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NPI 1063679447 · New York, NY · Vascular & Interventional Radiology Physician
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Rami Sartawi is a vascular & interventional radiology physician provider located in New York, New York. This profile covers 24 Medicare and 27 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 | Rami Sartawi |
| Address | 1041 3rd Ave Ste 201 |
| City | New York |
| State | NY |
| ZIP | 10065 |
| Taxonomy | Vascular & Interventional Radiology Physician |
| NPI Enumerated | May 22, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.9M |
| Medicare | $3.7M |
This provider’s payer mix is skewed toward Medicaid by scale: lifetime Medicaid revenue is $4.9M versus total Medicare revenue of $3.7M, so Medicaid represents the larger single source of billed revenue. The presence of substantial activity on both programs indicates a mixed-payer outpatient practice but with a Medicaid-heavy revenue base.
The code mix is consistent with a Vascular & Interventional Radiology practice focused on outpatient venous interventions and high-volume vascular imaging: high-revenue procedure codes include 36465 (foam sclerotherapy), 36475/36478 (thermal ablation), and peripheral intervention codes such as 37229 and 37225, while diagnostic workload is concentrated in duplex ultrasound codes (93925, 93970, 93971, 93926). Together these codes suggest a service-line combining procedural venous treatment and supporting duplex vascular diagnostics rather than an emphasis on inpatient or broad interventional oncology work.
Medicare revenue is highly concentrated: the top 3 Medicare codes by revenue—37229 ($1.1M, 30.8%), 36465 ($822.3K, 22.1%), and 37225 ($590.7K, 15.9%)—account for 68.8% of this provider’s total Medicare revenue. This concentration indicates that a few high-revenue Medicare procedures drive most of the provider’s Medicare receipts.
Medicaid revenue is even more concentrated: the top 3 Medicaid codes—36465 ($2.9M, 60.2%), 36475 ($797.7K, 16.4%), and 93970 ($264.8K, 5.5%)—account for 82.1% of total Medicaid revenue. In practical terms, Medicaid revenue is dominated by venous procedure billing (particularly 36465), with a smaller but material contribution from duplex imaging.
The provider is a high-volume, specialist participant on national Medicare measures for several codes: 36465 ranks #5 of 989 providers nationally (100th percentile; extreme outlier), and duplex ultrasound CPTs such as 93925, 93970 and 93971 appear at the 100th percentile (extreme outlier) nationally. Those rank and percentile placements characterize the provider as an outlier for sclerotherapy and vascular ultrasound volumes in the Medicare population, while certain interventional codes like 37229 (rank #35 of 603, 94th percentile; typical) are strong but not exceptional.
State-level Medicaid rankings show clear dominance for venous work and duplex imaging: 36465 ranks #1 of 70 providers in-state (100th percentile; extreme outlier) and 93971 ranks #1 of 417 providers in-state (100th percentile; extreme outlier), while 36475 is also elevated (rank #5 of 45, 91th percentile). These positions indicate the provider is a leading in-state performer for sclerotherapy and unilateral duplex studies, suggesting market leadership for outpatient venous services in New York.
Operational metrics show extremely high claim volumes on lower-paid diagnostic codes that support procedural throughput: on Medicare the provider submitted 950 claims for 93970 ($167 avg paid/claim, $158.7K revenue) and 856 claims for 93925 ($219 avg paid/claim, $187.5K revenue), while on Medicaid the volumes are substantially larger (93971: 6.4K claims, $32 avg paid/claim, $203.7K revenue; 93970: 5K claims, $53 avg paid/claim, $264.8K revenue). The combination of very high ultrasound claim counts and concentrated procedural revenue indicates a high-throughput outpatient model where diagnostics feed a steady stream of venous interventions.
The provider has an established national billing presence with an NPI enumerated 2008-05-22 (~18 years ago), which supports interpretation that these concentrated procedural and diagnostic volumes likely reflect an established referral and service infrastructure rather than a recent change in practice mix. Tenure of ~18 years is consistent with the scale and leadership positions observed, particularly in state Medicaid rankings.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 140 | $8,260 | $1.1M |
| 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,… | 650 | $1,270 | $822.3K |
| 37225 | N/A | 120 | $4,840 | $590.7K |
| 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… | 860 | $220 | $187.5K |
| 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… | 950 | $170 | $158.7K |
| 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… | 1,440 | $80 | $116.4K |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 130 | $910 | $113.8K |
| 99204 | The provider sees a new 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 provider… | 740 | $150 | $110.3K |
| 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… | 860 | $110 | $97.8K |
| 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… | 800 | $110 | $89.1K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 6 | 50 | 30 | $7,190 | $395.3K |
| 37225 | 2 | 50 | 30 | $4,570 | $191.9K |
| 36465 | 1 | 80 | 50 | $1,240 | $101.4K |
| 37252 | 15 | 70 | 30 | $860 | $62.2K |
| 36478 | 21 | 40 | 20 | $910 | $38.3K |
| 36475 | 17 | 80 | 30 | $950 | $37.2K |
| 37253 | 10 | 60 | 80 | $160 | $25.1K |
| 36012 | 9 | 10 | 30 | $450 | $23.9K |
| 99214 | 1,070 | 30,450 | 90 | $100 | $19K |
| 37228 | 14 | 30 | 20 | $930 | $18.6K |
Showing 1–10 of 24
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.
27 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,… | 6,040 | $480 | $2.9M |
| 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… | 1,590 | $500 | $797.7K |
| 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… | 5,000 | $50 | $264.8K |
| 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… | 6,370 | $30 | $203.7K |
| 36478 | In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code… | 320 | $420 | $135K |
| 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… | 4,870 | $20 | $92.6K |
| 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… | 2,490 | $40 | $92.1K |
| 37229 | N/A | 110 | $590 | $63.8K |
| 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… | 2,600 | $20 | $57.2K |
| 99204 | The provider sees a new 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 provider… | 1,800 | $30 | $54.1K |
Showing 1–10 of 27
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 36478 | In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code… | 23 | 50 | 180 | $1,040 | $575K |
| 36466 | In this procedure, the provider injects a noncompounded foam sclerosing solution into multiple incompetent truncal veins under ultrasound guidance to guide the dispersion of foam, most commonly to… | 11 | 20 | 80 | $1,400 | $532.2K |
| 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,… | 1 | 70 | 260 | $840 | $463.1K |
| 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… | 5 | 50 | 140 | $1,050 | $459.2K |
| 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… | 2,664 | 19,110 | 360 | $70 | $321K |
| 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… | 1,935 | 16,550 | 220 | $90 | $186.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 4,365 | 5,420 | 210 | $70 | $154.3K |
| 99203 | The provider sees a new 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 provider… | 1,525 | 4,700 | 130 | $100 | $136.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,458 | 1,660 | 160 | $20 | $106.1K |
| 99204 | The provider sees a new 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 provider… | 297 | 3,820 | 100 | $130 | $99.7K |
Showing 1–10 of 27
Other providers in the same ZIP code as Rami Sartawi, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The New York And Presbyterian Hospital | NY | General Acute Care Hospital | $276.3K | $207.4M |
| Memorial Hospital For Cancer And Allied Diseases | NY | General Acute Care Hospital | $0 | $135.1M |
| Ruben Niesvizky | NY | Hematology & Oncology Physician | $3.1M | $12.4K |
| Sherif Heiba | NY | Nuclear Medicine Physician | $1.7M | $18.5K |
| Gregory Harmon | NY | Ophthalmology Physician | $1.4M | $54.2K |
| Douglas Brylka | NY | Radiology Clinic/Center | $1.3M | $0 |
| David Fox | NY | Vascular Surgery Physician | $859K | $77.5K |
| Mark Francescone | NY | Diagnostic Radiology Physician | $824K | $6.3K |
| Matthew Agee | NY | Diagnostic Radiology Physician | $740.7K | $4.3K |
| Lily Zou | NY | Diagnostic Radiology Physician | $714.5K | $0 |
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