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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHernan Vargas
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    Hernan Vargas — Billing Profile & Reimbursement Data

    NPI 1285743146 · Fairfax, VA · Surgery Physician

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    Hernan Vargas is a surgery physician provider located in Fairfax, Virginia. 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
    OrganizationHernan Vargas
    Address3650 Joseph Siewick Dr Ste 200
    CityFairfax
    StateVA
    ZIP22033
    TaxonomySurgery Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$108.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.50$710$34.6K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.60$400$23.8K
    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…150$70$10.4K
    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…50$190$9.4K
    14302At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…40$190$7.5K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…30$200$5.8K
    99215The provider sees an established 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…30$150$5K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.50$80$3.6K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…30$120$3.4K
    19285In this procedure, the provider uses ultrasound guidance to place a device for breast lesion localization, such as a clip, metallic pellet, wire/needle, or radioactive seeds. Use this code for the…60$40$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
    9921412,58412,890140$80$21K
    1430143020$750$19.5K
    1930187030$530$18.5K
    1430261040$170$11.1K
    992134,38112,44090$60$10K
    992152,2324,03040$120$9.5K
    38525206020$240$6K
    992046,3646,85040$110$5.9K
    992053731,62030$150$5.7K
    7664216627070$40$3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory SibleyVARadiation Oncology Physician$2.5M$0
    Harold AgbahiweVARadiation Oncology Physician$2.4M$0
    Mitul GandhiVAHematology & Oncology Physician$1.9M$0
    Robert MarshVAHematology & Oncology Physician$1.6M$120
    Tejas SureshVAHematology & Oncology Physician$1.6M$0
    Samuel LeeVAHematology & Oncology Physician$1.6M$0
    Geoffrey MoorerVAHematology & Oncology Physician$1.4M$670
    Alina HuangVAHematology & Oncology Physician$1.4M$0
    Ajay DarVAMedical Oncology Physician$1.3M$0
    Jey MaranVAHematology & Oncology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$33.5M
    Trusted Doctors LLCVAPediatrics Physician$0$13.6M
    Apollo Home Healthcare LLCVAHome Health Agency$0$12.2M
    Daniel ChongVAHematology & Oncology Physician$1.1M$0
    Northern Virginia Surgery Center LLCVAAmbulatory Surgical Clinic/Center$953.6K$54.4K
    Metropolitan Laboratory Services IncVAClinical Medical Laboratory$878.7K$63.4K
    Jeffrey ScottVAMOHS-Micrographic Surgery Physician$875.4K$0
    Malgorzata GradzkaVARheumatology Physician$764.7K$0
    Bradley BoydVAOrthopaedic Surgery Physician$573.8K$0
    Mitchell StashowerVASpecialist$379.6K$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.

    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. Virginia Distribution
    Hernan Vargas — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia