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NPI 1144320128 · Union, NJ · Cardiovascular Disease Physician
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Anjum Tanwir is a cardiovascular disease physician provider located in Union, New Jersey. This profile covers 41 Medicare and 1 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 | Anjum Tanwir |
| Address | 1620 Us Highway 22e |
| City | Union |
| State | NJ |
| ZIP | 07083 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | September 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $1.3K |
Medicare dominates this provider’s billing footprint: Total Medicare revenue is $2.5M compared with total Medicaid revenue of $1.3K, so the practice is effectively Medicare-driven and has only minimal Medicaid activity on file. The Medicaid revenue is entirely from one code (93925), which accounts for 100.0% of the provider’s Medicaid receipts, underscoring a very limited Medicaid presence relative to Medicare.
Revenue is highly concentrated in a small set of Medicare procedure codes: the precomputed top 3 Medicare codes by revenue account for 72.3% of this provider’s total Medicare revenue, led by 37229 (48.0%), followed by 37225 (18.3%) and 37227 (6.0%). This concentration indicates the provider’s financial performance is tightly linked to a few high-value endovascular/interventional codes.
The code mix and descriptions point to a procedural vascular/interventional service line as the core operation: the top Medicare codes (37229, 37225, 37227) are from the endovascular intervention family and are accompanied by intravascular ultrasound add‑ons (37252, 37253) and angiographic supervision codes (75774, 75710), suggesting integrated interventional procedures with on‑site imaging and procedural support. Complementary diagnostic and imaging services (93925 duplex arterial scans, 93306 echocardiography, and 75630 aortoiliac radiologic imaging) appear in the top code list, consistent with a practice that combines interventions with peri‑procedural vascular diagnostics.
Competitive standing across specific Medicare codes is mixed: 37225 ranks #28 of 715 nationally (96th percentile) and is labeled "notably above typical national volume for this code," indicating materially higher-than-typical volume for that procedure. By contrast 37229, while contributing 48.0% of Medicare revenue and ranking #27 of 603 (96th percentile), is described in the source as "typical, unremarkable volume for this code," and 37227 ranks #294 of 363 (12th percentile) with a similar "typical, unremarkable" label—together these signals show strength on select procedures but an uneven national footprint across the 372xx family.
Certain imaging and diagnostic codes are standout volume signals: 75630 (abdominal aorta and iliofemoral radiologic imaging) ranks #3 of 221 providers nationally (99th percentile) and is explicitly called an "extreme outlier, far above typical national volume for this code," which suggests an outsized local or referral volume for aortoiliac imaging. Medicare duplex ultrasound 93925 also shows elevated Medicare activity (275 claims, ranks #256 of 10098, 97th percentile) and appears as the sole Medicaid code (74 claims, $1.3K, in-state rank #52 of 84, 39th percentile; labeled "typical, unremarkable volume"), indicating strong procedural use for Medicare but only modest Medicaid diagnostic work.
High ambulatory and inpatient E/M throughput supports the procedural caseload: 99214 (856 claims, $87.3K, 3.5% of Medicare revenue) ranks in the 97th percentile and is labeled "notably above typical national volume," while 99232 (781 claims, $53.1K, 2.1% of Medicare revenue) ranks in the 96th percentile with the same label. These elevated E/M volumes suggest an active clinic and hospital follow‑up practice that likely generates referrals and longitudinal management for the interventional service line.
Tenure and likely established referral relationships are consistent with the billing profile: the NPI was enumerated 2006-09-22 (~20 years ago), indicating a long-standing presence in the market that aligns with the provider’s concentrated high-volume procedural billing and the presence of high-rank imaging codes. Long tenure combined with concentrated procedure revenue is typical of specialists who have an established procedural referral base.
From a business risk and opportunity perspective, the provider’s heavy dependence on a few high-revenue Medicare procedure codes (top 3 = 72.3% of Medicare revenue) and an effectively negligible Medicaid revenue stream ($1.3K) create both leverage and vulnerability: favorable reimbursement or referral patterns for those core procedures could sustain revenues, but any adverse changes in utilization, payer mix, or reimbursement for those specific codes could materially affect the practice’s revenue. The presence of extreme outlier imaging volume for 75630 also indicates an opportunity to codify and manage that niche imaging capacity as a differentiator within the local market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 150 | $7,980 | $1.2M |
| 37225 | N/A | 110 | $4,250 | $455.2K |
| 37227 | N/A | 10 | $10,600 | $148.4K |
| 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… | 160 | $900 | $141.7K |
| 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 | $100 | $87.3K |
| 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… | 280 | $210 | $56.9K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 780 | $70 | $53.1K |
| 37253 | 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… | 320 | $160 | $49.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 290 | $160 | $45.8K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 100 | $400 | $40.9K |
Showing 1–10 of 41
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37227 | 13 | 20 | 20 | $9,660 | $425.1K |
| 37229 | 4 | 30 | 30 | $6,870 | $370.7K |
| 37225 | 2 | 30 | 30 | $5,350 | $176.7K |
| 37252 | 6 | 50 | 50 | $830 | $59.6K |
| 99309 | 1,241 | 1,400 | 210 | $80 | $37.5K |
| 93306 | 361 | 990 | 220 | $100 | $25.8K |
| 99214 | 701 | 13,640 | 130 | $90 | $23.6K |
| 99233 | 1,169 | 4,270 | 110 | $100 | $22.5K |
| 37253 | 5 | 40 | 80 | $150 | $21.8K |
| 78452 | 170 | 650 | 60 | $240 | $19.9K |
Showing 1–10 of 41
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $20 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 52 | 80 | 120 | $60 | $38.1K |
Other providers in the same ZIP code as Anjum Tanwir, ranked by combined Medicare and Medicaid revenue.
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