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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSebastian Pagni
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    Sebastian Pagni — Billing Profile & Reimbursement Data

    NPI 1255384004 · Louisville, KY · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Sebastian Pagni is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Louisville, Kentucky. This profile covers 16 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
    OrganizationSebastian Pagni
    Address3900 Kresge Way
    CityLouisville
    StateKY
    ZIP40207
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$150K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…30$1,350$37.8K
    33533Coronary artery bypass, using arterial graft(s); single arterial graft30$1,080$32.4K
    33859The provider repairs an ascending aortic aneurysm using a graft. She initiates cardiopulmonary bypass during the procedure, which allows the patient's blood to bypass the heart and lungs. She may…10$1,730$19K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…30$560$15.8K
    33259In this procedure, at the same time as another cardiac procedure, the provider destroys extensive tissue of the atria of the heart causing an abnormal heart rhythm and then performs an extensive…20$630$9.4K
    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…70$110$7.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$170$5.5K
    33530The provider repeats a coronary artery bypass grafting procedure or valve procedure more than one month after the original surgery primarily due to failure of the original procedure.10$390$5K
    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…50$90$4.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$4.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    33533195020$930$24.3K
    3385911010$1,730$19K
    33361184030$570$14.9K
    3340511010$1,030$14.4K
    992145,1777,230110$70$14.1K
    992322,4952,860100$60$11.6K
    3325911010$550$7.7K
    3353011010$380$5K
    992046753,20030$100$4.8K
    992227502,07030$90$4.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Health Medical Group IncKYUrgent Care Clinic/Center$0$26.7M
    Irfan AfaqINSpecialist$84.2K$6M
    Richard SweetKYOrthopaedic Surgery Physician$540.9K$0
    Aaron ComptonKYInterventional Pain Medicine Physician$493.1K$0
    Bapineedu GondiINCardiovascular Disease Physician$488.9K$0
    Natalie LaneINFamily Nurse Practitioner$367.5K$0
    Tracy EicherOHNeurology Physician$350.1K$0
    Matthew KeithKYInterventional Cardiology Physician$348K$0
    Srinivasarao ManchikalapudiINInterventional Cardiology Physician$329.1K$0
    Shanker ChandiramaniKYCardiovascular Disease Physician$327.3K$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. Kentucky Distribution
    Sebastian Pagni — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky