Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alex Pavidapha (NPI 1053799585)

Field	Value
Entity Type	Individual
Organization	Alex Pavidapha
Address	1801 Robert Fulton Drive, Suite 510
City	Reston
State	VA
ZIP	20191
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	May 17, 2015

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the dataset: reported Total Medicare revenue is $3.5M while Total Medicaid revenue is none, indicating no Medicaid billing on file and a practice billing almost exclusively to Medicare beneficiaries. That payer mix suggests a Medicare‑weighted patient panel or a practice/facility arrangement that does not submit Medicaid claims.

Revenue is highly concentrated in a very small set of procedures: the precomputed top 3 Medicare codes account for 84.4% of this provider's total Medicare revenue. Those top codes are 37243 ($1.8M revenue, 51.5% of total Medicare revenue), 37242 ($830.4K revenue, 23.8% of total Medicare revenue), and 36247 ($318.6K revenue, 9.1% of total Medicare revenue), so a majority of revenue depends on embolization and selective angiography services.

The code mix and descriptions indicate a focused Vascular & Interventional Radiology practice that performs embolization/vascular occlusion and selective angiographic catheterization. High‑revenue codes such as 37243 (avg paid/claim $8064) and 37242 (avg paid/claim $3489), together with selective catheterization code 36247 (avg paid/claim $657), point to an operator centered on endovascular therapeutic procedures rather than primary office‑based evaluation and management.

Competitive standing on national Medicare measures is strong for multiple high‑value codes: 37243 ranks #4 of 271 providers (99th percentile; extreme outlier) and 37242 ranks #3 of 55 providers (96th percentile; notably above typical national volume), while 36247 ranks #6 of 903 providers (99th percentile; extreme outlier). These rankings indicate the provider is a high‑volume national outlier for core embolization and selective angiography procedures, not a marginal participant.

Procedure throughput appears substantial beyond the top three revenue drivers: codes tied to catheter placement and image supervision show very high claim counts and top percentile ranks — 36248 (1.3K claims, $139.8K revenue) ranks #3 of 229 providers (99th percentile; extreme outlier) and 75774 (1.4K claims, $119.7K revenue) ranks #3 of 634 providers (100th percentile; extreme outlier). This combination of high claim counts with supervisory radiology codes suggests a high procedural volume practice, likely performing many cases per reporting period.

Ancillary service patterns reinforce an interventional suite workflow: frequent use of conscious sedation and monitoring codes (99152: 279 claims, ranks #331 of 19266 providers, 98th percentile; 99153: 798 claims, ranks #15 of 1780 providers, 99th percentile) and image‑guidance codes (76937: 253 claims, ranks #71 of 12234 providers, 99th percentile; 75726: 216 claims, $32.4K revenue, ranks #4 of 371 providers, 99th percentile; extreme outlier). These patterns are consistent with complex, image‑guided vascular procedures requiring sedation and dedicated imaging resources.

Despite high procedural volumes and national outlier status on several codes, many general office E/M and minor procedure codes are low volume or rank at typical levels (for example, 99214: 26 claims, ranks in the 14th percentile nationally), reinforcing that the practice focus is procedural/interventional rather than primary care or routine outpatient visits. This mix suggests referrals for procedure workups and follow‑ups rather than a high volume of longitudinal primary care encounters.

NPI tenure is established (enumerated 2015-05-17, ~11 years ago), indicating a sustained presence in the market. Combined with concentrated Medicare revenue and no Medicaid billing, the tenure plus the procedural concentration suggests an entrenched interventional radiology operator serving predominantly Medicare patients and generating the majority of revenue from a narrow set of embolization and selective angiography services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37243	The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.	220	$8,060	$1.8M
37242	The physician partially or completely blocks arterial blood flow in the target area. This code is for services unrelated to hemorrhage or tumor treatment. This code is appropriate for services…	240	$3,490	$830.4K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	490	$660	$318.6K
37244	The physician partially or completely blocks vascular blood flow in the target area for hemorrhage or extravasation.	40	$3,970	$174.6K
36248	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	1,340	$100	$139.8K
75774	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	1,390	$90	$119.7K
75726	The provider performs radiological supervision and interpretation of angiographic imaging of specific vessels with injection of contrast (dye) into a visceral (organ) vessel or a secondary branch of…	220	$150	$32.4K
99443	N/A	210	$100	$21.8K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	280	$40	$10.3K
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	250	$40	$8.9K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Alex Pavidapha — 16 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37242	1	10	110	$3,850	$438.9K
37243	1	10	30	$6,060	$363.5K
36248	1	10	90	$100	$32.4K
37244	1	10	20	$1,630	$27.6K
36247	1	40	20	$500	$24.4K
99214	11,241	12,890	140	$80	$21K
75774	1	20	50	$70	$13K
77002	163	220	30	$70	$6.7K
75726	1	20	30	$120	$5.8K
75736	2	10	50	$60	$4.4K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Loudoun Medical Group, PC	VA	Internal Medicine Physician	$0	$12.4M
Ari Isaacson	NC	Vascular & Interventional Radiology Physician	$2.8M	$0
Rachel Piechowiak	VA	Vascular & Interventional Radiology Physician	$2.4M	$0
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Brian Sayers	TX	Rheumatology Physician	$1.4M	$0
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
John Antoine	IL	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$0
Kyrollos Tawfik	MD	Vascular & Interventional Radiology Physician	$1.1M	$0
Chad Engel	FL	Vascular & Interventional Radiology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Connection, Inc.	VA	Home Health Agency	$0	$7.2M
Scott Butler	VA	Cardiovascular Disease Physician	$432.9K	$0
Niteesh Bharara	VA	Interventional Pain Medicine Physician	$293.4K	$0
Maithily Nandedkar	VA	Specialist	$267K	$0
Andrew Axelrad	VA	Gastroenterology Physician	$230.6K	$0
Jon Peters	VA	Specialist	$229K	$0
Tarek Abou-ghazala	VA	Cardiovascular Disease Physician	$190K	$0
Robert Podolsky	VA	Vascular Surgery Physician	$141.8K	$0
Shilen Lakhani	VA	Gastroenterology Physician	$104.6K	$0
Eduardo Noguera	VA	Gastroenterology Physician	$70.3K	$0

Alex Pavidapha — Billing Profile & Reimbursement Data

Sign up for Alex Pavidapha — Billing Profile & Reimbursement Data policy alerts

Alex Pavidapha — Billing Profile & Reimbursement Data

Sign up for Alex Pavidapha — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References