Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Amr El-sergany (NPI 1639484603)

Field	Value
Entity Type	Individual
Organization	Amr El-sergany
Address	98-1079 Moanalua Rd Ste 620
City	Aiea
State	HI
ZIP	96701
Taxonomy	Vascular Surgery Physician
NPI Enumerated	August 13, 2010

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

AMR EL-SERGANY is listed as a Vascular Surgery Physician in AIEA, HI with an NPI enumerated on 2010-08-13 (~16 years ago). The provider's lifetime Medicare revenue on file is $1.5M and there is no Medicaid billing on file, indicating an effectively single-payer footprint concentrated in Medicare. This suggests the practice is established locally and largely reliant on fee-for-service Medicare business rather than state Medicaid contracts.

Revenue is heavily concentrated in a small set of endovascular procedure codes: 37227 ($364.1K, 25.0% of Medicare revenue), 37229 ($359.9K, 24.7%), and 37225 ($147.4K, 10.1%), which together account for 59.7% of this provider's total Medicare revenue. That precomputed top-3 share (59.7%) points to material dependency on peripheral stent/angioplasty procedures as the primary revenue drivers.

The code mix and top revenue drivers indicate an interventional peripheral vascular practice model: high-revenue stent/angioplasty codes (37227, 37229, 37225) combined with frequent use of intravascular ultrasound add-on codes (37252, 37253) and multiple duplex ultrasound codes (93925, 93970, 93971). This combination signals bundled endovascular interventions supported by intravascular imaging and substantial noninvasive vascular diagnostic capacity rather than a primarily office-based E/M practice.

Competitive standing is mixed across procedures: stent codes rank in typical national ranges (37227 ranks #67 of 363, 81th percentile; 37229 ranks #139 of 603, 77th percentile; 37225 ranks #264 of 715, 61th percentile), indicating modest, unremarkable national volume for primary stent CPTs. By contrast, intravascular ultrasound and many duplex imaging codes are at the high end nationally — 37252 ranks #54 of 1088 (95th percentile; notably above typical) and 37253 ranks #30 of 788 (96th percentile; notably above typical) — which suggests this provider uses IVUS and vascular ultrasound at levels well above typical peers.

Noninvasive vascular imaging is a dominant service line by utilization: 93925 shows 319 claims and $60.3K revenue (ranks #179 of 10098, 98th percentile; notably above typical), 93970 has 376 claims and $51.1K revenue (ranks #358 of 20939, 98th percentile; notably above typical), and 93971 has 384 claims and $38.4K revenue (ranks #243 of 21388, 99th percentile; notably above typical). These very high percentiles across multiple duplex codes indicate a sustained, above-peer volume in diagnostic vascular ultrasound that likely supports the high procedural throughput.

Operational profile favors procedures over office visits: E/M codes 99214 ($6.8K) and 99213 ($2.2K) account for only small portions of Medicare revenue, while procedure and support codes dominate. The presence of monitored anesthesia codes 99152 (172 claims, $7.6K; 93th percentile) and 99153 (448 claims, $4.5K; 96th percentile) further underscores regular use of procedural sedation/monitoring during interventions.

For payers and network planners, the provider presents both concentration risk and technical capability: 59.7% of Medicare revenue is tied to three stent-related CPTs, creating sensitivity to volume changes in endovascular interventions, while the notably above-typical use of IVUS (37252/37253) and very high duplex volumes position the provider as a specialized endovascular service resource. Given the $1.5M Medicare revenue base and no Medicaid billing, contracting or utilization management discussions should focus on procedural pathways, imaging use (IVUS and duplex), and case mix alignment with network goals.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37227	N/A	40	$8,880	$364.1K
37229	N/A	60	$6,430	$359.9K
37225	N/A	30	$5,270	$147.4K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	190	$760	$141.3K
37238	The physician inserts a stent in a vein using a catheter. Access may be either open or percutaneous. Radiological supervision and interpretation are included.	20	$3,130	$68.8K
37253	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	460	$140	$62.2K
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…	320	$190	$60.3K
37221	N/A	20	$2,570	$53.9K
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…	380	$140	$51.1K
93971	The 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…	380	$100	$38.4K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Amr El-sergany — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37227	1	10	40	$8,880	$364.1K
37229	1	10	60	$6,430	$359.9K
37225	1	10	30	$5,260	$147.4K
37238	1	10	20	$3,130	$68.8K
37221	1	10	20	$2,570	$53.9K
37252	1	10	10	$680	$38.8K
37253	1	10	240	$130	$31.6K
93978	11	20	130	$130	$19K
93925	2	30	40	$180	$16.6K
99214	854	1,440	100	$80	$15.2K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Amr El-sergany, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kadlec Regional Medical Center	WA	General Acute Care Hospital	$0	$151.5M
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Family Medicine Physician	$0	$125.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$18.5M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$2.2M
Horng Bruce Lin	CA	Vascular & Interventional Radiology Physician	$1.7M	$0
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.4M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.1M
Robert Aki	HI	Podiatrist	$58.9K	$960.1K
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$893.6K

Nearby Providers

Other providers in the same ZIP code as Amr El-sergany, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Services, Inc	HI	Clinical Medical Laboratory	$10.5M	$46M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Dlmc, Inc.	HI	Home Health Agency	$0	$39.5M
Usrc Pearlridge, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M
International Life Support Inc	HI	Ambulance	$1.2M	$8.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.8M
Pharmacare International, Inc.	HI	Community/Retail Pharmacy	$125.1K	$4.7M
Emergency Medicine Physicians Of Honolulu Pali Momi, LLC	HI	Emergency Medicine Physician	$0	$4.2M
Absolute Care Management Services	HI	Point of Service	$0	$3.2M
Derek B Tom Dds LLC	HI	Pediatric Dentistry	$0	$2.6M

Amr El-sergany — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References