Active NPI 1477537876 Individual Practitioner Male Practitioner

Prashanth R Ramachandra

Surgery • Darby, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Prashanth Ramachandra is a certified Surgery practicing in Darby, PA. With approximately 37 years of clinical experience since completing medical education in 1989, Prashanth Ramachandra delivers high-quality medical care to the local community at 1501 LANSDOWNE AVE.

Prashanth Ramachandra is affiliated with Trinity Health Mid-Atlantic Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Lansdowne Ave
Suite 307

Darby, PA 190231333

Telephone 6105346170

Fax 6105346159

Associated Practice Facility / Clinic

🏢 Mercy Management Of Southeastern Pennsylvania Facility NPI 1194707380

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Darby, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Darby, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ramachandra (37 Years) 37 Yrs

Darby Specialty Average (30.8 Years) 30.8 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	37	$80.00	$50.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$150.00	$79.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$415.00	$174.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$285.00	$131.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$275.00	$129.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$471.85	$220.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$120.00	$58.21
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$195.00	$93.02
99221 Initial hospital inpatient care per day, typically 30 minutes	19	15	$210.00	$83.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$385.00	$184.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$360.00	$164.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	12	$55.00	$24.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	29	$80.00	$51.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	39	$150.00	$81.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$415.00	$178.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$285.00	$134.11
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$195.00	$94.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$120.00	$59.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$475.00	$228.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$275.00	$132.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$385.00	$185.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$800.00	$331.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$360.00	$172.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	50	$164.90	$73.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	66	$419.04	$204.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	25	$84.39	$40.33
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$191.11	$95.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$285.80	$140.66
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$220.31	$105.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$263.33	$126.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$121.56	$60.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$461.88	$234.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$383.80	$178.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	44	$175.00	$94.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	25	$168.00	$75.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$419.00	$204.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$231.55	$134.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$302.00	$193.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$94.00	$59.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$286.00	$142.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$433.00	$236.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$1020.00	$102.69
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$221.00	$106.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	56	$419.00	$215.38
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$175.00	$79.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	31	$168.00	$76.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$286.00	$146.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$231.75	$111.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$94.00	$49.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$302.00	$156.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$433.00	$209.62
47562 Removal of gallbladder using an endoscope	15	15	$1900.00	$685.41
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$221.00	$109.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1020.00	$126.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	50	$94.00	$47.99
99213 Established patient office or other outpatient visit, typically 15 minutes	68	51	$175.00	$77.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$168.00	$74.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$302.00	$149.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$419.00	$213.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$286.00	$135.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$433.00	$211.09
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$221.00	$107.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1020.00	$122.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$226.00	$107.07
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$175.00	$53.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$53.00	$24.22
47562 Removal of gallbladder using an endoscope	12	12	$1900.00	$703.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	43	$167.55	$76.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	34	$168.00	$76.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	35	$226.00	$114.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	34	$94.00	$45.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$286.00	$144.70
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$216.67	$107.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$419.00	$214.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$314.30	$148.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$433.00	$220.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$924.29	$136.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$231.00	$115.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$354.00	$163.51
47562 Removal of gallbladder using an endoscope	12	12	$1775.00	$670.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	70	$226.00	$113.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	36	$168.00	$75.75
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$154.00	$77.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$256.00	$144.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$433.00	$218.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$355.77	$213.25
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	15	15	$2909.00	$1215.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$302.00	$153.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$231.00	$115.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$746.93	$153.67

Medical Specialties & State Licenses

CMS Verified: 2021-05-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD422173

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1009133790003 (PA)

Hospital & Practice Group Affiliations

Trinity Health Mid-Atlantic Medical Group

1500 Lansdowne Ave, Darby, PA 190231200

Phone: 6102377950

Trinity Health Mid-Atlantic Medical Group

1501 Lansdowne Ave, Darby, PA 190231333

Trinity Health Mid-Atlantic Medical Group

1500 Lansdowne Ave, Darby, PA 190231200

Phone: 6102374701

Trinity Health Mid-Atlantic Medical Group

1201 Langhorne Newtown Rd, Langhorne, PA 190471201

Trinity Health Mid-Atlantic Medical Group

1201 Langhorne Newtown Rd, Langhorne, PA 190471201

Phone: 2157502000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kanika Trehan , MD

Surgery

NPI 1033554969

Doctor of Medicine (M.D.)

Dr. Leon Clarke , MD

Surgery

NPI 1295717221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 20, 2021

Registered at 41 UNIVERSITY DR STE 106, NEWTOWN, PA 189401873

✅

NPI Profile Active August 20, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2010

Registered at 1501 LANSDOWNE AVE, SUITE 307, DARBY, PA 190231333 (Tel: 6105346170)

📍

Updated Business Mailing Address August 20, 2010

Registered at 1 WEST ELM ST, 2ND FLR, CONSHOHOCKEN, PA 19428 (Tel: 6105676964)

👤

Provider Name / Credentials Updated August 20, 2010

Recorded as PRASHANTH RAMACHANDRA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2010

Surgery (License #MD422173 in PA)

🟢

Initial NPI Registration & Enumeration November 30, 2005

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: 1477537876

Entity Type:

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

Enumeration Date: November 30, 2005

Last Update: May 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

41 University Dr Ste 106

Newtown, PA 189401873

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

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