Active NPI 1346525193 Individual Practitioner Female Practitioner

Padmavathi Rao , NP-C

Nurse Practitioner • Paramus, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Padmavathi Rao, NP-C is a certified Nurse Practitioner practicing in Paramus, NJ. With approximately 15 years of clinical experience since completing medical education in 2011, Padmavathi Rao delivers high-quality medical care to the local community at 230 E RIDGEWOOD AVE.

Padmavathi Rao is affiliated with Stadium Emergency Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 E Ridgewood Ave

Paramus, NJ 076524142

Telephone 2019674141

Associated Practice Facility / Clinic

🏢 Eden Ambulance Corporation Facility NPI 1790738441

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Paramus, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +5.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Paramus, NJ (1984 Statewide)

Telehealth Adoption Rate

27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rao (15 Years) 15 Yrs

Paramus Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	142	139	$1161.78	$107.66
99285 Emergency department visit for life threatening or functioning severity	75	71	$1712.90	$155.74
99283 Emergency department visit with low level of medical decision making	34	33	$782.00	$63.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	99	99	$1162.97	$108.82
99285 Emergency department visit for life threatening or functioning severity	66	66	$1737.00	$158.03
99283 Emergency department visit with low level of medical decision making	42	41	$782.00	$64.74
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$232.41	$85.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	147	$227.00	$93.79
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	77	77	$88.00	$34.96
99285 Emergency department visit for life threatening or functioning severity	45	45	$1737.00	$161.34
87804 Detection test by immunoassay with direct visual observation for influenza virus	37	19	$75.00	$16.34
81002 Urinalysis, manual test	36	35	$12.00	$3.47
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	32	$65.00	$16.37
36415 Insertion of needle into vein for collection of blood sample	29	28	$9.00	$2.98
99283 Emergency department visit with low level of medical decision making	27	26	$782.00	$65.94
99284 Emergency department visit with moderate level of medical decision making	25	25	$1166.00	$111.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	24	$29.00	$7.71
80053 Blood test, comprehensive group of blood chemicals	24	23	$58.00	$10.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$332.00	$130.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$340.00	$117.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$61.00	$24.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$137.00	$59.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	65	$227.00	$94.30
99285 Emergency department visit for life threatening or functioning severity	53	52	$1134.38	$163.53
99284 Emergency department visit with moderate level of medical decision making	35	34	$866.25	$111.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	21	$61.00	$23.83
81002 Urinalysis, manual test	19	19	$12.00	$3.48
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	18	$128.00	$51.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	18	18	$29.00	$7.77
36415 Insertion of needle into vein for collection of blood sample	17	17	$9.00	$3.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$340.00	$118.05
80053 Blood test, comprehensive group of blood chemicals	15	15	$58.00	$10.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$332.00	$134.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	113	101	$1150.38	$160.78
99283 Emergency department visit with low level of medical decision making	45	42	$588.77	$60.38
99284 Emergency department visit with moderate level of medical decision making	33	32	$866.25	$110.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	101	87	$887.86	$106.23
99283 Emergency department visit with low level of medical decision making	86	80	$587.17	$56.05
99285 Emergency department visit for life threatening or functioning severity	53	52	$1379.39	$156.06
99282 Emergency department visit with straightforward medical decision making	20	20	$412.50	$37.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	136	114	$1824.53	$155.47
99284 Emergency department visit with moderate level of medical decision making	61	57	$1225.80	$105.70
99283 Emergency department visit with low level of medical decision making	31	30	$813.16	$55.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$106.50	$7.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	123	117	$1563.44	$153.73
99283 Emergency department visit with low level of medical decision making	56	55	$703.96	$55.11
99284 Emergency department visit with moderate level of medical decision making	53	53	$960.23	$103.54
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	31	$51.48	$7.48

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ NJ2600347800

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Occupational Health

NUCC Taxonomy Code: 363LX0106X

State License NJ 26NJ00347800

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0283011 (NJ)

Hospital & Practice Group Affiliations

Stadium Emergency Associates

230 E Ridgewood Ave, Paramus, NJ 076524142

Phone: 2019674000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Shyamal Oza , DO

Student in an Organized Health Care Education/Training Program

NPI 1376382879

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2017

Registered at 230 E RIDGEWOOD AVE, PARAMUS, NJ 076524142 (Tel: 2019674141)

📍

Updated Business Mailing Address June 27, 2017

Registered at 8 TAVARONR STREET, GARNERVILLE, NY 10923

👤

Provider Name / Credentials Updated June 27, 2017

Recorded as PADMAVATHI RAO, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Nurse Practitioner (License #NJ2600347800 in NJ)

✅

NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 12, 2011

Registered at 500 RIVER AVE, CORPORATE CARE, LAKEWOOD, NJ 08701 (Tel: 7329425906)

📍

Updated Business Mailing Address October 12, 2011

Registered at 16 GERMANIA CT, TOMS RIVER, NJ 08755

👤

Provider Name / Credentials Updated October 12, 2011

Recorded as PADMAVATHI KAVALA, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Nurse Practitioner (License #26NJ00347800 in NJ)

🟢

Initial NPI Registration & Enumeration October 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346525193

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 12, 2011

Last Update: June 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8 Tavaronr Street

Garnerville, NY 10923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.