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    Erion Qaja — Billing Profile & Reimbursement Data

    NPI 1396185328 · Poughkeepsie, NY · Vascular Surgery Physician

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    Erion Qaja is a vascular surgery physician provider located in Poughkeepsie, New York. This profile covers 27 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationErion Qaja
    Address21 Reade Pl Ste 2200
    CityPoughkeepsie
    StateNY
    ZIP12601
    TaxonomyVascular Surgery Physician
    NPI EnumeratedJuly 5, 2013

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

    Payer SourceTotal Paid
    Medicare$198K
    Medicaid$200

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…390$80$30.1K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…120$160$18.8K
    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…180$110$18.5K
    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…90$180$15.6K
    35301The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.10$880$12.3K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…80$160$12.1K
    37228N/A20$470$9.8K
    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…60$150$9.2K
    93926The 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…80$110$8.6K
    36821The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…10$590$8.2K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    369026711040$970$88.6K
    992149,73030,45090$100$19K
    3722893020$930$18.6K
    37226122020$880$15.8K
    938804411,73050$140$14.5K
    9392558071040$180$13.9K
    9923211,51411,85080$70$13.8K
    35301183020$780$13.3K
    36821173020$640$12.8K
    9921329,64331,44080$70$12.1K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…10$10$200

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…31137090$60$25.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Pejman RohaniMDVascular Surgery Physician$1M$0
    Sami SibaiILDiagnostic Radiology Physician$184.8K$846.8K
    Josmi JosephNYHospitalist Physician$680.9K$61.4K
    Peter HanNYRadiation Oncology Physician$713.3K$0
    Susan GingrichRIHematology & Oncology Physician$640.9K$910
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Ehab YoussefMIDiagnostic Radiology Physician$613.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vassar Brothers HospitalNYGeneral Acute Care Hospital$0$39.3M
    Emergency Physician Services Of New York, P.C.NYEmergency Medicine Physician$0$33.9M
    Family Services, Inc.NYMental Health Clinic/Center (Including Community Mental Health Center)$0$22.6M
    Westchester County Health Care CorporationNYGeneral Acute Care Hospital$0$19.6M
    21 Reade Place Asc LLCNYEndoscopy Clinic/Center$859.4K$1.7M
    Ramamohana KancherlaNYHematology & Oncology Physician$2M$28.7K
    Howard KaplanNYRetina Specialist (Ophthalmology) Physician$1.9M$11.9K
    Nancy Miller-riveroNYRetina Specialist (Ophthalmology) Physician$1.4M$0
    Central New York Eye Center, LtdNYClinic/Center$1.2M$227.6K
    Michael MarescaNYHematology & Oncology Physician$1.4M$9.5K

    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. New York Distribution
    Erion Qaja — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Erion Qaja — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York