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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlbert Vargas
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    Albert Vargas — Billing Profile & Reimbursement Data

    NPI 1861466864 · Sandusky, OH · Surgery Physician

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    Albert Vargas is a surgery physician provider located in Sandusky, Ohio. This profile covers 8 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
    OrganizationAlbert Vargas
    Address703 Tyler St
    CitySandusky
    StateOH
    ZIP44870
    TaxonomySurgery Physician
    NPI EnumeratedFebruary 15, 2006

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

    Payer SourceTotal Paid
    Medicare$51.4K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…220$60$12.3K
    99204The provider sees a new 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 provider…100$110$10.5K
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…20$550$8.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$140$7.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$90$5.1K
    99214The 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…40$90$3.4K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$140$3.1K
    99203The 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…20$70$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921415,23420,010100$70$11.7K
    992333,2755,57070$90$11.2K
    4756383010$540$8.1K
    992231,8515,59040$130$7.6K
    992133,00720,00070$50$6.6K
    4537812034020$170$4.5K
    992046628,33030$100$4.4K
    992035,0306,38030$60$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Firelands Regional Medical CenterOHGeneral Acute Care Hospital$0$37.5M
    Firelands Regional Medical CenterOHMulti-Specialty Clinic/Center$0$17.5M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Jonathan ZahlerOHOphthalmology Physician$456.3K$0
    Chase ScarbroughOHDermatology Physician$416.6K$0
    Michael PowersOHOrthopaedic Surgery Physician$364K$0
    Todd RambasekOHAllergy & Immunology Physician$358.9K$0
    Steven BenedictOHNeurology Physician$347.4K$0
    Emily PetittiOHDermatology Physician$324.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cambridge Home Health Care, Inc.OHHome Health Agency$0$19.4M
    Stein Hospice Services, IncOHCommunity Based Hospice Care Agency$0$11.1M
    Erie County Office Of AuditorOHFederally Qualified Health Center (FQHC)$0$7.5M
    Erie County Office Of AuditorOHSubstance Use Disorder Rehabilitation Hospital Unit$0$7M
    Family Health Services Of Erie CountyOHFederally Qualified Health Center (FQHC)$0$6.9M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Sandusky City Office Of TreasurerOHLand Ambulance$345.9K$1.1M
    Surgery Center Of Sandusky LLCOHAmbulatory Surgical Clinic/Center$974.7K$0
    Paul BedocsOHDermatology Physician$680.6K$18.6K
    George EngelerOHRadiation Oncology Physician$528.1K$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. Ohio Distribution
    Albert Vargas — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio