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    OpenPayerNPI Medicare & MedicaidKent Hootman
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    Kent Hootman — Billing Profile & Reimbursement Data

    NPI 1194707943 · Albuquerque, NM · Diagnostic Radiology Physician

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    Kent Hootman is a diagnostic radiology physician provider located in Albuquerque, New Mexico. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKent Hootman
    Address700 Lomas Blvd Ne Bldg 1
    CityAlbuquerque
    StateNM
    ZIP87102
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 17, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$504.4K
    Medicaid$0

    Key Findings

    Practice mix and service line: The provider’s taxonomy is Diagnostic Radiology Physician and the Medicare code mix shows a concentration in endovascular and image‑guided vascular work rather than general outpatient imaging. High‑revenue items include 37229 ($162.8K, 29 claims, $5615 avg paid/claim) and intravascular ultrasound add‑on codes such as 37252 (69 claims, $44.9K, $650 avg paid/claim), indicating the provider performs supervision/interpretation for interventional peripheral vascular procedures and uses IVUS in the procedural workflow.

    Revenue concentration: Three codes drive most of the Medicare take — 37229 ($162.8K, 32.3%), 37227 ($114.9K, 22.8%), and 37225 ($78.5K, 15.6%) — which together account for 70.7% of this provider’s total Medicare revenue. This concentration signals that a small set of vascular procedure codes are the primary revenue drivers for the practice.

    Payer mix and scale: This profile is effectively single‑payer at the claim level — the provider reports $504.4K in total Medicare revenue and has no Medicaid billing on file (none). The practice appears modest in scale based on the single‑payer revenue total, with operations disproportionately dependent on Medicare procedural volume.

    Competitive standing by code: For the highest‑revenue code 37229 the provider ranks #283 of 603 nationally (52nd percentile) and is described as having typical, unremarkable volume; by contrast 37227 ranks #258 of 363 (24th percentile) and 37225 ranks #441 of 715 (34th percentile), both indicating below‑median national volumes. These ranks suggest the provider is not a dominant national player for the principal reimbursement codes but maintains standard activity on at least one high‑value code.

    Selective above‑typical activity in procedural support: Several ancillary and supervision codes show above‑typical national percentiles — 75710 (70 claims, $7.5K, ranks #243 of 2352, 90th percentile) and 37252 (69 claims, $44.9K, ranks #229 of 1088, 79th percentile) — implying a stronger competitive position for radiologic supervision of angiography and for IVUS use relative to peers. This pattern points to a practice that focuses on hands‑on procedural imaging rather than high volume of basic diagnostic reads.

    Sedation and procedural monitoring footprint: The provider bills substantial quantities of moderate‑sedation services: 99153 appears 460 times ($3.2K total revenue, $7 avg paid/claim) and ranks #66 of 1780 providers (96th percentile), while 99152 also appears in the mix (79 claims, $2.7K). High percentiles for these CPTs indicate frequent involvement in procedures requiring monitored sedation and an established process for sedation billing alongside interventional cases.

    Intravascular imaging usage signal: The presence and revenue share of intravascular ultrasound add‑on codes — 37252 ($44.9K, 8.9% of Medicare revenue) and 37253 ($11.9K, 2.4%) — show routine use of IVUS during non‑coronary endovascular procedures. The combination of these add‑on codes and their mid‑to‑high national percentiles (37252 at the 79th percentile, 37253 at the 67th) supports the conclusion that advanced intraprocedural imaging is a consistent component of the provider’s service mix.

    Tenure and potential stability: The NPI was enumerated on 2005-11-17 (~21 years ago), indicating long tenure in the Medicare program which may reflect established referral relationships and sustained participation in interventional radiology workflows. Long enumeration combined with the concentrated code profile suggests a stable, procedure‑focused practice rather than a recently diversified or generalist imaging operation.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A30$5,620$162.8K
    37227N/A20$7,180$114.9K
    37225N/A20$4,130$78.5K
    37228N/A20$2,160$51.8K
    37252In 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…70$650$44.9K
    37232N/A30$580$18.4K
    37253In 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…100$120$11.9K
    75710Angiography 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…70$110$7.5K
    75774Angiography 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…80$70$5.4K
    99153The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…460$10$3.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722711020$7,180$114.9K
    3722931030$1,530$55K
    3722531030$1,010$26.2K
    3722811020$990$17.8K
    3725211030$250$9.2K
    3723211020$340$8.2K
    37253210100$80$6.9K
    7577441090$60$6.4K
    7571021030$80$3.2K
    99152399070$20$1.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Imaging LLCNMDiagnostic Radiology Physician$0$5.4M
    Ryan K Anderson D P M P CUTFoot & Ankle Surgery Podiatrist$0$3.5M
    Patrick RyanCADiagnostic Radiology Physician$722.4K$0
    Shawn IsaeffUTVascular & Interventional Radiology Physician$668K$0
    Sandeep RaoAZVascular & Interventional Radiology Physician$634.9K$0
    Ali GolshanCAVascular & Interventional Radiology Physician$634.3K$480
    Aaron FrodshamUTVascular & Interventional Radiology Physician$484K$0
    Brian ZernichAZDiagnostic Radiology Physician$449.7K$0
    Paul RochonCOVascular & Interventional Radiology Physician$420.6K$0
    Brett WeitzelNMDiagnostic Radiology Physician$392.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricore Reference LaboratoriesNMClinical Medical Laboratory$0$64.8M
    Bright Horizons, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$46.9M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$45.2M
    Tricore Inc.NMClinical Medical Laboratory$7M$35.8M
    App Of New Mexico Ed PLLCNMEmergency Medicine Physician$0$42M
    Duke City Recovery Toolbox LLCNMCommunity/Behavioral Health Agency$108.4K$28M
    Metro Treatment Of New Mexico LPNMMethadone Clinic$220.4K$27.9M
    Enchanted Care Solutions, LLCNMHome Health Agency$0$25.8M
    Open Skies HealthcareNMCommunity/Behavioral Health Agency$0$23.8M
    Krossroads Integrative Health And Recovery Solutions IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Kent Hootman — 5 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico