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.

Rishi Sood (NPI 1881012821)

Field	Value
Entity Type	Individual
Organization	Rishi Sood
Address	900 23rd St Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	April 6, 2014

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider’s billed Medicare footprint is material but narrowly concentrated: total Medicare revenue is $2.2M while there is no Medicaid billing on file, so the practice is effectively single‑payer from a public program perspective. The NPI was enumerated on 2014-04-06 (~12 years ago), indicating an established Medicare billing history rather than a recent entrant.

Revenue is highly concentrated in a few endovascular procedure codes: the precomputed top 3 Medicare codes by revenue account for 73.3% of this provider’s total Medicare revenue. That concentration suggests the practice derives most of its Medicare income from a narrow set of interventional radiology procedures rather than broad outpatient services.

The code mix points to a procedural, peripheral vascular/interventional radiology operation: 37242 ($792.8K revenue, 138 claims) is the largest single revenue driver and its description corresponds to arterial occlusion procedures for AVMs, aneurysms, or pseudoaneurysms. The next two top codes, 37229 ($503.5K revenue, 60 claims) and 37225 ($296.7K revenue, 62 claims), together with 37242 form the highest‑revenue trio and align with complex endovascular interventions rather than routine office care.

Competitive standing by code is mixed but skewed toward above‑typical national activity for imaging and angiography: 37242 ranks #6 of 55 providers nationally (91th percentile; typical, unremarkable volume for this code), 37229 ranks #126 of 603 (79th percentile; typical, unremarkable volume), and 37225 ranks #83 of 715 (88th percentile; typical, unremarkable volume). These ranks indicate the provider is generally in the upper range of national peers for core embolization/occlusion procedures but is not the dominant national leader for those specific codes.

Operational throughput is a notable strength for diagnostic angiography and related imaging supervision: 36245 shows 311 claims and $185.4K revenue and ranks #2 of 221 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). Additional angiography and supervision codes such as 36247 (127 claims, $88.8K; ranks #26 of 903, 97th percentile; notably above typical) and 75774 (670 claims, $60.3K; ranks #9 of 634, 99th percentile; notably above typical) reinforce an above‑typical procedural and imaging caseload.

Use of intravascular ultrasound (IVUS) is a clear component of the service mix: 37252 (112 claims, $102.8K; ranks #119 of 1088, 89th percentile; typical) and 37253 (416 claims, $66.1K; ranks #44 of 788, 94th percentile; notably above typical) together represent a meaningful share of Medicare revenue and imply the provider performs complex vessel evaluation during interventions. This suggests capability to support stent placement and other advanced endovascular therapies.

Non‑procedural office evaluation and management contributes only a small share of revenue: 99213 accounts for 122 claims and $9.8K (0.4% of Medicare revenue) and 99214 accounts for $5.6K (0.3%). By contrast, procedure‑support codes such as 76937 (156 claims, $5.5K; ranks #247 of 12234, 98th percentile; notably above typical) show the practice is procedure‑centric with substantial imaging/ultrasound guidance volume rather than being driven by clinic visits.

From a payer and market risk perspective, the combination of single‑payer exposure (Medicare only, $2.2M) and revenue concentration in the top three codes (73.3%) creates sensitivity to changes in Medicare policy, reimbursement for these specific endovascular codes, or shifts in referral patterns. The practice’s ~12 years of Medicare enumeration suggests an established presence, but monitoring reimbursement trends for 37242/37229/37225 and utilization of high‑volume angiography codes (e.g., 36245) will be central to assessing future revenue stability.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37242	The physician partially or completely blocks arterial blood flow in the target area. This code is for services unrelated to hemorrhage or tumor treatment. This code is appropriate for services…	140	$5,750	$792.8K
37229	N/A	60	$8,390	$503.5K
37225	N/A	60	$4,790	$296.7K
36245	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…	310	$600	$185.4K
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…	110	$920	$102.8K
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…	130	$700	$88.8K
37253	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…	420	$160	$66.1K
75774	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…	670	$90	$60.3K
75710	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…	150	$140	$21K
36200	In this procedure, the provider inserts a catheter into a distal artery and then into the aorta. He uses a needle and inserts a guidewire into the needle. The provider performs the procedure for…	60	$280	$16.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Rishi Sood — 8 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37242	1	10	140	$5,750	$792.8K
37229	1	10	40	$8,350	$317.3K
37225	1	10	50	$5,050	$227.2K
36245	1	10	160	$580	$93.4K
37252	1	10	20	$640	$22.4K
37253	1	10	50	$150	$17.3K
36247	1	10	20	$430	$16.9K
36200	1	10	60	$280	$16.1K
75774	1	10	30	$80	$15.9K
99214	947	1,400	90	$100	$15.3K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
Mustafa Ali	DC	Internal Medicine Physician	$135.4K	$909.4K

Rishi Sood — 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

Nearby Providers

Frequently Asked Questions

References