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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJ Bacharach
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    J Bacharach — Billing Profile & Reimbursement Data

    NPI 1972566172 · Sioux Falls, SD · Cardiovascular Disease Physician

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    J Bacharach is a cardiovascular disease physician provider located in Sioux Falls, South Dakota. This profile covers 45 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
    OrganizationJ Bacharach
    Address4520 W 69th St
    CitySioux Falls
    StateSD
    ZIP57108
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$206.7K
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…40$530$23.4K
    37215The provider places an intravascular stent into a cervical carotid artery under imaging guidance. He may place the stent through a percutaneous catheter or via an open incision. He also places an…30$700$18.1K
    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…150$90$14.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…510$30$13.3K
    37226N/A30$330$10.8K
    37221N/A20$420$10K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…200$50$9.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…160$60$9.7K
    34705The provider places an aorto–bi–iliac endograft (a Y–shaped tube graft that extends from inside the aorta down both iliac arteries) to repair the infrarenal aorta or iliac artery for reasons other…10$700$9K
    37224N/A30$260$7.9K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3336181060$540$30K
    37252111030$570$27.9K
    3722871020$1,220$25.6K
    3722131020$900$24.3K
    933063760250$50$21.4K
    3341821030$750$20.4K
    3721521020$690$15.2K
    93458203040$180$11.9K
    992141,1821,66090$70$11.4K
    3725341030$110$10.3K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MarshallMNCritical Access Hospital$0$10M
    Affiliated Community Medical Centers, LtdMNMulti-Specialty Clinic/Center$0$4.7M
    Avera MckennanSDDiagnostic Radiology Physician$0$3.3M
    Chad LaurichSDVascular Surgery Physician$3.2M$0
    NPI 1588636484——$3.2M$0
    Ryan GeraetsSDOphthalmology Physician$3M$0
    John BormesSDOphthalmology Physician$2.6M$0
    Jeffrey StevensCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Elizabeth AtchisonSDOphthalmology Physician$1.7M$0
    Ashar LuqmanIANephrology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Vance Thompson Vision Surgery Center Prof LLCSDAmbulatory Surgical Clinic/Center$4.5M$22.7K
    Siouxland Oral SurgerySDOral and Maxillofacial Surgery (Dentist)$0$3.9M
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$3.4M
    Anderson-smith Speech Therapy, LLCSDSpeech-Language Pathologist$0$1.9M
    Ophthalmology Ltd Eye Surgery Center L L CSDAmbulatory Surgical Clinic/Center$1.8M$16.2K
    Dakota Vision Center, LLCSDOptometrist$0$1.2M
    Usc Ambulatory Surgical Center Prof LLCSDAmbulatory Surgical Clinic/Center$1.1M$44.2K
    Avera MckennanSDPhysical Therapist$0$1M
    Encompass Mental Health, LLCSDMental Health Counselor$0$908.7K

    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. South Dakota Distribution
    J Bacharach — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota