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    OpenPayerNPI Medicare & MedicaidDingchao He
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    Dingchao He — Billing Profile & Reimbursement Data

    NPI 1932526407 · Washington, DC · Surgery Physician

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    Dingchao He is a surgery physician provider located in Washington, District of Columbia. This profile covers 12 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
    OrganizationDingchao He
    Address6323 Georgia Ave Nw Ste 101
    CityWashington
    StateDC
    ZIP20011
    TaxonomySurgery Physician
    NPI EnumeratedMarch 24, 2014

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

    Payer SourceTotal Paid
    Medicare$419K
    Medicaid$0

    Key Findings

    Clinical/service-line profile: The provider’s Medicare billing is concentrated in venous intervention and image-guided venous care, led by sclerotherapy and endovenous ablation codes such as 36465, 36482, 36466 and 36475, with supporting diagnostic duplex studies 93970 and 93971. This mix—procedure codes for truncal vein ablation plus high-volume duplex scanning—is consistent with an outpatient, office-based venous practice that combines treatment and imaging on the same patient population.

    Revenue concentration: Revenue is heavily concentrated in a small number of procedures: the top three Medicare codes (36465, 36482, 36466) account for 78.7% of the provider’s total Medicare revenue, with 36465 alone representing 42.7% and 36482 contributing 29.2%. These three codes together drive the majority of the $419K in reported Medicare revenue, indicating procedure-driven economics rather than broad primary-care or high-volume E/M billing.

    Payer mix and scale: This provider is effectively single-payer from a public program perspective—Medicare accounts for the reported revenue at $419K while there is no Medicaid billing on file, so Medicaid does not appear in the payer mix. That concentration means analyses of financial performance or market role should be Medicare-focused, as there is no in-state Medicaid footprint to compare against.

    Competitive standing (procedures): Procedural performance versus national peers is mixed: 36465 ranks #136 of 989 providers (86th percentile) and 36482 ranks #157 of 710 providers (77th percentile), both described as "typical, unremarkable volume," which suggests above-average national activity for those specific procedures but still within expected specialist ranges. By contrast, 36466 ranks #190 of 250 providers (21th percentile) and 36471 ranks #749 of 871 providers (12th percentile), indicating notably lower relative activity on certain multi-vein or adjunct sclerotherapy codes.

    Competitive standing (imaging and diagnostics): Diagnostic duplex scan activity is relatively strong: 93970 ranks #1869 of 20939 providers (91th percentile) and 93971 ranks #1198 of 21388 providers (94th percentile), each labeled "typical, unremarkable volume," which implies this provider performs duplex imaging at a higher percentile than most peers nationally and likely relies on in-house imaging as part of the treatment workflow. The high percentile placement of these imaging codes supports the operational observation that imaging and procedural services are integrated.

    Claim-level economics: The top procedure codes have relatively high average payments per claim—$1251 avg paid/claim for 36465, $1610 avg paid/claim for 36482, and $1363 avg paid/claim for 36466—while duplex imaging pays far less per claim ($150 for 93970 and $112 for 93971). This spread indicates that overall revenue is driven more by higher-priced therapeutic procedures than by diagnostic scans, even though scans contribute meaningful volume.

    E/M and ancillary service contribution: Traditional office visits and limited E/M codes (e.g., 99213 at $80 avg paid/claim and 99203 at $101 avg paid/claim) make up only a small share of Medicare revenue (each under 2% of total), reinforcing that the business model is procedural and imaging-heavy rather than E/M-driven. Ancillary items such as ultrasound guidance 76942 and limited sclerotherapy codes (e.g., 36470/36471) are present but collectively represent a minor portion of the $419K Medicare total.

    Tenure and operational stability: The provider’s NPI has been enumerated since 2014-03-24 (~12 years ago), indicating a stable presence in the Medicare program over a multi-year period. That tenure, combined with concentrated procedural billing, suggests an established venous intervention practice rather than a newly entered or transient billing pattern.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36465In 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,…140$1,250$178.9K
    36482In 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…80$1,610$122.4K
    36466In this procedure, the provider injects a noncompounded foam sclerosing solution into multiple incompetent truncal veins under ultrasound guidance to guide the dispersion of foam, most commonly to…20$1,360$28.6K
    36475In 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…30$990$26.7K
    93970The 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…150$150$22.2K
    93971The 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…180$110$19.8K
    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…90$80$7.1K
    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…40$100$4.3K
    36470The provider injects a sclerosing solution into one vein, most commonly to treat a varicose vein. It may be used to treat other vascular malformations except spider veins (telangiectasia).30$110$3.6K
    36471In 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…20$180$3.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3646511050$1,230$88.9K
    3648211050$1,590$82.8K
    3647531040$980$62.7K
    3646611020$1,360$28.6K
    9397096040$100$9.9K
    992134401,20050$70$8.5K
    3647131030$180$7.3K
    9397147050$60$6K
    9920313943030$80$3.8K
    3647011030$110$3.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrei GurskyMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$4.7M$0
    Usa Vein Clinics Of District Of Columbia LLCDCVascular Surgery Physician$0$1.5M
    Victor YuVAVascular & Interventional Radiology Physician$418K$0
    Satish VayuvegulaTXCardiovascular Disease Physician$273.5K$0
    Evan HarrisCTVascular & Interventional Radiology Physician$239.6K$0
    Scott BucknerMDVascular & Interventional Radiology Physician$237.2K$0
    Mehru SondeMDPhlebology Physician$231K$0
    Mark GarzonMDPhlebology Physician$157.3K$0
    Wan-lin HorngAZSurgery Physician$129.6K$0
    Andrew SurmakMNSurgery Physician$95.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integrated Community Services, Inc.DCHome Health Agency$0$145.9M
    National Children's Center, Inc.DCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$101M
    Capital Care, IncDCHome Health Agency$0$83.4M
    Aba IncDCIn Home Supportive Care Agency$0$80.8M
    Premium Select Home Care IncDCHome Health Agency$0$63.9M
    Ideal Nursing Services IncDCHome Health Agency$0$58M
    Total Care Services, Inc.DCDevelopmentally Disabled Services Day Training Agency$0$54.7M
    Metro Homes IncDCDevelopmental Disabilities Clinic/Center$0$45.1M
    Citycare Health Services, IncDCCommunity/Behavioral Health Agency$0$36.4M
    Janilcar IncDCDurable Medical Equipment & Medical Supplies$0$32.7M

    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. District of Columbia Distribution
    Dingchao He — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia