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    OpenPayerNPI Medicare & MedicaidJ Riley
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    J Riley — Billing Profile & Reimbursement Data

    NPI 1609076629 · Syracuse, NY · Vascular Surgery Physician

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    J Riley is a vascular surgery physician provider located in Syracuse, New York. This profile covers 8 Medicare and 8 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
    OrganizationJ Riley
    Address104 Union Ave.
    CitySyracuse
    StateNY
    ZIP13203
    TaxonomyVascular Surgery Physician
    NPI EnumeratedJuly 18, 2007

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

    Payer SourceTotal Paid
    Medicaid$652.7K
    Medicare$290.1K

    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
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…90$1,260$118.3K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…70$1,620$118K
    93970The 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…120$170$20.5K
    93971The 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…140$110$15.7K
    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…60$100$6K
    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…70$80$5.5K
    93925The 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…20$200$3.8K
    36470The provider injects a sclerosing solution into one vein, most commonly to treat a varicose vein. It may be used to treat other vascular malformations except spider veins (telangiectasia).20$110$2.2K

    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
    36465198050$1,240$101.4K
    3648275040$1,570$77K
    9392552071040$180$13.9K
    9921317,15531,44080$70$12.1K
    939702721,59040$100$8.6K
    992033,22411,36030$90$4.7K
    36470101040$110$4.2K
    939711331,31040$50$3.8K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…1,140$290$328K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…590$350$209.2K
    93970The 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…830$50$42.4K
    93971The 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…1,440$30$41.7K
    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…600$20$12.5K
    36473Under imaging guidance and monitoring, the provider inserts a specially designed mechanochemical ablation (MOCA) device through a catheter placed through the skin (percutaneously) and destroys…50$240$10.9K
    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…120$60$6.9K
    99212The 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,…30$10$400

    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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…1070260$840$463.1K
    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…8,11319,110360$70$321K
    99212The 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,…4,3025,420210$70$154.3K
    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…2,4114,700130$100$136.6K
    93970The 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…166730190$110$81.3K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…22070$190$40.9K
    93971The 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…56420180$60$35.4K
    36473Under imaging guidance and monitoring, the provider inserts a specially designed mechanochemical ablation (MOCA) device through a catheter placed through the skin (percutaneously) and destroys…11040$420$14.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amir SalemNYVascular & Interventional Radiology Physician$5M$605.9K
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Eliezer HalpertNYVascular & Interventional Radiology Physician$1M$816.2K
    Joseph ShamsNYVascular & Interventional Radiology Physician$1.5M$142.3K
    Abraham KnollNYVascular & Interventional Radiology Physician$1M$150.4K
    David SotoCAVascular & Interventional Radiology Physician$1.1M$0
    Michael BezuevskyNYVascular Surgery Physician$969.9K$72.4K
    Majid MaybodyNYVascular & Interventional Radiology Physician$974.1K$370
    Sanjeev SaxenaFLCardiovascular Disease Physician$704.9K$0
    Forrest RubensteinFLVascular Surgery Physician$688.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helio Health, Inc.NYSubstance Abuse Rehabilitation Facility$149.9K$162.7M
    St Josephs Hospital Health CenterNYGeneral Acute Care Hospital$0$113M
    Liberty Resources Inc.NYMental Health Clinic/Center (Including Community Mental Health Center)$0$53.9M
    Arise Child And Family Service Inc.NYIn Home Supportive Care Agency$0$41M
    Michael ChangNYDiagnostic Radiology Physician$400K$1.2K
    Lawrence SemelNYVascular Surgery Physician$290.1K$7.9K
    Mark BaeslNYVascular & Interventional Radiology Physician$212.4K$0
    Muhammad KhanNYVascular Surgery Physician$172.1K$8.4K
    Shashi KumarNYInternal Medicine Physician$172.6K$7.8K
    Juno LeeNYVascular & Interventional Radiology Physician$116.2K$0

    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
    J Riley — 0 of 8 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    J Riley — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York