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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

George Bourganos (NPI 1700883477)

Field	Value
Entity Type	Individual
Organization	George Bourganos
Address	68 Cumberland St
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$340.6K
Medicaid	$0

Key Findings

GEORGE BOURGANOS is a long-tenured Cardiovascular Disease Physician with an NPI enumerated on 2005-07-07 (~21 years ago), indicating sustained Medicare participation and an established practice footprint in Woonsocket, RI. The length of enrollment supports continuity of services and likely steady referral relationships within local cardiology care pathways.

This provider’s Medicare revenue totals $340.6K with no Medicaid billing on file, so the practice is effectively single-payer (Medicare)-driven in the public programs landscape. The absence of Medicaid activity suggests either a payer mix concentrated toward Medicare beneficiaries or participation in care settings that rarely bill state Medicaid.

Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 51.3% of total Medicare revenue, signaling dependence on a narrow set of services. Those top codes include E/M office visits and cardiac imaging/procedures, which concentrate billing risk and revenue generation in routine outpatient cardiology encounters and diagnostic testing.

The code mix and top revenue drivers indicate a mixed office-based cardiology practice with significant diagnostic imaging. High-volume E/M codes 99214 and 99213 (combined 40.8% of Medicare revenue) paired with imaging codes 78452 and 93306 show the practice provides longitudinal outpatient management of established cardiac patients alongside in-office or facility-based nuclear cardiology and echocardiography services.

Competitive standing vs. national peers is uneven: 99213 ranks in the 99th percentile and is labeled an extreme outlier, indicating extraordinarily high national volume for that established outpatient visit code and suggesting this provider sees a substantially larger caseload of routine cardiology visits than most peers. 99214 also ranks in the 96th percentile and is described as notably above typical national volume, reinforcing that high outpatient visit volume is a distinguishing feature of this practice.

For advanced diagnostics, volumes are closer to typical: 78452 ranks in the 76th percentile (typical, unremarkable volume) and 93306 ranks in the 58th percentile (typical, unremarkable volume), implying the provider offers SPECT and transthoracic echocardiography at rates comparable to many peers rather than as a dominant imaging center. Other vascular/duplex codes (93880 at 93rd percentile) show above-typical uptake but remain within expected operational scope for a cardiology practice.

Inpatient and hospital-based E/M activity is present but not dominant: 99223 (initial hospital visit) and subsequent care codes 99231/99232 appear in the top codes list, indicating the provider also participates in inpatient or observation coverage. These inpatient codes are described as typical volumes for their national ranks, suggesting hospital-based work is a meaningful but secondary component of the practice.

Procedure and supply claims (A9500, J2785) contribute materially to revenue and reflect on-site or facility-based diagnostic procedures tied to nuclear imaging and pharmacologic stress testing. A9500 (technetium) and J2785 (regadenoson) together account for a notable share of revenue and align with the practice’s SPECT/stress testing activity profile.

Overall, the profile is of an experienced cardiovascular physician whose Medicare revenue is concentrated in high-volume outpatient evaluation and management and cardiac diagnostic services. The combination of extreme outlier volume for routine visits and more typical volumes for imaging positions this provider as a high-throughput clinician for established Medicare patients rather than as a nationally dominant imaging-specialist center.

Medicare: Complete Services Breakdown

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

23 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…	830	$90	$76.4K
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…	980	$60	$62.7K
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…	110	$310	$35.7K
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…	270	$120	$32.9K
93880	Duplex 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…	210	$140	$28.5K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	200	$90	$19K
J2785	Injection, regadenoson, 0.1 mg	390	$40	$16.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	110	$130	$14.4K
99204	The 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	$120	$11.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	220	$40	$8.4K

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

Claims Volume vs. Rhode Island Distribution

George Bourganos — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	27	70	220	$80	$17.5K
78452	4	30	60	$190	$12.6K
A9500	4	10	130	$90	$11.9K
99214	14	1,950	100	$80	$11.7K
J2785	2	10	200	$40	$8.8K
99232	199	650	70	$60	$7.7K
99213	11	1,950	70	$60	$7.4K
99223	42	540	30	$130	$6.4K
93880	3	70	40	$90	$5.2K
99204	46	740	30	$110	$4.6K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cardiovascular Institute Of New England PC	RI	Cardiovascular Disease Physician	$0	$659.9K
Sajid Siddiq	RI	Cardiovascular Disease Physician	$300.6K	$19.3K
Joseph Mazza	RI	Cardiovascular Disease Physician	$268.7K	$15.2K
Florian Koci	RI	Cardiovascular Disease Physician	$268.6K	$4.4K
Anila Peter-faherty	RI	Cardiovascular Disease Physician	$233K	$10.9K
Neal Kelley	RI	Cardiovascular Disease Physician	$173.2K	$32K
Thomas Lanna	RI	Cardiovascular Disease Physician	$142.5K	$51K
Stephen Kutz	RI	Cardiovascular Disease Physician	$183.7K	$0
Cynthia Alves	RI	Cardiovascular Disease Physician	$66.2K	$117.3K
Glen Fandetti	NC	Interventional Cardiology Physician	$172.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
Prime Healthcare Services Landmark LLC	RI	General Acute Care Hospital	$0	$26.2M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Thundermist Health Center	RI	Dental Clinic/Center	$0	$18.6M
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Action Based Enterprises	RI	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M

George Bourganos — 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