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    OpenPayerNPI Medicare & MedicaidVasimahmed Lala
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    Vasimahmed Lala — Billing Profile & Reimbursement Data

    NPI 1780065508 · Pontiac, MI · Internal Medicine Physician

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    Vasimahmed Lala is a internal medicine physician provider located in Pontiac, Michigan. This profile covers 67 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVasimahmed Lala
    Address50 N Perry St
    CityPontiac
    StateMI
    ZIP48342
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 17, 2015

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

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: Total Medicare revenue is $3.7M and there is no Medicaid billing on file, so Medicare drives the entirety of reported public‑payer revenue and any Medicaid-related market activity is not visible in these records. Analysts should treat this profile as Medicare‑centric when assessing payor mix and contract exposure.

    Revenue is highly concentrated in a small set of endovascular codes: the top three Medicare codes (37229, 37225, 36247) account for 49.7% of total Medicare revenue, with 37229 representing $936.7K (27.5%), 37225 $451.4K (13.3%), and 36247 $302.8K (8.9%). This concentration indicates a business model that depends heavily on a few high‑revenue procedure types rather than a broad mix of low‑margin office services.

    The CPT mix points to a procedural vascular/interventional focus rather than a primary care clinic: high‑revenue and frequent codes include angiography and selective catheter placement (36247), stent placement and peripheral vascular interventions (37229, 37238, 37239), and intravascular ultrasound add‑ons (37252, 37253). Ancillary vascular treatments such as chemical adhesive ablation and foam sclerotherapy (36482, 36465) and duplex vascular imaging (93970, 93925) further support an endovascular/vascular intervention service line.

    Several highly specialized codes are statistical outliers nationally, signaling dominant national standing in those niches: 36247 is labeled an "extreme outlier" (rank #4 of 903, 100th percentile) and both 37252 and 37253 are also classified as "extreme outlier" level volumes (37252 rank #26 of 1088, 98th percentile; 37253 rank #8 of 788, 99th percentile). These ranks indicate the provider performs far more selective catheterization and intravascular ultrasound procedures than typical peers, which may reflect a referral center role for complex endovascular work.

    By contrast, some high‑revenue stent/angioplasty codes show high percentile presence but are described as "typical, unremarkable" volumes: 37229 (117 claims, $936.7K revenue) ranks in the 93th percentile and 37225 (96 claims, $451.4K revenue) ranks in the 95th percentile. This combination suggests the provider couples a routine volume of common peripheral interventional procedures with outsized volume in more specialized diagnostic/technical add‑ons.

    The provider also maintains substantial E/M and hospital care activity alongside procedures: 99214 accounts for 741 claims and $80.8K revenue and ranks in the 95th percentile, while inpatient and critical care codes such as 99223, 99233, and 99291 appear at high national percentiles (99223 at 97th, 99233 at 94th, 99291 at 96th). This pattern denotes a practice that manages both procedural interventions and significant inpatient/critical‑care responsibilities, implying integration with hospital care pathways.

    Several additional procedural codes register "notably above typical" volumes, reinforcing the provider's elevated procedural throughput beyond the extreme outliers: examples include 37239 (rank #4 of 33, 91th percentile) and 36012 (rank #4 of 93, 97th percentile). These placements suggest the provider is among a small set of clinicians performing a concentrated mix of advanced catheter‑based vascular procedures at higher-than-typical frequencies.

    The provider's NPI was enumerated on 2015-06-17 (~11 years ago), giving a modest operational tenure during which they have built a concentrated, high‑volume vascular procedural profile. Given the combination of entrenched specialized procedure volumes and no Medicaid billing on file, the practice appears established in a Medicare‑dominated procedural niche rather than broad community primary care billing.

    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.

    67 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A120$8,010$936.7K
    37225N/A100$4,700$451.4K
    36247Angiography 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…520$590$302.8K
    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…260$770$199.7K
    37238The physician inserts a stent in a vein using a catheter. Access may be either open or percutaneous. Radiological supervision and interpretation are included.60$3,180$194.2K
    37239The physician inserts a stent in a vein using a catheter following stent insertion in a separate vein. Access may be either open or percutaneous. Radiological supervision and interpretation are…110$1,580$165.8K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…100$1,560$159.3K
    37253In 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…930$140$129.7K
    37243The physician partially or completely blocks vascular blood flow in the target area for benign or malignant tumors (including uterine fibroids), organ ischemia, or infarction.10$8,160$106.1K
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…60$1,320$83.4K

    Showing 1–10 of 67

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 67 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    67 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722913020$6,250$243.9K
    3722513030$4,670$158.7K
    3723811030$3,030$106.1K
    3648222040$1,340$65.6K
    3723911020$1,510$64.8K
    36465173030$1,020$56.3K
    7849211040$990$41.6K
    3724331020$2,510$40.1K
    A9555110120$330$38.2K
    9322984040$640$34.8K

    Showing 1–10 of 67

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mehran KhorsandiCACardiovascular Disease Physician$6.1M$1.4K
    Moinakhtar LalaCACardiovascular Disease Physician$5.7M$0
    R Swamy VenuturupalliCARheumatology Physician$2.8M$0
    Thaila RamanujamCASpecialist$1.9M$0
    Arshia NooriCAClinical Cardiac Electrophysiology Physician$257.9K$0
    Saibal KarCAInterventional Cardiology Physician$252.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mclaren OaklandMIGeneral Acute Care Hospital$0$39.2M
    Miles Grubb Associates LLCMILand Ambulance$1.8M$12.4M
    Completion House, Inc. Dba Turning Point Recovery CentersMISubstance Abuse Rehabilitation Facility$0$7.8M
    Mclaren OaklandMIFamily Medicine Physician$0$5.7M
    R HembyMIEmergency Medical Services (Emergency Medicine) Physician$116.4K$283.2K
    Binh NguyenMICardiovascular Disease Physician$135.9K$180.8K
    Kevin CarterMIDiagnostic Radiology Physician$188.3K$0
    Kelly WelshMIEmergency Medicine Physician$116.3K$0
    Fadi SalloumMIInternal Medicine Physician$101.2K$0
    Robert HowardMIOrthopaedic Surgery Physician$42.6K$0

    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. Michigan Distribution
    Vasimahmed Lala — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan