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NPI 1053305490 · Bensalem, PA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Kourosh Ghalili is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Bensalem, Pennsylvania. This profile covers 13 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kourosh Ghalili |
| Address | 3070 Bristol Pike Ste 2-106 |
| City | Bensalem |
| State | PA |
| ZIP | 19020 |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| NPI Enumerated | August 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $247.6K |
| Medicaid | $4.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36465 | In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,… | 60 | $1,030 | $58.9K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 240 | $160 | $37.1K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 170 | $200 | $32.9K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 150 | $150 | $23.1K |
| 36475 | In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for… | 20 | $920 | $22.1K |
| 99213 | The 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… | 190 | $70 | $13.1K |
| 99214 | The 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… | 130 | $100 | $12.6K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 170 | $70 | $11.6K |
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 100 | $100 | $9.9K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 60 | $160 | $9K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36465 | 11 | 20 | 60 | $1,010 | $63.7K |
| 36475 | 12 | 20 | 30 | $870 | $32.3K |
| 93306 | 1,030 | 1,130 | 220 | $70 | $19.1K |
| 99214 | 9,851 | 23,230 | 100 | $80 | $14.5K |
| 36471 | 8 | 10 | 30 | $170 | $8K |
| 99213 | 4,465 | 22,370 | 70 | $60 | $7.7K |
| 93880 | 333 | 760 | 50 | $70 | $5.4K |
| 99204 | 1,969 | 10,290 | 30 | $110 | $5K |
| 93925 | 22 | 370 | 30 | $90 | $4.7K |
| 93978 | 9 | 240 | 30 | $80 | $3.6K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 130 | $20 | $2.9K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 10 | $100 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 5,363 | 8,870 | 240 | $40 | $56.1K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 154 | 180 | 80 | $50 | $15K |
Other providers in the same ZIP code as Kourosh Ghalili, ranked by combined Medicare and Medicaid revenue.
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