Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdel Mendoza
    Ask Trek AI about this page

    Edel Mendoza — Billing Profile & Reimbursement Data

    NPI 1740677053 · Wilmington, DE · Vascular & Interventional Radiology Physician

    Customize your policy alerts

    Sign up for Edel Mendoza — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Edel Mendoza is a vascular & interventional radiology physician provider located in Wilmington, Delaware. This profile covers 18 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEdel Mendoza
    Address701 N Clayton St Ste 601
    CityWilmington
    StateDE
    ZIP19805
    TaxonomyVascular & Interventional Radiology Physician
    NPI EnumeratedApril 24, 2015

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

    Payer SourceTotal Paid
    Medicare$105.1K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37228N/A10$3,310$46.4K
    37252In 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…20$850$14.5K
    93925The 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…40$190$7.6K
    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…40$120$4.6K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…40$110$4.5K
    99214The 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…50$90$4.3K
    93970The 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…30$140$4.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$140$3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…20$170$2.6K
    75710Angiography 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…20$120$2.2K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722841020$1,800$32.3K
    992141,4001,830150$80$25.5K
    3725231020$580$19.6K
    992131,6891,810120$60$13.6K
    9921542057040$120$11K
    9920443995030$110$6.5K
    9920517823030$150$6.4K
    93925204040$120$6.1K
    9922250860040$100$5.6K
    93970477040$60$3.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prime Healthcare Services - St. Mary's Passaic LLCNJGeneral Acute Care Hospital$0$56.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Garden State Healthcare Associates, LLCNJEmergency Medicine Physician$0$13.3M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Dennis KwonNJVascular & Interventional Radiology Physician$2.7M$0
    Justin RatcliffeNYInterventional Cardiology Physician$1.8M$266.5K
    Roel GalopeNJSpecialist$1.9M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Ajay AgarwalaNYCardiovascular Disease Physician$1.1M$288.1K
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.DEHome Health Agency$0$56.8M
    St. Francis Hospital Inc.DEGeneral Acute Care Hospital$0$43.2M
    Always Best Care Of DelawareDEHome Health Agency$0$38.1M
    State Of Delaware DscyfDEAdolescent and Children Mental Health Clinic/Center$0$36.5M
    Westside Family Healthcare, Inc.DEFederally Qualified Health Center (FQHC)$0$34.3M
    Brandywine Counseling & Community Services, Inc.DEAdult Mental Health Clinic/Center$170.8K$23.9M
    Connections Community Support Programs, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$16.4M
    St Anthony's Community Center IncDEMeals Provider$0$4.6M
    Emergency Physician Associates Of Delaware PCDEEmergency Medicine Physician$0$4.2M
    Horizon House Delaware IncDECase Management Agency$0$3.8M

    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. Delaware Distribution
    Edel Mendoza — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware