NEVVI Medicare utilization intelligence

← back

PENUNURI, RAFAELM.D. NPI 1831270362 Clinician

General Practice · NEWPORT BEACH, CA

Specialty General Practice — from billed Medicare claims
Trained UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 44 years since medical school (class of 1982, self-reported to CMS)
Location NEWPORT BEACH, CA · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 34 codes billed · 14,016 disclosed services (CY2024 — most recent year in data)
Current groups
member of 3 groups; the volumes below are this clinician's personal volume and are not attributed to any single group

Group affiliation since 2019

20202026
REMEDIAL MEDICAL SERVICES INC
2026
REMEDIAL PATIENTS CARE INC
2026
LIFE HEALTH CARE MEDICAL GROUP INC
2024–2026
REMEDIAL PATIENTS CARE INC
2023–2024
EMPOWER MEDICAL GROUP INC
2022–2024
REMEDIAL MEDICAL SERVICES INC
2021–2024
NEXTGEN MEDICAL SERVICES INC
2020–2021
REMEDIAL MEDICAL GROUP
2020

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-01

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

Notify me at launch → Or see a live example profile →

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
99497 Advance care planning, first 30 minutes
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
99407 Smoking and tobacco use intensive counseling, more than 10 minutes
95924 Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt
95923 Testing of autonomic (sympathetic) nervous system function
99344 Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes
93040 Electrocardiogram (ecg) 1 to 3 leads with review by physician
96372 Injection of drug or substance under skin or into muscle
99442 Telephone medical discussion with physician, 11-20 minutes
93923 Complete ultrasound study of arm and leg arteries
93924 Ultrasound of leg arteries at rest and after exercise
99483 Assessment of and care planning for patient with impaired thought processing, typically 60 minutes
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
92653 Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report
95816 Measurement of brain wave activity (eeg), awake and drowsy
95930 Measurement of nerve conduction using visual stimulation testing with report
95957 Measurement of brain wave activity (eeg), digital analysis
96132 Evaluation of neuropsychological test, first hour
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
82075 Measurement of alcohol level in breath specimen
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.