6.2K
    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$230$5.4K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.890$10$5.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$3.8K
    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…50$60$3.3K
    99215The provider sees an established 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…20$150$2.5K
    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…30$100$2.4K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…20$50$1K
    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…10$50$680

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306465770210$80$19.3K
    9921411,85418,060110$80$15.1K
    7845245348060$170$14.3K
    A95021817090$90$11.2K
    992323,2385,69070$60$8.1K
    992152,5625,72040$110$7.7K
    9301524520050$50$3.4K
    992221,0003,34020$90$3.3K
    7845151010$150$2.1K
    930101001,880120$10$1.4K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Moses H. Cone Memorial Hospital Operating CorporationNCGeneral Acute Care Hospital$0$133.5M
    The Moses H Cone Memorial Hospital Operating CorporationNCInternal Medicine Physician$0$21.6M
    The Moses H. Cone Memorial Hospital Operating CorporationNCPediatrics Physician$0$21.3M
    Said IskandarVACardiovascular Disease Physician$462.9K$0
    Praveen MannamNCPulmonary Disease Physician$197.4K$0
    Jagadeesh GanjiNCCardiovascular Disease Physician$157.3K$0
    Katarina NelsonCOCardiovascular Disease Physician$138.7K$0
    Shamika HuskeyNCFamily Nurse Practitioner$127.7K$0
    Kirsten CoxNCFamily Medicine Physician$105.2K$10.9K
    Christopher BlackmanNCOrthopaedic Surgery Physician$112.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alston Personal Care Service LLCNCIn Home Supportive Care Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$16.8M
    Morgan Support Services, Inc.NCCommunity/Behavioral Health Agency$0$12.6M
    Guilford County SchoolsNCLocal Education Agency (LEA)$0$12.5M
    Shipman Family Home Care, IncNCHome Health Agency$0$10.2M
    Alison J McmillianNCOrthodontics and Dentofacial Orthopedics Dentistry$0$10M
    Rachel Perenits Dds PANCDentist$0$8.6M
    Greensboro Radiology, PANCDiagnostic Radiology Physician$0$7.7M
    Family Solutions, PLLCNCCommunity/Behavioral Health Agency$0$7.1M
    Nathan HainesNCRetina Specialist (Ophthalmology) Physician$1.4M$140

    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. North Carolina Distribution
    Pranay Prabhakar — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina