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NPI 1679730329 · Cleveland, MS · Interventional Cardiology Physician
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Foluso Fakorede is a interventional cardiology physician provider located in Cleveland, Mississippi. This profile covers 34 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Foluso Fakorede |
| Address | 800 N Pearman Ave |
| City | Cleveland |
| State | MS |
| ZIP | 38732 |
| Taxonomy | Interventional Cardiology Physician |
| NPI Enumerated | May 20, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $2.5K |
This provider’s Medicare activity is highly concentrated in peripheral and endovascular intervention codes: the top three Medicare codes (37229, 37225, 37227) account for 76.3% of total Medicare revenue, and the listed per-claim averages for those codes are sizable (37229 $5653 avg paid/claim, 37225 $4118 avg paid/claim, 37227 $7662 avg paid/claim). Together these patterns are consistent with a procedure-focused interventional cardiology practice that generates most revenue from high-value endovascular interventions rather than from routine outpatient visits.
Medicare market standing for several core procedural codes is well above typical national volume: 37229 ranks #21 of 603 providers nationally (97th percentile; notably above typical national volume) and 37225 ranks #15 of 715 providers nationally (98th percentile; notably above typical national volume). These ranks indicate the provider is a major national-volume participant for key peripheral intervention codes, suggesting a competitive procedural footprint beyond the local market.
Several additional Medicare codes show unusually high relative volumes and suggest an intensive imaging and procedure support operation: 75716 ranks #12 of 953 providers nationally (99th percentile; extreme outlier, far above typical national volume) and 76937 ranks #68 of 12234 providers nationally (99th percentile; extreme outlier, far above typical national volume). High ranks on imaging supervision/interpretation and ultrasound-guidance codes imply a practice that performs frequent, image‑intensive endovascular procedures.
Procedural sedation and monitoring codes are also elevated, consistent with frequent invasive procedures: 99152 is reported at 286 claims and ranks #304 of 19266 providers nationally (98th percentile; extreme outlier, far above typical national volume), while 99153 appears at scale (832 claims) and ranks #14 of 1780 providers nationally (99th percentile; notably above typical national volume). This pattern supports high throughput of procedures requiring monitored sedation.
Non-procedural ambulatory care is present but proportionally smaller in Medicare revenue: office visit codes 99214 and 99213 together account for modest shares of Medicare revenue (99214 $56.2K, 99213 $51.1K) and both show high national activity for office visits (99214 ranks #28004 of 479517 providers nationally, 94th percentile; 99213 ranks #9739 of 457151 providers nationally, 98th percentile). These figures indicate the provider combines procedural volume with a steady stream of follow-up and established-patient visits supporting procedural care.
Medicaid activity is minimal relative to Medicare: total Medicaid revenue is $2.5K versus Medicare revenue of $2.6M, so the practice is effectively Medicare-dominated rather than a dual-payer balanced operation. Medicaid billing is concentrated in two codes—99214 and 93000—which together account for 100.0% of Medicaid revenue, indicating very limited Medicaid procedural engagement.
There is a divergence in how the provider performs on the same E/M code across payers: 99214 is a notable source of Medicaid billing (24 claims, $2.1K revenue) but ranks only #1529 of 1668 providers in-state (8th percentile; typical, unremarkable volume), whereas the same code on Medicare shows higher relative activity (Medicare rank #28004 of 479517, 94th percentile; notably above typical national volume). This suggests the provider’s outpatient visit volume is concentrated in the Medicare population rather than in the state Medicaid population.
The provider has an established NPI tenure (NPI enumerated 2008-05-20 (~18 years ago)), which, together with high national ranks on several procedural and imaging codes, is consistent with a long-standing interventional cardiology practice that has developed a specialized, high-volume procedural profile over time. The combination of tenure and concentrated Medicare procedural revenue points to sustained specialization in peripheral endovascular services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 170 | $5,650 | $961K |
| 37225 | N/A | 150 | $4,120 | $634.2K |
| 37227 | N/A | 50 | $7,660 | $344.8K |
| 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… | 140 | $650 | $90.9K |
| 99214 | The 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… | 680 | $80 | $56.2K |
| 37228 | N/A | 30 | $1,650 | $52.8K |
| 99213 | The 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… | 840 | $60 | $51.1K |
| 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… | 290 | $160 | $45.7K |
| 93306 | The 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… | 320 | $120 | $39.2K |
| 78452 | In 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… | 130 | $300 | $37.9K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 1 | 10 | 40 | $5,270 | $279.1K |
| 37227 | 2 | 10 | 40 | $6,520 | $254.4K |
| 37225 | 1 | 20 | 20 | $3,490 | $118.5K |
| 37232 | 1 | 10 | 60 | $570 | $34.4K |
| 93306 | 95 | 210 | 290 | $80 | $27.8K |
| 37228 | 1 | 10 | 10 | $1,480 | $26.6K |
| J2785 | 31 | 70 | 410 | $40 | $22K |
| 99214 | 498 | 4,110 | 170 | $70 | $21.9K |
| 37252 | 1 | 10 | 40 | $460 | $21.7K |
| 37220 | 1 | 10 | 20 | $1,120 | $19K |
Showing 1–10 of 34
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 20 | $90 | $2.1K |
| 93000 | The 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… | 20 | $20 | $380 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,529 | 1,670 | 720 | $50 | $196.4K |
| 93000 | The 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… | 79 | 90 | 290 | $1 | $6.9K |
Other providers in the same ZIP code as Foluso Fakorede, ranked by combined Medicare and Medicaid revenue.
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