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NPI 1851548127 · Merrillville, IN · Vascular & Interventional Radiology Physician
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Nazar Golewale is a vascular & interventional radiology physician provider located in Merrillville, Indiana. This profile covers 26 Medicare and 6 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 | Nazar Golewale |
| Address | 8127 Merrillville Rd Ste 1b |
| City | Merrillville |
| State | IN |
| ZIP | 46410 |
| Taxonomy | Vascular & Interventional Radiology Physician |
| NPI Enumerated | August 19, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $268.9K |
Practice is focused on peripheral venous and endovascular procedures paired with in-house vascular imaging: the top Medicare codes include 36465 (foam sclerotherapy), 37229/37227 (endovascular interventions) and multiple duplex ultrasound codes (93971, 93970, 93925), and add-on intravascular ultrasound (37252). Code descriptions and the mix of high-volume therapy codes plus diagnostic ultrasound indicate an integrated diagnostic-to-treatment workflow typical of a vascular/interventional radiology practice performing both ambulatory vein treatments and catheter-based endovascular procedures.
Medicare revenue is concentrated in a small set of high-value interventional codes: total Medicare revenue is $2.6M and the precomputed top 3 Medicare codes by revenue account for 62.6% of that total. The three revenue leaders are 36465 ($638.1K, 24.2% of Medicare revenue), 37229 ($546.1K, 20.7%), and 37227 ($467.8K, 17.7%), so these specific procedures drive the majority of Medicare dollars.
Medicaid revenue is highly concentrated in one dominant procedure: total Medicaid revenue is $268.9K and the precomputed top 3 Medicaid codes by revenue account for 98.5% of that total. Code 36465 alone represents $257.4K (95.7% of Medicaid revenue), with 93970 ($4.1K, 1.5%) and 93971 ($3.3K, 1.2%) making up almost all of the remainder, indicating near-single-procedure dependence within the Medicaid population.
Payer mix shows Medicare is the primary revenue source: Medicare revenue ($2.6M) is substantially larger than Medicaid revenue ($268.9K), so the provider is not single-payer but is heavily Medicare-weighted. Operational performance and strategic exposure will therefore be more sensitive to Medicare reimbursement and referral patterns than to Medicaid volumes.
National competitive standing is unusually strong for several services: the provider ranks #3 of 989 nationally for 36465 (noted in the file as an "extreme outlier, far above typical national volume for this code") and #63 of 21388 for 93971 (also labeled an "extreme outlier, far above typical national volume for this code"), while 36482 ranks #21 of 710 ("97th percentile; notably above typical national volume"). Together these ranks indicate the provider is a major national outlier for varicose vein sclerotherapy and has exceptionally high duplex ultrasound throughput relative to peers.
Medicaid competitive standing is more modest within-state: for 36465 the provider ranks #2 of 5 in-state (75th percentile, characterized as "typical, unremarkable volume for this code"), so despite 36465 dominating this provider's Medicaid revenue, the provider is not a dominant statewide Medicaid player for that service. The Medicaid caseload appears concentrated but the in-state provider pool is small, limiting conclusions about statewide dominance.
Tenure and access: the NPI was enumerated 2008-08-19 (~18 years ago), indicating a long-tenured individual NPI which supports observed sustained procedural volume over time rather than a newly established billing pattern. Longevity strengthens the interpretation that high volumes reflect an established practice model.
Operational implications and sensitivity: reliance on a small number of high-revenue interventional codes (the Medicare top-3 accounting for 62.6% of Medicare revenue and the Medicaid top-3 accounting for 98.5% of Medicaid revenue) suggests stable specialization in venous interventions but also vulnerability to changes in utilization, coding rules, or reimbursement for those specific procedures. The combination of high-volume therapeutic codes and integrated diagnostic ultrasound (multiple 939xx codes) implies the practice captures both diagnostic and treatment episodes, which supports revenue capture but concentrates exposure in vascular service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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,… | 680 | $940 | $638.1K |
| 37229 | N/A | 110 | $5,100 | $546.1K |
| 37227 | N/A | 60 | $8,070 | $467.8K |
| 36482 | In 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… | 270 | $1,210 | $322.7K |
| 37225 | N/A | 50 | $4,160 | $220.7K |
| 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… | 160 | $690 | $113K |
| 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… | 750 | $90 | $63.9K |
| 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… | 300 | $170 | $49.6K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 610 | $80 | $47K |
| 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… | 470 | $60 | $30.3K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37227 | 1 | 10 | 60 | $8,060 | $467.7K |
| 37229 | 1 | 10 | 20 | $4,600 | $156.5K |
| 36465 | 1 | 20 | 50 | $940 | $107.1K |
| 36482 | 1 | 20 | 40 | $1,080 | $56.1K |
| 37225 | 1 | 10 | 20 | $2,210 | $53.1K |
| 37252 | 4 | 20 | 40 | $590 | $49.2K |
| 99309 | 208 | 730 | 280 | $70 | $35K |
| 37253 | 6 | 20 | 60 | $110 | $16.4K |
| 99306 | 103 | 340 | 50 | $120 | $11K |
| 11042 | 191 | 290 | 100 | $60 | $9.4K |
Showing 1–10 of 26
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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,… | 290 | $900 | $257.4K |
| 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… | 40 | $110 | $4.1K |
| 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… | 50 | $70 | $3.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 60 | $40 | $2.6K |
| 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… | 20 | $50 | $850 |
| 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… | 10 | $60 | $670 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,273 | 2,380 | 920 | $50 | $376.8K |
| 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,… | 2 | 10 | 90 | $420 | $137.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 226 | 270 | 920 | $10 | $88.4K |
| 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… | 871 | 890 | 160 | $60 | $76.8K |
| 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… | 31 | 40 | 210 | $30 | $30.4K |
| 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… | 44 | 50 | 210 | $20 | $21.1K |
Other providers in the same ZIP code as Nazar Golewale, ranked by combined Medicare and Medicaid revenue.
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