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NPI 1316948565 · Hinsdale, IL · Vascular & Interventional Radiology Physician
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Paramjit Chopra is a vascular & interventional radiology physician provider located in Hinsdale, Illinois. This profile covers 29 Medicare and 17 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 | Paramjit Chopra |
| Address | 12 Salt Creek Ln Ste 104 |
| City | Hinsdale |
| State | IL |
| ZIP | 60521 |
| Taxonomy | Vascular & Interventional Radiology Physician |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.7M |
| Medicaid | $82.9K |
Practice profile and service line: PARAMJIT CHOPRA’s billing mix is concentrated in peripheral endovascular procedures consistent with a Vascular & Interventional Radiology practice. The top Medicare revenue drivers are procedure codes 37231, 37227, and 37229, and the presence of intravascular ultrasound add-on codes 37252 and 37253 indicates routine use of IVUS during stent/angioplasty procedures and complex endovascular work. Support codes such as 93925/93970 duplex arterial and venous studies and 76937 ultrasound guidance further confirm a procedure-heavy, image-guided vascular service line.
Medicare revenue concentration: The provider’s top three Medicare codes (37231, 37227, 37229) account for 79.5% of total Medicare revenue, indicating heavy dependency on a small set of high-revenue peripheral intervention procedures. This concentration suggests that changes to reimbursement or referral patterns for these specific codes would materially affect overall Medicare revenue.
Medicaid revenue concentration: On Medicaid the top three codes (37231, 37227, 99309) account for 76.1% of the provider’s Medicaid revenue, with 37231 alone representing 54.3% of Medicaid revenue. Medicaid billing also skews toward the same peripheral intervention codes, though the absolute Medicaid revenue is much smaller.
Payer mix and scale: This provider is effectively Medicare-dominant: total Medicare revenue is $4.7M versus total Medicaid revenue of $82.9K, so Medicare accounts for the overwhelming share of billed revenue. Medicaid exists as a minor payer relationship in scale but mirrors the same procedural focus as Medicare.
National competitive standing (Medicare): PARAMJIT CHOPRA ranks as a national outlier on several high-value peripheral codes — 37231 and 37227 both rank #1 nationally and are labeled “extreme outlier” (100th percentile), while 37229 ranks in the 95th percentile. Additional procedure and support codes such as 37252 (99th percentile, described as an extreme outlier) and 75710 (99th percentile, extreme outlier) reinforce a pattern of volumes far above typical national peers for multiple peripheral intervention services.
State competitive standing (Medicaid): For Medicaid, 37231, 37227, and 37229 appear as the only in-state reporters for those codes (ranked #1 of 1 with no state peer volume comparison available), so there is effectively no in-state peer benchmark for the highest-revenue Medicaid items. For other Medicaid codes like 37253 and 37252 the provider ranks #3 of 6 in-state (60th percentile), indicating middling relative volume among the smaller in-state set for IVUS add-ons.
Procedure adjuncts and care setting mix: The combination of high-volume IVUS add-on codes (37252, 37253), angiographic supervision codes (75710, 75736), and noninvasive vascular testing (93925, 93923, 93970) indicates an integrated workflow that combines catheter-based interventions, intravascular imaging, and duplex diagnostics within episode-based peripheral vascular care. The presence of nursing facility E/M codes (99309, 99306, etc.) in both payers suggests the practice also dedicates capacity to post-procedure or longitudinal facility-based follow-up evaluations, particularly in Medicaid where 99309 represents 10.2% of Medicaid revenue.
Tenure and practice stability: The NPI was enumerated on 2005-08-09 (~21 years ago), indicating a long-tenured billing history that aligns with sustained high-volume specialization in peripheral vascular interventions. Long tenure combined with repeated extreme-outlier ranks on multiple high-revenue codes suggests an established referral footprint and procedural throughput in this clinical niche.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37231 | N/A | 160 | $9,910 | $1.5M |
| 37227 | N/A | 220 | $6,810 | $1.5M |
| 37229 | N/A | 140 | $5,120 | $726.6K |
| 37225 | N/A | 80 | $3,740 | $280.4K |
| 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… | 300 | $800 | $242K |
| 37220 | N/A | 100 | $1,060 | $104.7K |
| 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… | 380 | $150 | $55K |
| 36465 | In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,… | 40 | $1,040 | $42.5K |
| 37233 | N/A | 50 | $890 | $41.6K |
| 37221 | N/A | 30 | $1,400 | $37.9K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37231 | 1 | 10 | 90 | $9,780 | $841.2K |
| 37227 | 1 | 10 | 30 | $7,010 | $378.3K |
| 37229 | 1 | 10 | 30 | $4,800 | $201.6K |
| 37225 | 1 | 20 | 20 | $3,030 | $78.7K |
| 36465 | 22 | 50 | 40 | $1,050 | $71.2K |
| 37220 | 1 | 10 | 60 | $950 | $54.2K |
| 99309 | 585 | 1,400 | 180 | $80 | $29.5K |
| 37252 | 1 | 30 | 40 | $570 | $28K |
| 37233 | 1 | 10 | 30 | $850 | $27.9K |
| 99308 | 1,082 | 1,290 | 200 | $50 | $26.1K |
Showing 1–10 of 29
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37231 | N/A | 140 | $320 | $44.8K |
| 37227 | N/A | 110 | $90 | $9.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 340 | $30 | $8.4K |
| 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 | $20 | $5K |
| 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… | 320 | $10 | $4.4K |
| 37229 | N/A | 150 | $30 | $3.9K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 20 | $70 | $1.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 20 | $50 | $1.1K |
| 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… | 110 | $10 | $900 |
| 75710 | Angiography 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… | 270 | $1 | $800 |
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How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 14,056 | 14,680 | 300 | $50 | $48.7K |
| 37231 | N/A | 1 | 10 | 140 | $320 | $44.9K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 819 | 1,540 | 410 | $20 | $30.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 445 | 540 | 100 | $30 | $12.9K |
| 37227 | N/A | 1 | 10 | 110 | $90 | $9.6K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 321 | 400 | 60 | $40 | $9.4K |
| 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… | 15 | 50 | 70 | $20 | $8.4K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 199 | 260 | 80 | $20 | $7K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 388 | 540 | 140 | $10 | $7K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 369 | 380 | 50 | $30 | $6.9K |
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Other providers in the same ZIP code as Paramjit Chopra, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Joann Hutto | IL | Anatomic Pathology & Clinical Pathology Physician | $177.8K | $2.5M |
| Raphael Borok | IL | Anatomic Pathology & Clinical Pathology Physician | $153.6K | $2.3M |
| Hinsdale Surgical Center, LLC | IL | Ambulatory Surgical Clinic/Center | $1.2M | $0 |
| Sudarshan Sharma | IL | Gynecologic Oncology Physician | $1.1M | $330 |
| Scott Zahner | IL | MOHS-Micrographic Surgery Physician | $878.4K | $0 |
| Collins Fitzpatrick | IL | Physical Medicine & Rehabilitation Physician | $280.2K | $518.1K |
| Steven Goulder | IL | MOHS-Micrographic Surgery Physician | $749.4K | $0 |
| Farooq Khan | IL | Interventional Pain Medicine Physician | $578.9K | $260 |
| Ghassan Aldurra | IL | Psychiatry Physician | $192.7K | $359.3K |
| Agnieszka Piotrowski | IL | Anatomic Pathology & Clinical Pathology Physician | $52.5K | $473K |
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