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NPI 1821566647 · Conway, AR · Clinic/Center
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Conway Vein And Vascular is a clinic/center provider located in Conway, Arkansas. This profile covers 6 Medicare and 5 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 | Organization |
| Organization | Conway Vein And Vascular |
| Address | 650 United Dr Ste 320 |
| City | Conway |
| State | AR |
| ZIP | 72032 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | November 9, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $6.5K |
CONWAY VEIN AND VASCULAR’s billing profile is dominated by cardiac PET imaging and pharmacologic stress services: its Medicare top codes are 78431, A9555, and J2785 and the precomputed top-3 Medicare codes account for 95.1% of the provider’s total Medicare revenue. Specific Medicare volumes include 1K claims for 78431 and 531 claims for A9555, indicating an operation focused on myocardial perfusion imaging using rubidium tracer and pharmacologic stress.
Medicare revenue scale far exceeds Medicaid for this entity: total Medicare revenue is $1.8M compared with total Medicaid revenue of $6.5K, indicating Medicare is the primary payer by several orders of magnitude and the provider functions effectively as a Medicare-centric imaging clinic. Medicaid activity exists but is negligible in dollar terms relative to Medicare, with the provider’s Medicaid revenue concentrated in a single code.
Revenue concentration is extreme on both payers’ top procedures: the precomputed metrics show the top 3 Medicare codes account for 95.1% of Medicare revenue, and the top 3 Medicaid codes account for 100.0% of Medicaid revenue. This concentration implies a narrow service mix where a small set of high-cost imaging codes—especially 78431 and A9555—drive nearly all payer revenue.
78431 is a national-volume outlier on Medicare and the principal revenue engine: the code generated $850K revenue (46.1% of the provider’s Medicare revenue) from 1K claims and the provider ranks #5 of 1377 nationally (100th percentile), described as notably above typical national volume. That standing, paired with the $260 avg paid/claim and $6.5K Medicaid revenue for 25 Medicaid claims, underscores the clinic’s specialization in PET myocardial perfusion studies.
A9555 (rubidium rb-82) is the second major Medicare revenue contributor at $810.3K (44.0% of Medicare revenue) from 531 claims and ranks #92 of 1266 providers nationally (93th percentile). Its high share of Medicare revenue confirms a workflow that heavily relies on radiopharmaceutical supply for PET myocardial imaging, and it is a central piece of the practice’s reimbursement mix.
J2785 (regadenoson) shows very high utilization on Medicare—2.1K claims producing $91.5K (5.0% of Medicare revenue) and a national rank of #59 of 6388 providers (99th percentile; notably above typical national volume). The combination of high regadenoson use with rubidium PET codes indicates the practice routinely performs pharmacologic stress tests as part of its cardiac imaging protocols.
Several Medicare codes are flagged as statistical outliers in national volume, signaling a regional or specialty center role: 78431 and 78434 both rank #5 in their peer groups (100th percentile; notably above typical national volume), and 93015 ranks #109 of 7716 providers (99th percentile; extreme outlier, far above typical national volume). These percentile positions suggest the provider is a major local/national participant for a narrow set of cardiac diagnostic services rather than a general outpatient clinic with broad service lines.
Medicaid billing shows limited payment activity and state-level comparators are sparse: in Medicaid the provider reported $0 avg paid/claim and $0 revenue for A9555, J2785, 93015 and 78434 despite small claim counts, while 78431 accounts for the entirety of Medicaid revenue ($6.5K from 25 claims). In-state ranks are low or uninformative for many codes, so competitive conclusions for Medicaid are limited, and Medicare should be the primary focus when assessing this provider’s market role and utilization patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 1,040 | $820 | $850K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 530 | $1,530 | $810.3K |
| J2785 | Injection, regadenoson, 0.1 mg | 2,080 | $40 | $91.5K |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 1,040 | $60 | $63.6K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 520 | $50 | $26.1K |
| J0280 | Injection, aminophyllin, up to 250 mg | 70 | $10 | $400 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 30 | $260 | $6.5K |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 30 | $0 | $0 |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 10 | $0 | $0 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 20 | $0 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 3 | 10 | 370 | $120 | $41.2K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3 | 10 | 370 | $100 | $33.5K |
| J2785 | Injection, regadenoson, 0.1 mg | 30 | 30 | 430 | $50 | $33.4K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 11 | 10 | 70 | $40 | $15.4K |
| 78434 | The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction… | 1 | 10 | 30 | $1 | $10 |
Other providers in the same ZIP code as Conway Vein And Vascular, ranked by combined Medicare and Medicaid revenue.
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