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NPI 1437470762 · Chula Vista, CA · Vascular Surgery Physician
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Sergio Casillas Berumen is a vascular surgery physician provider located in Chula Vista, California. This profile covers 10 Medicare and 9 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 | Sergio Casillas Berumen |
| Address | 1111 Broadway Ste 305 |
| City | Chula Vista |
| State | CA |
| ZIP | 91911 |
| Taxonomy | Vascular Surgery Physician |
| NPI Enumerated | June 22, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $28.9K |
| Medicaid | $7.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 110 | $60 | $6.6K |
| 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… | 40 | $130 | $4.6K |
| 99203 | The provider sees a new 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 provider… | 50 | $90 | $4.3K |
| 93923 | Noninvasive 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.… | 40 | $70 | $3K |
| 93971 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited… | 30 | $90 | $2.3K |
| 93986 | The provider performs a duplex ultrasound scan of the arteries and veins in one upper extremity to assess vascular supply and venous return in the arm prior to establishing hemodialysis access. | 20 | $100 | $2.1K |
| 93880 | Duplex 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… | 20 | $140 | $2.1K |
| 93924 | The provider assesses blood flow in the arteries of the legs before and after exercise using various techniques, such as bidirectional Doppler waveform analysis, or volume plethysmography, and… | 20 | $120 | $1.9K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 10 | $130 | $1.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $40 | $670 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93924 | 62 | 80 | 60 | $130 | $15.4K |
| 99213 | 14,879 | 34,660 | 80 | $70 | $13.2K |
| 93880 | 1,952 | 2,230 | 40 | $130 | $10.7K |
| 93923 | 200 | 410 | 40 | $100 | $10.3K |
| 93970 | 1,283 | 2,290 | 40 | $100 | $8.4K |
| 99203 | 4,378 | 12,740 | 30 | $80 | $4.6K |
| 36589 | 145 | 160 | 20 | $140 | $3.8K |
| 99212 | 6,300 | 7,970 | 30 | $40 | $3.4K |
| 93971 | 1,273 | 1,890 | 40 | $50 | $3.2K |
| 93986 | 2 | 10 | 20 | $90 | $2.1K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 290 | $20 | $5.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 90 | $10 | $690 |
| 99204 | The 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… | 10 | $50 | $630 |
| 99203 | The provider sees a new 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 provider… | 10 | $30 | $460 |
| 93923 | Noninvasive 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 | $40 | $460 |
| 1036F | N/A | 30 | $0 | $0 |
| 1159F | No Summary found for this code | 50 | $0 | $0 |
| 1160F | No Summary found for this code | 50 | $0 | $0 |
| 3008F | No Summary found for this code | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 9,341 | 14,520 | 760 | $10 | $122.8K |
| 99204 | The 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… | 5,288 | 5,870 | 180 | $70 | $73K |
| 99203 | The provider sees a new 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 provider… | 5,007 | 5,590 | 180 | $50 | $62.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 4,058 | 5,600 | 440 | $10 | $44.4K |
| 93923 | Noninvasive 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.… | 162 | 180 | 90 | $50 | $12.6K |
| 3008F | No Summary found for this code | 2,107 | 2,170 | 650 | $1 | $470 |
| 1159F | No Summary found for this code | 1,160 | 1,430 | 490 | $1 | $300 |
| 1036F | N/A | 1,028 | 1,240 | 390 | $1 | $150 |
| 1160F | No Summary found for this code | 1,144 | 1,440 | 480 | $1 | $90 |
Other providers in the same ZIP code as Sergio Casillas Berumen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sharp Chula Vista Medical Center | CA | General Acute Care Hospital | $0 | $137.6M |
| Cardiovascular Institute Of San Diego Inc | CA | Cardiovascular Disease Physician | $0 | $129.2M |
| California Retina Associates, LP | CA | Ophthalmology Physician | $0 | $42.5M |
| Centro De Salud De La Comunidad De San Ysidro, Inc. | CA | Federally Qualified Health Center (FQHC) | $0 | $24.1M |
| Surgery Center Of California -llc | CA | Ambulatory Surgical Clinic/Center | $1.4M | $2.9M |
| Mehran Moussavian | CA | Interventional Cardiology Physician | $3M | $67.3K |
| Marilyn Norton | CA | Hematology & Oncology Physician | $1.6M | $1.4K |
| San Diego Treatment Services, LLC | CA | Methadone Clinic | $391.4K | $1.2M |
| Milind Parikh | CA | Cardiovascular Disease Physician | $746.5K | $0 |
| James Kim | CA | Cardiovascular Disease Physician | $677.3K | $33.8K |
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