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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Rachel Piechowiak (NPI 1679867212)

Field	Value
Entity Type	Individual
Organization	Rachel Piechowiak
Address	1801 Robert Fulton Drive, Suite 510
City	Reston
State	VA
ZIP	20191
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	May 31, 2011

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole source of recorded public-payer revenue: Total Medicare revenue is $2.4M while there is no Medicaid billing on file, indicating an effectively single‑payer Medicare practice profile rather than a mixed Medicare/Medicaid operation. Analysts should treat downstream inferences about Medicaid access or payer diversification as unobserved in the claims data.

Revenue is highly concentrated in a narrow set of interventional codes: the top three Medicare codes (37243, 37242, 36247) account for 89.0% of the provider’s total Medicare revenue, with 37243 contributing $1.2M (49.3%), 37242 contributing $727.2K (30.3%), and 36247 contributing $225.8K (9.4%). This concentration implies that a small bundle of high-value interventional procedures drive the majority of billings and should be the focus for utilization and contract modeling.

The code mix points to a Vascular & Interventional Radiology practice focused on embolization and selective angiography: 37243 (tumor/organ embolization) and 37242 (arterial occlusion for non‑tumor indications) together dominate revenue, while 36247 and 36248 reflect high-volume selective catheterization of abdominal/pelvic/lower extremity arterial branches. These procedure-level descriptions indicate procedural throughput for complex endovascular interventions rather than a primary-care or diagnostic imaging practice.

This provider is a clear high-volume outlier on several specialist procedure codes versus national peers. 37243 ranks #5 of 271 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 36247 ranks #8 of 903 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), while 37242 ranks #5 of 55 providers nationally (93th percentile; notably above typical national volume for this code), signaling dominant national standing for specific interventional procedures.

Beyond the top three, additional angiography and supervision codes also show unusually high volumes consistent with a broad interventional practice: 36248 (933 claims, $101.7K revenue) ranks #4 of 229 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 75774 (1K claims, $92.8K revenue) ranks #7 of 634 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). The combination of high counts (for example 36248 at 933 claims and 75774 at 1K claims) with top percentile ranks suggests sustained procedural throughput rather than isolated episodes.

Procedure-level economics further reinforce the business mix: 37243 carries a high average allowed amount ($8406 avg paid/claim) and represents nearly half of Medicare revenue, while the other top procedures have lower per-claim payments but substantial claim volumes (e.g., 37242 $3974 avg paid/claim, 36247 $699 avg paid/claim). This pattern — a few high-dollar embolizations supplemented by many selective angiography services — shapes where payer negotiations and utilization management will have the greatest budgetary impact.

Ancillary procedure and monitoring codes are present at notable volumes, supporting an integrated interventional workflow: sedation/monitoring codes such as 99152 (180 claims) and 99153 (560 claims) appear above typical national volumes (99152 ranks #1248 of 19266 providers nationally, 93th percentile; 99153 ranks #39 of 1780 providers nationally, 98th percentile), and ultrasound guidance code 76937 (163 claims) ranks #220 of 12234 providers nationally (98th percentile). These patterns indicate routine use of sedation and image guidance in conjunction with the core embolization and angiography services.

Provider tenure is established and long enough to support stable practice patterns: the NPI was enumerated on 2011-05-31 (~15 years ago), so the observed high volumes and concentrated revenue mix reflect an established practice rather than a brief or new entrant activity profile. This longevity strengthens the inference that the current code mix and competitive standing are persistent features of the provider’s operations.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37243	The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.	140	$8,410	$1.2M
37242	The physician partially or completely blocks arterial blood flow in the target area. This code is for services unrelated to hemorrhage or tumor treatment. This code is appropriate for services…	180	$3,970	$727.2K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	320	$700	$225.8K
36248	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	930	$110	$101.7K
75774	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	1,030	$90	$92.8K
75726	The provider performs radiological supervision and interpretation of angiographic imaging of specific vessels with injection of contrast (dye) into a visceral (organ) vessel or a secondary branch of…	160	$160	$24.5K
99442	N/A	140	$80	$10.6K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	180	$50	$8.5K
99443	N/A	70	$110	$6.9K
99153	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…	560	$10	$6.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Rachel Piechowiak — 4 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37242	3	10	110	$3,850	$438.9K
37243	2	10	30	$6,060	$363.5K
36248	2	10	90	$100	$32.4K
36247	2	40	20	$500	$24.4K
75774	2	20	50	$70	$13K
75726	2	20	30	$120	$5.8K
99443	37	250	20	$80	$3.4K
75710	42	70	30	$90	$3.2K
99442	19	470	20	$60	$2.4K
99441	19	310	20	$30	$1.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
South Nassau Communities Hospital	NY	General Acute Care Hospital	$0	$49.4M
Long Island Community Hospital At Nyu Langone Health	NY	General Acute Care Hospital	$0	$27.6M
Loudoun Medical Group, PC	VA	Internal Medicine Physician	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Commonwealth Radiology P C	VA	Diagnostic Radiology Physician	$0	$9.6M
Ann Anderson	NY	Clinical Pathology/Laboratory Medicine Physician	$5.2M	$0
Alex Pavidapha	VA	Vascular & Interventional Radiology Physician	$3.5M	$0
Mohammed Razvi	MD	Vascular & Interventional Radiology Physician	$3.4M	$0
Ari Isaacson	NC	Vascular & Interventional Radiology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Connection, Inc.	VA	Home Health Agency	$0	$7.2M
Scott Butler	VA	Cardiovascular Disease Physician	$432.9K	$0
Niteesh Bharara	VA	Interventional Pain Medicine Physician	$293.4K	$0
Maithily Nandedkar	VA	Specialist	$267K	$0
Andrew Axelrad	VA	Gastroenterology Physician	$230.6K	$0
Jon Peters	VA	Specialist	$229K	$0
Tarek Abou-ghazala	VA	Cardiovascular Disease Physician	$190K	$0
Robert Podolsky	VA	Vascular Surgery Physician	$141.8K	$0
Shilen Lakhani	VA	Gastroenterology Physician	$104.6K	$0
Eduardo Noguera	VA	Gastroenterology Physician	$70.3K	$0

Rachel Piechowiak — 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