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    OpenPayerNPI Medicare & MedicaidAhmet Sayan
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    Ahmet Sayan — Billing Profile & Reimbursement Data

    NPI 1508864844 · St Thomas, VI · Cardiovascular Disease Physician

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    Ahmet Sayan is a cardiovascular disease physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 16 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
    OrganizationAhmet Sayan
    Address9149 Estate Thomas Ste 104
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 11, 2005

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

    Payer SourceTotal Paid
    Medicare$179.1K
    Medicaid$0

    Key Findings

    This provider's Medicare footprint is small but concentrated: total Medicare revenue is $179.1K and there is no Medicaid billing on file, so the practice is effectively single‑payer with Medicare as the primary revenue source. The absence of any Medicaid claims indicates limited participation in or access to Medicaid populations in the provider's service area.

    Revenue is heavily concentrated in a few office/diagnostic services: the precomputed top 3 Medicare codes account for 76.5% of total Medicare revenue, driven by 99214 ($59.9K, 33.4%), 93306 ($59.3K, 33.1%), and 99213 ($18K, 10.0%). This concentration signals that the bulk of billing comes from evaluation-and-management office visits combined with transthoracic echocardiography.

    The code mix indicates an outpatient cardiology practice that pairs high-volume E/M visits with diagnostic cardiac imaging and monitoring: 99214 and 99213 are the primary E/M codes, 93306 is the major echocardiogram source, and high claim volumes for 93000 (910 claims, $8.2K) and monitoring codes 93224/93244/93242 reflect routine ECG and ambulatory rhythm monitoring activity. Together these codes describe a clinic-based cardiology workflow focused on evaluation, noninvasive imaging, and rhythm surveillance.

    On competitive standing for office visits, 99214 ranks #23937 of 479517 providers nationally (95th percentile) and is described as notably above typical national volume, indicating this provider sees an above-average number of moderate‑complexity established outpatient encounters relative to national peers. By contrast, 99213 ranks in the 87th percentile (typical, unremarkable volume), showing stronger relative intensity at the mid-level visit (99214) than at the lower-level established visit.

    Echocardiography and ECG activity show mixed positioning versus peers: 93306 ranks #5324 of 24624 (78th percentile, typical, unremarkable volume) suggesting moderate echocardiography volume, while 93000 ranks #1845 of 71016 (97th percentile, notably above typical national volume), and monitoring codes 93244 (#267 of 5454, 95th percentile) and 93242 (#117 of 3027, 96th percentile) are also notably above typical. These rank patterns point to relatively strong throughput for ECG and ambulatory monitoring services alongside a more typical echocardiography workload.

    The presence of both new-patient office visit codes (99204: 104 claims, $10.9K; 99203: 72 claims, $5K) and inpatient/observation E/M codes (99222: 13 claims, $1.3K; 99232: 20 claims, $1.2K) implies the provider handles new consults and some hospital/observation encounters in addition to outpatient clinic work. This mix suggests servicing both ambulatory follow-up and occasional inpatient responsibilities rather than a pure procedure‑only role.

    NPI tenure is long: the provider NPI was enumerated on 2005-07-11 (~21 years ago), indicating an established presence in the market. Despite long tenure, lifetime Medicare revenue of $179.1K is modest, which may reflect a small practice scale, a limited Medicare patient panel, or predominant non-Medicare work not captured in this dataset.

    From an operational and payer-risk perspective, the practice's heavy dependence on a small set of services and single payer (Medicare) concentrates financial exposure: the top three Medicare codes drive 76.5% of Medicare revenue, and there is no Medicaid revenue to diversify payer mix. Payers and network managers should note that any changes to coverage, reimbursement, or referral patterns for 99214/93306/99213 could disproportionately affect this provider's Medicare revenue stream.

    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.

    16 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…730$80$59.9K
    93306The 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…420$140$59.3K
    99213The 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…310$60$18K
    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…100$110$10.9K
    93000The 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…910$10$8.2K
    99203The 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…70$70$5K
    93224In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…100$50$4.8K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…20$140$2.5K
    78452In 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…40$60$2.2K
    93244After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…100$20$1.7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306110240$130$34.8K
    99215313060$120$19.8K
    99214580100$80$15.5K
    992321110140$60$12.8K
    992131280100$50$7.6K
    93224110100$50$4.8K
    9920444040$100$4.4K
    99203133050$60$3.8K
    9922251020$90$3K
    9335111020$140$2.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Maine Medical CenterMEGeneral Acute Care Hospital$0$159.3M
    Houlton Regional HospitalMERural Health Clinic/Center$0$7M
    Houlton Regional HospitalMECritical Access Hospital$0$4.1M
    Sandra Gracia-lopezPRNuclear Medicine Physician$26.7K$4.1M
    Hector Velez CortesPRHematology & Oncology Physician$4.3K$4M
    Hiram OrtegaPRGastroenterology Physician$8.8K$3.1M
    Houlton Regional HospitalMERural Health Clinic/Center$0$3.1M
    Michael JohnsonSCOphthalmology Physician$3M$0
    Nelson MedinaPRGastroenterology Physician$1.5K$2.7M
    Eduardo Perez RodriguezPROphthalmology Physician$21.7K$2.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M

    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. U.S. Virgin Islands Distribution
    Ahmet Sayan — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands