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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRafael Malgor
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    Rafael Malgor — Billing Profile & Reimbursement Data

    NPI 1205078912 · Aurora, CO · Vascular Surgery Physician

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    Rafael Malgor is a vascular surgery physician provider located in Aurora, Colorado. This profile covers 14 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
    OrganizationRafael Malgor
    Address12605 E 16th Ave
    CityAurora
    StateCO
    ZIP80045
    TaxonomyVascular Surgery Physician
    NPI EnumeratedMarch 26, 2009

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

    Payer SourceTotal Paid
    Medicare$22.3K
    Medicaid$0

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…70$60$4.3K
    99214The 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…40$100$4.3K
    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…50$50$2.8K
    99203The 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…30$80$2.4K
    93971The 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…30$70$2.3K
    99204The 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…10$120$1.5K
    34713During the performance of a primary vascular procedure, the provider makes a small incision through the skin (percutaneous) and femoral artery and, typically using ultrasound guidance, inserts a 12F…10$110$1.5K
    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…20$70$1.5K
    93880Duplex 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…20$30$590
    93978The 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…10$20$300

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3725292020$550$15.4K
    992145,5388,16080$80$11.3K
    3725371050$110$6.7K
    992133,5037,20070$60$6.6K
    992043,1673,67030$110$4.7K
    93923466030$80$4K
    93978314030$110$3.8K
    93990232030$80$3.6K
    992031,2652,65030$70$3.1K
    9388012123030$70$3.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKPediatrics Physician$0$43.2M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKInternal Medicine Physician$0$15.6M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKProfessional Counselor$0$10.3M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKPediatrics Physician$0$3.1M
    Board Of Regents Of The University Of Oklahoma Ou Physicians TulsaOKMulti-Specialty Clinic/Center$0$1.8M
    Michael GoldOKGynecologic Oncology Physician$615.7K$0
    Harry MaCTVascular Surgery Physician$409.1K$0
    Narottam RegmiOKNephrology Physician$293.7K$0
    Pranay KathuriaOKNephrology Physician$270K$0
    Ryan KoonceCOAdult Reconstructive Orthopaedic Surgery Physician$260.7K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Rafael Malgor — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado