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    OpenPayerNPI Medicare & MedicaidAmer Homsi
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    Amer Homsi — Billing Profile & Reimbursement Data

    NPI 1558752865 · Ogden, UT · Vascular Surgery Physician

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    Amer Homsi is a vascular surgery physician provider located in Ogden, Utah. This profile covers 8 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
    OrganizationAmer Homsi
    Address5405 S 500 E Ste 202
    CityOgden
    StateUT
    ZIP84405
    TaxonomyVascular Surgery Physician
    NPI EnumeratedFebruary 9, 2015

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

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single-payer: Total Medicare revenue is $3.9M and there is no Medicaid billing on file, so all observed public-pay claims come from Medicare. That concentration means the provider’s public-revenue exposure and growth opportunities are tied almost entirely to Medicare policy and beneficiary population dynamics.

    Revenue is extremely concentrated in a small set of care-coordination codes: the precomputed top three Medicare codes account for 95.4% of this provider’s total Medicare revenue, led by 99489 ($2.6M, 65.8%) and 99487 ($1M, 26.7%), with G0438 contributing $112.7K (2.9%). This level of concentration indicates a business model driven almost entirely by chronic care management and annual wellness services rather than a broad mix of procedure-based Medicare income.

    The procedure mix and top codes point to an operation organized around longitudinal chronic care and prevention: 99489, 99487, and 99490 are clinical-staff, provider-directed chronic care management codes and G0438 is the initial annual wellness visit, which together imply routine monthly care-coordination workflows and recurring patient engagement rather than episodic surgical procedures. Delivering the scale reflected in these claims requires sustained clinical-staff time and documentation workflows consistent with programmatic CCM and AWV delivery.

    On national competitive standing for chronic care management, this provider is a dominant outlier: 99489 ranks #2 of 1836 providers nationally and 99487 ranks #2 of 2701 providers nationally, both described as 100th percentile, extreme outliers far above typical national volume for these codes. G0438 also ranks as an extreme outlier (rank #3 of 17441, 100th percentile), reinforcing that the provider’s scale in CCM and AWV activity is exceptional compared with peers.

    There is also notable activity in transition-of-care services: 99496 generated $90.6K (2.3% of Medicare revenue) and ranks #26 of 15461 providers nationally (100th percentile; extreme outlier), while 99495 (67 claims, $11.1K) ranks #296 of 17150 (98th percentile; notably above typical national volume). These patterns indicate the practice systematically bills for high-touch post-discharge management and timely follow-up, consistent with a care-continuity emphasis across inpatient-to-outpatient transitions.

    Although CCM and AWV codes dominate revenue, the practice also reports significant E/M volume: 99203 produced $26.2K (0.7% of Medicare revenue) and ranks #1567 of 161519 providers nationally (99th percentile; extreme outlier), while G0439 (subsequent AWV) is at the 92th percentile and described as typical, unremarkable volume. This suggests the provider pairs care-management programs with some continuing ambulatory new-visit throughput, but these visit-based codes are a much smaller share of revenue than CCM/AWV billing.

    Operationally, the high volume of time-based CCM codes (99489, 99487, 99490) signals a dependency on dedicated clinical staff and care-coordination infrastructure to document and deliver provider-directed services across months. Maintaining compliance and sustaining revenue at this scale likely requires standardized workflows, staffing for monthly patient contacts, and systems to track minutes and outcomes tied to these specific code requirements.

    The provider’s NPI tenure is long enough to have established these workflows: enumerated 2015-02-09 (~11 years ago). Given the practice’s heavy reliance on Medicare ($3.9M) and absence of Medicaid billing, the business is potentially sensitive to any Medicare policy or reimbursement changes affecting CCM, AWV, or transition-of-care codes.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…42,770$60$2.6M
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…9,290$110$1M
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit640$180$112.7K
    99496The 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…380$240$90.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit230$140$31K
    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…280$100$26.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…390$50$20.7K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…70$170$11.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99489110120$60$287.9K
    9948711060$110$80.7K
    G04397799060$120$10.8K
    9949078080$40$7.4K
    9949616020$210$6.6K
    G043818020$160$4.9K
    9949538020$140$3.3K
    9920331,36030$70$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yael MillerNJPediatrics Physician$1.2M$0
    David SotoCAVascular & Interventional Radiology Physician$1.1M$0
    Sanjeev SaxenaFLCardiovascular Disease Physician$704.9K$0
    Mesum MoosaviNJGeneral Practice Physician$649.1K$0
    Stephen HurstNYVascular Surgery Physician$325.3K$133.3K
    Martin PerlinNYInternal Medicine Physician$371K$8.8K
    Gordon LutchmanPASurgery Physician$329.6K$0
    Aaron ShilohPAVascular & Interventional Radiology Physician$259.2K$0
    Jacob WhiteNYVascular & Interventional Radiology Physician$229.9K$4.8K
    Brian BonesNJDiagnostic Radiology Physician$196.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbia Ogden Medical Center, Inc.UTGeneral Acute Care Hospital$0$17.6M
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Ihc Health Services IncUTHome Health Agency$0$2.4M
    Weber School DistrictUTLocal Education Agency (LEA)$0$2.4M
    Applegate Homecare & Hospice, LLCUTHome Health Agency$0$2.3M
    Associates Of Pathology, P.C.UTAnatomic Pathology & Clinical Pathology Physician$0$1M
    Mountainstar Ogden Pediatrics LLCUTPediatrics Physician$0$1M
    Connect2kidsUTFoster Care Agency$0$986.4K
    Apria Healthcare LLCUTDurable Medical Equipment & Medical Supplies$0$905K
    Nph Anesthesia Of Utah, LLCUTAnesthesiology Physician$0$747K

    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. Utah Distribution
    Amer Homsi — 6 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah