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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElie Semaan
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    Elie Semaan — Billing Profile & Reimbursement Data

    NPI 1336208792 · Springfield, MA · Vascular Surgery Physician

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    Elie Semaan is a vascular surgery physician provider located in Springfield, Massachusetts. This profile covers 18 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
    OrganizationElie Semaan
    Address300 Stafford St Ste 210
    CitySpringfield
    StateMA
    ZIP01104
    TaxonomyVascular Surgery Physician
    NPI EnumeratedDecember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$51.7K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…170$100$16.1K
    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…50$130$6K
    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…40$140$6K
    36247Angiography 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…20$230$5.5K
    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$4.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$140$3.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$100$1.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$1.3K
    99443N/A10$80$1.2K
    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…20$60$1.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    37252212040$720$36.1K
    3624881020$90$22.5K
    36247112020$480$20K
    992145,44315,410110$80$15.6K
    992333,7994,17070$100$12.6K
    37253152070$140$10.7K
    992324,7505,40070$60$9.3K
    992153,0436,36040$120$8.9K
    992232,9004,43030$140$7.6K
    9388022136050$70$6.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverbend Medical Group, Inc.MAInternal Medicine Physician$0$38.8M
    Berkshire Faculty Services IncMAMulti-Specialty Clinic/Center$0$13.1M
    Appledore Medical Group, IncNHInternal Medicine Physician$0$1.4M
    Frisbie Memorial HospitalNHSpecialist$0$1.2M
    Yoko FukudaNHHematology & Oncology Physician$945K$0
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Eleanor SullivanMACardiovascular Disease Physician$782.1K$0
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K
    Ayobami OjutalayoMAFamily Medicine Physician$521.7K$1.6K
    Roy BryanCADiagnostic Radiology Physician$417.1K$90

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Network IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$238.6M
    Gandara Mental Health Center IncMAMental Health Counselor$0$133.1M
    Behavioral Health Network, IncMAMethadone Clinic$1.3M$108.4M
    The Mercy Hospital IncMAGeneral Acute Care Hospital$0$98.9M
    Behavioral Health Network, IncMAAdult Day Care Clinic/Center$0$76.5M
    American Medical Response Of Massachusetts IncMAAmbulance$8.7M$51.7M
    Greater Springfield Senior Services, Inc.MACase Management Agency$0$55.1M
    Viability, Inc.MAAdult Care Home Facility$0$46.8M
    International Health Solutions,incMAHome Health Agency$0$27.3M
    Greater Springfield Senior Services, Inc.MACase Management Agency$0$25.4M

    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. Massachusetts Distribution
    Elie Semaan — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts