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NPI 1457357295 · Altoona, PA · Cardiovascular Disease Physician
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Ziad Khoury is a cardiovascular disease physician provider located in Altoona, Pennsylvania. This profile covers 42 Medicare and 6 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 | Ziad Khoury |
| Address | 1915 Valley View Blvd |
| City | Altoona |
| State | PA |
| ZIP | 16602 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | June 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $151.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37227 | N/A | 20 | $8,400 | $184.8K |
| 37229 | N/A | 30 | $5,740 | $183.6K |
| 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… | 1,780 | $90 | $160.3K |
| 37225 | N/A | 30 | $4,860 | $121.5K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 140 | $460 | $63K |
| 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… | 290 | $170 | $50.5K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 340 | $140 | $46.1K |
| 36247 | 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… | 30 | $1,500 | $45K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 140 | $330 | $44.5K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 100 | $210 | $21.6K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
42 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37227 | 7 | 10 | 30 | $6,930 | $221.7K |
| 37229 | 4 | 10 | 30 | $5,080 | $162.4K |
| 37225 | 5 | 10 | 30 | $3,680 | $92.1K |
| 93229 | 47 | 60 | 40 | $680 | $65.2K |
| 36478 | 4 | 10 | 30 | $740 | $59.7K |
| 93306 | 303 | 1,130 | 220 | $70 | $19.1K |
| 36247 | 16 | 40 | 20 | $390 | $16.6K |
| 99214 | 25 | 23,230 | 100 | $80 | $14.5K |
| 92928 | 200 | 230 | 30 | $420 | $12.6K |
| 99232 | 6,210 | 10,870 | 80 | $60 | $9.6K |
Showing 1–10 of 42
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 2,080 | $50 | $99.6K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 250 | $130 | $33.6K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 580 | $20 | $10.5K |
| 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… | 20 | $140 | $3.3K |
| 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… | 40 | $50 | $2.2K |
| 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… | 10 | $140 | $1.6K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
6 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… | 976 | 8,160 | 210 | $60 | $68.4K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 227 | 550 | 160 | $80 | $58.1K |
| 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… | 1,036 | 1,620 | 80 | $60 | $28.4K |
| 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… | 139 | 180 | 80 | $50 | $15K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 96 | 410 | 100 | $20 | $14.8K |
| 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… | 24 | 20 | 60 | $60 | $8.3K |
Other providers in the same ZIP code as Ziad Khoury, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| North Star Services, Inc. | PA | Case Management Agency | $0 | $21M |
| Pyramid Healthcare Inc. | PA | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $14.3M |
| Blair Family Solutions, LLC | PA | Community/Behavioral Health Agency | $0 | $9.6M |
| Altoona Logan Twp Mobile Med Emerg Dept Authority | PA | Ambulance | $924.6K | $5.3M |
| Advanced Center For Surgery, LLC | PA | Ambulatory Surgical Clinic/Center | $1.5M | $0 |
| Allegheny Surgery Center LLC | PA | Ambulatory Surgical Clinic/Center | $770.6K | $361.2K |
| Blair Endoscopy Center, LLC | PA | Endoscopy Clinic/Center | $579.7K | $325.8K |
| Gregory Fulchiero | PA | MOHS-Micrographic Surgery Physician | $842.2K | $0 |
| David Bozak | PA | Physical Medicine & Rehabilitation Physician | $768.3K | $0 |
| Christopher Mcclellan | PA | Orthopaedic Surgery Physician | $410.7K | $33.6K |
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