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NPI 1790765394 · Slidell, LA · Interventional Cardiology Physician
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Jose Silva is a interventional cardiology physician provider located in Slidell, Louisiana. This profile covers 30 Medicare and 1 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 | Jose Silva |
| Address | 2750 East Gause Blvd |
| City | Slidell |
| State | LA |
| ZIP | 70461 |
| Taxonomy | Interventional Cardiology Physician |
| NPI Enumerated | January 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $982.6K |
| Medicaid | $120 |
This provider’s revenue is overwhelmingly Medicare-driven: lifetime Medicare revenue is $982.6K compared with lifetime Medicaid revenue of $115, indicating an effectively single-payer (Medicare) billing footprint with only de minimis Medicaid activity. The Medicare book of business is the primary commercial scale for this NPI while Medicaid is negligible.
Revenue concentration on Medicare is high: the precomputed top three Medicare codes account for 56.1% of total Medicare revenue, and those three codes are 37227 ($222.4K, 22.8%), 37229 ($183.2K, 18.8%), and 37231 ($141.7K, 14.5%). Each of these codes carries a high average paid per claim ($6951 for 37227, $5550 for 37229, $8335 for 37231), signaling that a majority of Medicare dollars come from high-value procedural work.
The mix of billed services — including peripheral vascular procedure codes (37225, 37227, 37229, 37231, 37238), intravascular ultrasound add-ons (37252, 37253), and cardiac imaging services (93306, 93458) — points to a practice focused on endovascular/peripheral interventions with integrated procedural imaging and IVUS support. This pattern is consistent with an interventional cardiology procedural practice that performs stent/angioplasty work plus associated diagnostic imaging.
While procedural codes drive revenue, the provider also maintains an outpatient management stream: 99214 appears 534 times generating $48.1K (4.9% of Medicare revenue), and other E/M codes such as 99204, 99203, and 99213 also appear in the top codes. This suggests continuing ambulatory follow-up and new-patient evaluations in addition to operating-room or cath-lab procedures.
On competitive standing for the principal Medicare procedures, the provider is a modest national participant rather than a dominant outlier: 37227 ranks #102 of 363 nationally (72th percentile; typical, unremarkable volume), 37229 ranks #252 of 603 (57th percentile; typical), while 37231 ranks #33 of 45 (23th percentile; typical), indicating that volumes for the top three codes vary from typical to relatively low versus national peers. Overall the practitioner does not appear to be a top national volume leader for these leading billers.
There are a couple of statistically notable high-volume ancillary items: 99152 (186 claims, $6.1K) is labeled 94th percentile and "notably above typical national volume," and 76937 (116 claims, $3.4K) is labeled 96th percentile and "notably above typical national volume." These elevated relative volumes for monitored sedation (99152) and ultrasound-guided vascular access (76937) are consistent with a hands-on interventional practice that frequently requires procedural sedation and ultrasound guidance.
Medicaid activity is essentially absent and entirely concentrated in a single low-value diagnostic code: 93010 appears 17 times for $119 (100.0% of this provider's total Medicaid revenue) and ranks #262 of 277 in-state (5th percentile; typical, unremarkable volume). Note a minor dataset inconsistency between the listed lifetime Medicaid total ($115) and the code-level amount ($119); regardless, Medicaid share is functionally negligible compared with Medicare.
The provider’s NPI was enumerated 2006-01-19 (~20 years ago), indicating long tenure in the Medicare program. This longevity, combined with a procedure-heavy revenue mix, suggests an established interventional cardiology practice that has maintained a stable Medicare billing presence over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37227 | N/A | 30 | $6,950 | $222.4K |
| 37229 | N/A | 30 | $5,550 | $183.2K |
| 37231 | N/A | 20 | $8,340 | $141.7K |
| 37225 | N/A | 30 | $5,370 | $139.6K |
| 37238 | The physician inserts a stent in a vein using a catheter. Access may be either open or percutaneous. Radiological supervision and interpretation are included. | 30 | $2,450 | $61.1K |
| 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… | 530 | $90 | $48.1K |
| 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… | 250 | $130 | $32K |
| 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… | 30 | $680 | $23K |
| 37221 | N/A | 10 | $1,840 | $22.1K |
| 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… | 20 | $1,050 | $17.9K |
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 2 | 10 | 20 | $5,940 | $285.3K |
| 37227 | 1 | 10 | 20 | $6,120 | $122.4K |
| 37231 | 1 | 10 | 20 | $8,140 | $122K |
| 37225 | 4 | 20 | 20 | $3,450 | $79.3K |
| 37238 | 1 | 10 | 20 | $1,830 | $34.8K |
| 37252 | 7 | 10 | 40 | $510 | $25.9K |
| 93306 | 152 | 390 | 200 | $90 | $22.2K |
| 99214 | 661 | 6,670 | 110 | $80 | $16.5K |
| 37253 | 3 | 10 | 40 | $120 | $13.2K |
| 36247 | 7 | 10 | 40 | $290 | $13.2K |
Showing 1–10 of 30
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 20 | $10 | $120 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 262 | 280 | 1,410 | $1 | $46.9K |
Other providers in the same ZIP code as Jose Silva, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Edward L. Donaldson, Jr.,dds Apdc And Jill M Donaldson, Dds Apdc | LA | Pediatric Dentistry | $0 | $16.9M |
| Bippo's New Orleans LLC | LA | Pediatric Dentistry | $0 | $13.9M |
| Abundant Health, Inc. | LA | Community/Behavioral Health Agency | $0 | $12.1M |
| Ochsner Medical Center - Northshore, L.L.C. | LA | General Acute Care Hospital | $0 | $6.7M |
| Michael Weil | LA | Dermatology Physician | $426K | $0 |
| David Pate | LA | Dermatology Physician | $316.4K | $0 |
| Anthony Morales | LA | Interventional Cardiology Physician | $206.9K | $0 |
| Terrell Hemelt | LA | Ophthalmology Physician | $137.9K | $0 |
| Harold Neitzschman | LA | Specialist | $136.4K | $0 |
| Edward Dauterive | LA | Gastroenterology Physician | $114.6K | $0 |
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