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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGirish Vallabhan
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    Girish Vallabhan — Billing Profile & Reimbursement Data

    NPI 1982607586 · Lubbock, TX · Urology Physician

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    Girish Vallabhan is a urology physician provider located in Lubbock, Texas. This profile covers 45 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
    OrganizationGirish Vallabhan
    Address6102 82nd St
    CityLubbock
    StateTX
    ZIP79424
    TaxonomyUrology Physician
    NPI EnumeratedMay 27, 2005

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

    Payer SourceTotal Paid
    Medicare$521.6K
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,460$60$86.4K
    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…640$90$60.2K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…20$2,250$42.8K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg260$130$35.4K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…40$920$33.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…160$180$29.5K
    J0585Injection, onabotulinumtoxina, 1 unit5,400$10$27K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…1,210$20$21.8K
    0421TN/A40$530$21.2K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…550$30$18.7K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87798167300790$30$265.1K
    87481228270150$30$68.8K
    J05851342007,900$1$56.4K
    55874194020$1,430$35.8K
    8764018425070$30$25.9K
    8765316723070$30$24K
    8764110217080$30$23.2K
    8750011819080$30$21.7K
    J921725270110$130$18.4K
    992142,24132,500110$80$17.6K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Howard BeckTXUrology Physician$465.8K$0
    Scott SporeTXUrology Physician$362.3K$0
    Kanwaljit MahalTXUrology Physician$182K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$23.4M
    Higher Expectations, LLCTXHome Health Agency$0$14.1M
    Christopher FullerTXOphthalmology Physician$3.6M$0
    Cataract & Surgical Center Of Lubbock LLCTXAmbulatory Surgical Clinic/Center$2M$34.7K
    Naga BushanTXRheumatology Physician$1.9M$0
    Michel ShamiTXOphthalmology Physician$1.9M$0
    Theerapol PrasertsuntarasaiTXRheumatology Physician$1.1M$0
    James CalmesTXRheumatology Physician$733.9K$0
    Timothy KhaterTXOphthalmology Physician$481.9K$0
    Richard HendersonTXInternal Medicine Physician$446.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Girish Vallabhan — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas