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.

Thomas Militano (NPI 1952325037)

Field	Value
Entity Type	Individual
Organization	Thomas Militano
Address	110 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicare	$511.1K
Medicaid	$0

Key Findings

This provider’s Medicare activity is narrowly concentrated in vascular duplex imaging: CPT 93970 ($238.5K, 1.7K claims, $139 avg paid/claim) and 93971 ($215.3K, 2.4K claims, $91 avg paid/claim) together account for the lion’s share of services performed. Those two codes alone represent 46.7% and 42.1% of the provider’s Medicare revenue respectively, and when combined with the next top code they are responsible for 93.4% of this provider’s total Medicare revenue, indicating a focused service line centered on extremity venous duplex studies rather than broad primary care or surgical E/M volume.

Revenue scale is modest overall but heavily Medicare-weighted: lifetime Medicare revenue is $511.1K while there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile. The absence of Medicaid activity means payer mix risk is concentrated on Medicare policy and reimbursement changes rather than diversification across payers.

Competitive standing on vascular duplex codes is extreme relative to national peers: the provider ranks #14 of 20939 for 93970 and #7 of 21388 for 93971, both described as 100th percentile and “extreme outlier, far above typical national volume for this code.” Those ranks position the provider as a dominant national outlier for extremity venous duplex imaging despite modest absolute Medicare revenue.

By contrast, office E/M services appear ancillary to the practice’s procedural focus: 99213 generated $23.5K from 399 claims ($59 avg paid/claim) and ranks #39185 of 457151 (91th percentile) which is characterized as typical and unremarkable. Other common E/M codes (99204, 99214, 99205) contribute only single-digit percentages of Medicare revenue, underscoring that visits are secondary to duplex imaging in this provider’s case-mix.

Service-line implications from the code mix point to an operation configured primarily for ambulatory vascular testing and intervention planning rather than comprehensive thoracic or cardiac surgery throughput. The prominence of bilateral and unilateral extremity duplex scans (93970, 93971) plus minor sclerotherapy activity (36471: 11 claims, $1.9K) suggests a practice model oriented toward diagnostic vascular ultrasound and select vein treatments.

Revenue concentration in three codes (93.4% of Medicare revenue) creates a narrow dependency: any payer policy change, coding audit focus, or utilization review targeting extremity venous duplex services could have outsized financial impact on the provider’s Medicare income. This concentration also limits the provider’s apparent ability to offset volume or reimbursement declines from these codes with broader E/M or procedural diversity.

The provider’s tenure is long-standing with an NPI enumeration date of 2006-07-26 (approximately 20 years), indicating an established clinical presence. That longevity combined with unusually high national ranks for duplex imaging suggests a sustained operational emphasis and likely investment in vascular ultrasound capability over many years.

Operational profile shows high procedural volumes for imaging relative to typical thoracic surgery practice patterns: two imaging codes (93970 and 93971) account for nearly 90% of Medicare revenue between them, while traditional surgery and complex E/M codes are minimally represented. For payers and analysts, this flags the provider as a specialty vascular-imaging outlier within a thoracic/vascular surgery taxonomy rather than a general cardiothoracic surgical referral center.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,720	$140	$238.5K
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…	2,370	$90	$215.3K
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…	400	$60	$23.5K
99204	The 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…	80	$140	$10.8K
99214	The 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…	90	$90	$7.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$190	$6.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$160	$4.3K
36471	In 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…	10	$170	$1.9K
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…	20	$90	$1.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$50	$610

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Thomas Militano — 2 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	702	1,400	90	$100	$15.3K
99215	439	660	50	$130	$12.3K
93970	1	60	40	$100	$9.9K
99213	85	1,200	50	$70	$8.5K
36471	4	10	30	$180	$7.3K
99204	127	670	30	$130	$6.4K
93971	1	70	50	$60	$6K
99205	122	330	30	$170	$5.6K
99203	263	430	30	$80	$3.8K
99212	216	240	30	$40	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Vein Restoration Nj LLC	NJ	Vascular Surgery Physician	$0	$9.6M
Center For Vein Restoration Ct LLC	CT	Vascular Surgery Physician	$0	$7.9M
Andrei Gursky	MD	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$4.7M	$0
Center For Vein Restoration Md LLC	MD	Vascular Surgery Physician	$0	$4.5M
Gaurav Lakhanpal	MD	Interventional Cardiology Physician	$1.2M	$0
Sean Stewart	MD	Emergency Medicine Physician	$1.2M	$0
Dominic Tolitano	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.1M	$0
John Chuback	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1M	$0
Samir Ahuja	MD	Cardiovascular Disease Physician	$916.5K	$0
Eddie Fernandez	MD	Emergency Medical Services (Emergency Medicine) Physician	$882.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M

Thomas Militano — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References