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NPI 1336313170 · Germantown, TN · Vascular Surgery Physician
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Anton Dias Perera is a vascular surgery physician provider located in Germantown, Tennessee. This profile covers 32 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 | Anton Dias Perera |
| Address | 1385 W Brierbrook Rd |
| City | Germantown |
| State | TN |
| ZIP | 38138 |
| Taxonomy | Vascular Surgery Physician |
| NPI Enumerated | April 14, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $11.7K |
Payer mix is highly Medicare-centric: lifetime Medicare revenue is $2.2M versus Medicaid revenue of $11.7K, indicating the provider operates at Medicare scale and has only a trace Medicaid footprint. In practice this is effectively a single‑payer (Medicare) revenue base for commercial analysis and network contracting considerations.
Revenue concentration on Medicare is very high: the precomputed top three Medicare codes account for 69.9% of Medicare revenue, and those top three codes are 37227, 37229, and 37225. Each of those codes carries a high average paid/claim ($7559 for 37227, $5321 for 37229, $4450 for 37225), signaling that a small set of high‑value endovascular procedures drives most of the practice’s Medicare revenue.
The provider’s code mix and descriptions point to a peripheral endovascular intervention practice with strong intracoronary/lesion imaging support: in addition to core intervention codes (37227/37229/37225), the provider bills intravascular ultrasound add‑on codes 37252 and 37253 and angiographic imaging codes such as 75710 and 75625. The presence and relative ranking of these imaging/add‑on codes—37252 ranks notably above typical national volume (95th percentile) and 75710 ranks notably above typical national volume (98th percentile)—support a workflow that includes IVUS and angiographic supervision as routine parts of interventions.
High-volume noninvasive vascular testing and procedural guidance are central to operations: 93922 appears with 780 claims and is labeled an "extreme outlier" (100th percentile, rank #23 of 8082), and 93926 has 433 claims and is likewise an "extreme outlier" (100th percentile, rank #9 of 4305). These volumes, together with frequent use of 76937 (ultrasound guidance) which is an "extreme outlier" in Medicare (rank #110 of 12234, 99th percentile), indicate an in‑house vascular lab and frequent ultrasound‑guided access, enabling a high throughput of diagnostic and interventional cases.
Operational profile skews procedurally heavy versus E/M volume: office visit codes (99214, 99215, etc.) represent only a small fraction of Medicare revenue (99214 accounts for $12.1K) while high‑value procedural codes dominate. The Medicaid side mirrors this pattern at small scale (99214 is $2.1K of Medicaid revenue), reinforcing that the practice monetizes through procedures and diagnostic imaging rather than office visits.
Medicare competitive standing is mixed but strong for specific procedures: the provider ranks as a major national participant for 37227 (rank #12 of 363, 97th percentile) and shows "notably above typical" volume for several imaging and angiography codes (e.g., 37252 at the 95th percentile, 75710 at the 98th percentile). Other commonly billed codes are at typical national volumes, so the provider is a high-volume specialist for particular peripheral intervention procedures rather than a high-volume generalist across all vascular codes.
Medicaid presence is minimal and not a source of competitive strength in-state: the precomputed top three Medicaid codes account for 51.5% of Medicaid revenue but the total Medicaid pool is only $11.7K. Some Medicaid lines show nonzero claims with $0 average paid/claim (e.g., J3010, J2250, 80047, 36415) producing effectively no revenue for those services, which underscores that Medicaid contributes little to the provider’s financial scale and competitive positioning within Tennessee.
The provider has long tenure on file (NPI enumerated 2008-04-14, ~18 years ago), consistent with an established vascular surgery practice and likely stable referral flows. That longevity, paired with the concentrated, high‑value Medicare procedural mix and high diagnostic volumes, suggests an operational model built around a procedure‑centric vascular service line with durable demand for peripheral endovascular interventions and in‑house imaging capabilities.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37227 | N/A | 90 | $7,560 | $710.5K |
| 37229 | N/A | 90 | $5,320 | $494.9K |
| 37225 | N/A | 70 | $4,450 | $298.1K |
| 37231 | N/A | 30 | $8,130 | $211.4K |
| 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… | 180 | $670 | $122.7K |
| 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… | 260 | $170 | $42.4K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 780 | $50 | $37.4K |
| 93926 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to… | 430 | $90 | $36.8K |
| 36475 | In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for… | 50 | $790 | $36.1K |
| 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… | 190 | $130 | $23.7K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37227 | 2 | 20 | 20 | $7,550 | $279.3K |
| 37229 | 2 | 20 | 30 | $5,280 | $195.5K |
| 37231 | 2 | 10 | 20 | $8,320 | $191.3K |
| 37225 | 1 | 30 | 20 | $4,380 | $114K |
| 36475 | 15 | 40 | 40 | $750 | $49.6K |
| 37233 | 3 | 10 | 20 | $740 | $34.2K |
| 37252 | 2 | 20 | 30 | $590 | $30.7K |
| 99214 | 5,352 | 11,370 | 120 | $80 | $16.6K |
| 37253 | 2 | 20 | 90 | $110 | $10.7K |
| 99215 | 1,035 | 2,710 | 40 | $110 | $8.3K |
Showing 1–10 of 32
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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 |
|---|---|---|---|---|
| 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… | 10 | $180 | $2.3K |
| 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… | 140 | $20 | $2.1K |
| 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… | 60 | $20 | $1.5K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 140 | $10 | $1.1K |
| 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… | 10 | $70 | $900 |
| 93926 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to… | 50 | $10 | $760 |
| 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… | 20 | $40 | $650 |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 100 | $10 | $510 |
| 99153 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice… | 100 | $10 | $510 |
| 99205 | The 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… | 10 | $40 | $440 |
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How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee 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… | 2,712 | 3,760 | 610 | $40 | $202.3K |
| 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… | 5 | 10 | 80 | $140 | $57.3K |
| 99215 | The 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… | 542 | 660 | 190 | $60 | $53.3K |
| 99205 | The 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… | 198 | 200 | 70 | $100 | $31.7K |
| 80047 | The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,… | 20 | 30 | 520 | $10 | $17.6K |
| 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… | 48 | 50 | 90 | $40 | $16.9K |
| 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… | 5 | 10 | 80 | $30 | $9.5K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 44 | 110 | 100 | $10 | $7.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,143 | 1,480 | 410 | $1 | $7.4K |
| 93926 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to… | 6 | 10 | 50 | $20 | $7.2K |
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Other providers in the same ZIP code as Anton Dias Perera, ranked by combined Medicare and Medicaid revenue.
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