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    OpenPayerNPI Medicare & MedicaidTarek Elshaarawy
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    Tarek Elshaarawy — Billing Profile & Reimbursement Data

    NPI 1982676110 · Battle Creek, MI · Vascular Surgery Physician

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    Tarek Elshaarawy is a vascular surgery physician provider located in Battle Creek, Michigan. This profile covers 23 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
    OrganizationTarek Elshaarawy
    Address3790 Capital Ave Sw
    CityBattle Creek
    StateMI
    ZIP49015
    TaxonomyVascular Surgery Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider’s billed activity is concentrated almost entirely in Medicare: total Medicare revenue is $1.6M and there is no Medicaid billing on file, making the practice effectively single‑payer from the claims available. The absence of Medicaid activity suggests the provider’s referral patterns and contracts are oriented toward Medicare beneficiaries and likely outpatient/interventional care pathways rather than Medicaid populations.

    Revenue concentration is high: the precomputed top‑3 Medicare codes account for 63.2% of the provider’s Medicare revenue, driven by 37227 ($524.9K, 32.9%), 37229 ($374.1K, 23.4%), and 37252 ($109.3K, 6.9%). Such concentration means payment or coverage changes to any of these three codes would materially affect overall Medicare revenue for this clinician.

    The code mix and available descriptions point to a practice focused on endovascular and dialysis‑access interventions. The presence of 37252 (intravascular ultrasound) with a full description and 36902/36907 (dialysis access angioplasty) in the top codes indicates routine use of intravascular imaging and angioplasty techniques; additional codes for venous ablation (36482, 36475) and multiple angioplasty/stent codes further reinforce an interventional vascular service line.

    Competitive standing is mixed across specific procedures: 37252 ranks #75 of 1088 (93th percentile; notably above typical national volume), indicating above‑typical national throughput for intravascular ultrasound, while the top revenue drivers 37227 (ranks #29 of 363; 92th percentile; typical, unremarkable) and 37229 (ranks #78 of 603; 87th percentile; typical, unremarkable) are high‑revenue for this provider but characterized in the data as typical volumes for those codes. This pattern suggests the provider is a regionally active interventionalist with particular strength in IVUS and select imaging/diagnostic procedures rather than dominant volume across all peripheral endovascular CPTs.

    High ambulatory and diagnostic throughput supports the interventional work: 99213 appears as an extreme outlier with 1.6K claims and $100.1K revenue (6.3%), ranking #1887 of 457151 (100th percentile; extreme outlier), and 93990 (hemodialysis graft duplex) is also an extreme outlier at 272 claims and $23.7K revenue (1.5%), ranking #27 of 1490 (98th percentile; extreme outlier). Together these findings imply a large volume of office visits and focused dialysis‑access imaging services that likely feed procedural caseloads.

    Multiple noninvasive vascular imaging codes are notably above typical national volumes, including 93970 (348 claims, $43.8K; ranks #414 of 20939, 98th percentile; notably above typical), 93925 (255 claims, $41.8K; ranks #296 of 10098, 97th percentile; notably above typical), and 93922 (350 claims, $16.8K; ranks #144 of 8082, 98th percentile; notably above typical). This concentration of duplex and physiologic studies suggests an on‑site vascular lab or strong access to vascular imaging capacity that supports both diagnostic and interventional workflows.

    The provider’s NPI tenure (NPI enumerated (registered): 2006-02-02 (~20 years ago)) indicates an established practice presence; coupled with the mix of interventional and diagnostic codes, this tenure supports a stable, specialized vascular surgery practice rather than a recent entrant. Longevity plus high percentiles in IVUS and dialysis imaging point to a sustained referral base for vascular and dialysis access procedures.

    From a business risk/opportunity perspective, dependence on a small set of high‑revenue Medicare codes (top 3 = 63.2% of Medicare revenue) paired with no Medicaid billing represents both leverage and vulnerability: the provider can market specialized vascular/interventional services to payers and dialysis centers, but reimbursement policy changes or coding audits affecting these top codes could disproportionately reduce revenue. Strategic engagement with Medicare plans and dialysis providers would be advisable given the concentrated revenue drivers and demonstrated imaging/intervention capabilities.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37227N/A60$8,330$524.9K
    37229N/A90$4,350$374.1K
    37252In 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…150$710$109.3K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…120$900$108.4K
    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…1,560$60$100.1K
    37225N/A30$3,260$84.7K
    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…350$130$43.8K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…260$160$41.8K
    37253In 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…300$130$38.2K
    36907During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…60$440$25.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722933020$6,250$243.9K
    3722711020$8,320$191.4K
    37225163030$4,670$158.7K
    36482122040$1,340$65.6K
    36902116050$800$54.2K
    3725226030$670$30.9K
    36475223030$770$28.6K
    3725344060$130$16K
    3690733030$400$14K
    3724821020$570$10.8K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Syed AlamMIVascular Surgery Physician$846.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cretsinger Care Homes, Ltd.MIAdult Care Home Facility$0$15M
    Lifecare AmbulanceMILand Ambulance$2.1M$11.4M
    Recovery Services Unlimited, IncMICommunity/Behavioral Health Agency$0$8.3M
    Homelife, IncMIMental Illness Community Based Residential Treatment Facility$0$6.1M
    Homecare Transitions, Inc.MIIn Home Supportive Care Agency$0$5.3M
    Ambulatory Surgery Associates, LLCMIAmbulatory Surgical Clinic/Center$595.5K$0
    Jeffrey MessengerMIDermatology Physician$587K$0
    Abedel AbushmaiesMIVascular Surgery Physician$516.9K$0
    Marie BurkeMIOphthalmology Physician$355.8K$0
    Battle Creek Endoscopy & Surgery LLCMIAmbulatory Surgical Clinic/Center$235.5K$10.2K

    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. Michigan Distribution
    Tarek Elshaarawy — 9 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan