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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Misaki Kiguchi (NPI 1811150832)

Field	Value
Entity Type	Individual
Organization	Misaki Kiguchi
Address	106 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Vascular Surgery Physician
NPI Enumerated	July 9, 2008

Payer Source	Total Paid
Medicare	$305.2K
Medicaid	$0

Key Findings

This provider’s Medicare billing is concentrated in office/outpatient evaluation and vascular procedures, indicating a vascular surgery practice that combines clinic visits with image-guided venous interventions. The top codes are 99213 (established outpatient visits), 36475 (radiofrequency ablation of a vein), and 93970 (complete bilateral venous duplex), which together account for 47.2% of the provider’s Medicare revenue and reflect a service mix centered on venous disease management and noninvasive vascular diagnostics.

Lifetime Medicare revenue for this provider is $305.2K while there is no Medicaid billing on file; the provider is effectively single-payer (Medicare) in the available claims data, with no Medicaid revenue to meaningfully diversify payer mix. Analysts should treat the panel as Medicare-dominant when assessing utilization, referral patterns, and revenue risk for this clinician.

Revenue concentration is relatively high: the precomputed top-3 Medicare codes contribute 47.2% of total Medicare revenue. That level of concentration suggests that a small number of service lines — office visits plus targeted venous procedures and duplex imaging — drive most of the practice’s billable activity and financial performance.

On utilization and competitive standing, 99213 appears as a major volume driver with 860 claims and $64.5K revenue, ranking in the 98th percentile nationally and described as notably above typical national volume for this code. This indicates the provider sees substantially more established outpatient visits than most peers, consistent with an active outpatient clinic or follow-up-heavy practice.

Procedure-level activity for venous interventions and imaging shows mixed competitive positioning. 36475 (radiofrequency ablation) produced $44.8K and ranks in the 61th percentile (typical volume), while 93970 (complete bilateral duplex) produced $34.8K and ranks in the 96th percentile (typical). Additional venous procedure codes such as 36465 and 36471 and duplex codes 93971/93926 also appear among top billings, reinforcing a focused vascular procedural practice rather than a broad multimodal vascular center.

A subset of codes are national high-volume outliers for this provider: 99203 (new patient office visits) is labeled an extreme outlier and ranks in the 99th percentile with $25.6K revenue, signaling unusually high new-patient outpatient throughput relative to peers. Similarly, several duplex and noninvasive vascular studies (e.g., 93971, 93926, 93922) rank in the 90+ percentiles, underscoring strong diagnostic imaging activity relative to national peers.

Tenure data show the provider’s NPI was enumerated on 2008-07-09 (approximately 18 years ago), indicating a long-standing presence in the market that may support established referral relationships and sustained patient volume. This longevity, combined with the high 99213 and 99203 volumes, suggests an experienced clinician with a steady outpatient base.

Smaller revenue contributors include inpatient initial-care code 99223 and a range of angiography/monitoring codes (e.g., 75710, 99152, 93990) that together make up modest shares of Medicare revenue. These lower-volume items imply the provider’s practice is primarily outpatient-focused with occasional inpatient or ancillary procedural involvement rather than a high-volume inpatient surgical center.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	860	$80	$64.5K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	40	$1,040	$44.8K
93970	The 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…	250	$140	$34.8K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	20	$1,210	$27.8K
99203	The provider sees a new 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 provider…	270	$100	$25.6K
93925	The 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…	120	$180	$20.7K
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…	130	$130	$16.8K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	170	$90	$15.5K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	210	$50	$10.9K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	50	$210	$10K

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

Claims Volume vs. District of Columbia Distribution

Misaki Kiguchi — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36465	3	10	50	$1,230	$88.9K
36475	2	10	40	$980	$62.7K
93925	4	30	40	$160	$12.4K
93880	12	60	40	$130	$11.1K
93970	5	60	40	$100	$9.9K
99213	19	1,200	50	$70	$8.5K
99223	377	610	40	$140	$8.4K
36471	2	10	30	$180	$7.3K
93971	6	70	50	$60	$6K
93978	6	10	40	$140	$6K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Ii LLC	MD	General Practice Physician	$0	$91.5M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Howard Hauptman	MD	Rheumatology Physician	$2.9M	$0
Whc Physician Group LLC	DC	Psychiatry Physician	$0	$2.7M
Javad Khalilzadeh	DC	Gastroenterology Physician	$463K	$1.4M
Kelly Orwat	SC	Internal Medicine Physician	$1.3M	$0
Stephen Ronson	MD	Specialist	$1.2M	$0
Prashanth Rao	MD	Cardiovascular Disease Physician	$1.1M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M
Capital Area Renal Associates, PC	DC	Internal Medicine Physician	$0	$3.6M
Pediatric Professionals, PC	DC	Pediatrics Physician	$0	$3.6M

Misaki Kiguchi — 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