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    OpenPayerNPI Medicare & MedicaidJoshua Yamamoto
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    Joshua Yamamoto — Billing Profile & Reimbursement Data

    NPI 1639172174 · Washington, DC · Cardiovascular Disease Physician

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    Joshua Yamamoto is a cardiovascular disease physician provider located in Washington, District of Columbia. This profile covers 23 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
    OrganizationJoshua Yamamoto
    Address3301 New Mexico Ave Nw
    CityWashington
    StateDC
    ZIP20016
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 30, 2005

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

    Payer SourceTotal Paid
    Medicare$688.3K
    Medicaid$0

    Key Findings

    This provider’s workstream centers on outpatient cardiology and implanted rhythm–management devices: the top revenue drivers are 33285 (implant of a subcutaneous cardiac rhythm monitor), 93306 (transthoracic echocardiography), and 99213 (established office visits). The mix of device implant codes and high-volume imaging and E/M suggests a practice that combines procedural device work with a busy ambulatory clinic and diagnostic services.

    Revenue is highly concentrated in a small set of Medicare codes: the precomputed top three codes account for 67.3% of the provider’s total Medicare revenue, and the practice has generated $688.3K from Medicare overall. Within that concentration, 33285 contributes 33.4% of Medicare revenue, 93306 contributes 18.1%, and 99213 contributes 15.8%, so reimbursement risk or reimbursement changes affecting these specific services would materially affect total revenue.

    Payer mix is effectively single–payer Medicare: this provider reports $688.3K in total Medicare revenue and has no Medicaid billing on file, so Medicaid exposure is nil and all analyzed revenue flows are from Medicare. That concentration means analyses of competitiveness and utilization should focus on Medicare reimbursement and peer benchmarks rather than state Medicaid patterns.

    The provider’s national competitive standing is mixed across key codes. 99213 is an extreme outlier (rank #1838 of 457151, 100th percentile), indicating exceptionally high outpatient visit volume relative to national peers, while 93306 ranks #1030 of 24624 (96th percentile) and is described as notably above typical national volume; by contrast, 33285 ranks #103 of 1716 (94th percentile) but is labeled in the source as typical/unremarkable for that code, implying implant volume is not as dominant versus peers as the large share of revenue might imply.

    Several specific services show truly exceptional utilization versus national peers and point to concentrated clinical capabilities: 93285 (repeat adjustments/testing of subcutaneous cardiac rhythm monitors) ranks #10 of 620 (99th percentile; extreme outlier) and 93880 (duplex arterial scanning) ranks #192 of 21316 (99th percentile; extreme outlier). These rankings suggest the provider is a high-volume performer in device reprogramming/management and noninvasive vascular diagnostics, beyond just the implant procedures themselves.

    Lower–revenue remote monitoring and prolonged ECG services are present but small on the revenue ledger, consistent with a device-focused practice that also offers monitoring infrastructure: G2066 generated $2.3K, 93298 generated $1.4K, and 93246 generated $891. These items support an ongoing device follow-up capability (remote interrogation and extended ambulatory ECG), but they do not materially contribute to overall Medicare revenue.

    The provider has long tenure in Medicare billing, with an NPI enumerated 2005-05-30 (~21 years ago), which supports interpretation of utilization patterns as established rather than transient. Long standing enrollment combined with concentrated device and imaging revenue suggests a stable, specialized service line that has developed over time.

    From a payer or contracting perspective, the combination of very high E/M volume (99213 extreme outlier) and concentrated device/imaging revenue (top three codes = 67.3% of Medicare revenue) creates both leverage and exposure: the practice’s negotiating profile will be driven by device implantation/management and high ambulatory throughput, but it is also exposed to any Medicare policy or reimbursement changes for 33285, 93306, or 99213 and thus merits focused utilization review on those 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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33285The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.60$3,970$230.3K
    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…770$160$124.7K
    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…1,580$70$108.9K
    93880Duplex 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…520$170$86.8K
    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…140$200$26.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…270$70$18.3K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…120$150$17.3K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…280$60$16.8K
    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$130$12.3K
    93285In this service, the provider, a physician or other qualified healthcare professional, performs a face–to–face evaluation and repeatedly adjusts and tests and readjusts the parameters of an already…250$50$11.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3328511040$2,770$116.2K
    93306580240$110$32.4K
    9388016040$130$11.1K
    994901820100$50$10.8K
    9921341,20050$70$8.5K
    3320841020$430$8.2K
    9335111020$200$6.5K
    992049767030$130$6.4K
    93971587050$60$6K
    9397811040$140$6K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jack FlyerMDCardiovascular Disease Physician$906.4K$0
    Joseph VassalloMDCardiovascular Disease Physician$550.6K$0
    Eva HausnerovaMDSpecialist$475.3K$0
    Barry TalesnickMDCardiovascular Disease Physician$471.4K$0
    Nancy DavenportDCInterventional Cardiology Physician$353.4K$0
    Robert MarshallMDCardiovascular Disease Physician$351.2K$0
    William BattleMDCardiovascular Disease Physician$130.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lucy Webb Hayes National Training School For Deaconesses & MissionarieDCGeneral Acute Care Hospital$0$19.1M
    Jeffrey SteinbergDCFoot & Ankle Surgery Podiatrist$13.3M$0
    Friendship PlaceDCCase Management Agency$0$5.6M
    Wisconsin Ave Psychiatric Center IncDCPsychiatric Hospital$0$3.1M
    Iona Senior ServicesDCAdult Health Nurse Practitioner$0$1.1M
    Mary Ella CarterDCPlastic Surgery Physician$942.2K$0
    Jaydot LLCDCCase Management Agency$0$820.6K
    Edward TannerDCGynecologic Oncology Physician$786.3K$2.1K
    Brandi PageDCRadiation Oncology Physician$761K$0
    Wisconsin Avenue Psychiatric CenterDCPsychiatry Physician$0$678K

    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. District of Columbia Distribution
    Joshua Yamamoto — 9 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia