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NPI 1992753727 · Owensboro, KY · Cardiovascular Disease Physician
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Kishor Vora is a cardiovascular disease physician provider located in Owensboro, Kentucky. This profile covers 138 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kishor Vora |
| Address | 1200 Breckenridge St |
| City | Owensboro |
| State | KY |
| ZIP | 42303 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | May 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $334.5K |
Scale and payer mix: This provider reports $2M in lifetime Medicare revenue compared with $334.5K in lifetime Medicaid revenue, indicating a materially larger Medicare footprint than Medicaid in absolute dollar terms. The presence of both payers on file means analyses should prioritize Medicare trends while monitoring Medicaid for concentrated service lines that may affect local contracting decisions.
Revenue concentration by payer: Medicare revenue is moderately concentrated with the precomputed top 3 Medicare codes accounting for 35.7% of total Medicare revenue; those top three codes are 78431, 99214, and 93229, which together drive a significant share of the Medicare book. Medicaid revenue is highly concentrated with the precomputed top 3 Medicaid codes accounting for 70.0% of total Medicaid revenue; the Medicaid top three are 93306, 99214, and 93000, indicating a narrow set of services dominate the state Medicare/Medicaid mix.
Business and service-line profile: The code mix shows a multi-modal cardiology operation that blends advanced cardiac imaging (78431 PET myocardial imaging, 93306 transthoracic echo, 75574 CT), ambulatory/device monitoring and interpretation (93229, 93297, G2066, 33285), and interventional/endovascular procedures (93458, 92928, 37225/37227/37238). This mix suggests the practice performs both diagnostic outpatient cardiology visits and higher-acuity procedural work, supporting referrals for imaging, device insertion, and catheter-based interventions.
Medicare competitive standing and outlier signals: On Medicare, the provider is an unusually high-volume reporter for some services — 99214 is labeled an "extreme outlier" nationally (ranks #2785 of 479517, 99th percentile), and several imaging and monitoring codes are high relative to peers (e.g., 93306 is "notably above typical" at the 98th percentile and 93880 is an "extreme outlier" at the 98th percentile). These elevated national percentile positions on both E/M and diagnostic codes indicate the provider is a prominent regional source for office-based cardiology and advanced noninvasive vascular diagnostics in the Medicare population.
Medicaid competitive standing in-state: Medicaid activity is more concentrated but less dominant in rank — 93306 drives the largest share of Medicaid revenue ($134.1K, 40.2%) yet ranks #127 of 209 in-state (39th percentile), while 99214 ranks at the 64th percentile in-state and 93000 ranks at the 77th percentile. Altogether, the provider appears to be a solid but not dominant in-state provider for echocardiography and routine cardiology services on Medicaid, suggesting stronger market positioning in Medicare than Medicaid.
Operational implications for network and utilization management: High Medicare volumes in PET myocardial imaging (78431) and remote/device monitoring (93229, 93297, G2066) coupled with very high E/M billing (99214 labeled an "extreme outlier") make this provider strategically important for networks seeking cardiac imaging and remote monitoring capacity. Payers should note the revenue concentration into a small set of services (precomputed top-3 shares) when modeling utilization, prior authorization thresholds, or bundle negotiations.
Tenure and stability: The provider's NPI was enumerated 2006-05-04 (~20 years ago), indicating long-standing presence in the market. That tenure, combined with sustained billing across imaging, device, and procedural codes, suggests established referral relationships and operational stability that underlie the procedural and monitoring volumes reported.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
138 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 380 | $820 | $313.2K |
| 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… | 1,630 | $90 | $143.6K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 210 | $590 | $121.9K |
| 37225 | N/A | 20 | $5,400 | $118.8K |
| 93306 | The 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… | 900 | $130 | $112.8K |
| 37227 | N/A | 10 | $7,730 | $108.3K |
| 37241 | The physician partially or completely blocks venous blood flow in the target area. This code is for services unrelated to hemorrhage. This code is appropriate for services related to venous… | 40 | $2,620 | $96.8K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 770 | $80 | $63.5K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 110 | $510 | $55K |
| 93880 | Duplex 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… | 400 | $130 | $51.7K |
Showing 1–10 of 138
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 138 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
138 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| P9603 | 3 | 10 | 207,100 | $1 | $251.8K |
| 37227 | 3 | 10 | 20 | $7,830 | $211.4K |
| 37225 | 2 | 10 | 20 | $4,280 | $111.4K |
| 37241 | 1 | 10 | 40 | $2,620 | $96.8K |
| A9555 | 1 | 10 | 270 | $220 | $76.8K |
| 36465 | 5 | 10 | 40 | $970 | $62.3K |
| 93229 | 2 | 10 | 80 | $590 | $59.9K |
| 37238 | 1 | 10 | 10 | $2,990 | $35.9K |
| P9604 | 2 | 10 | 260 | $10 | $33.3K |
| 36482 | 2 | 10 | 30 | $1,170 | $30.4K |
Showing 1–10 of 138
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93306 | The 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… | 810 | $170 | $134.1K |
| 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… | 1,400 | $50 | $71.6K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,550 | $20 | $27.9K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,110 | $1 | $16.4K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 200 | $70 | $14.3K |
| 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… | 360 | $40 | $12.6K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 800 | $10 | $9.6K |
| 85610 | Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze… | 2,280 | $1 | $9.1K |
| 93793 | The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and… | 990 | $10 | $7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 930 | $10 | $6.5K |
Showing 1–10 of 23
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
23 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The 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… | 127 | 210 | 1,340 | $160 | $568K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 130 | 130 | 420 | $270 | $375.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 192 | 200 | 16,730 | $10 | $365.9K |
| 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… | 2,183 | 3,340 | 1,020 | $30 | $296K |
| 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… | 893 | 2,460 | 580 | $40 | $245K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 177 | 330 | 1,400 | $30 | $156.7K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 199 | 310 | 3,500 | $10 | $149.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 178 | 180 | 3,770 | $10 | $136.2K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 204 | 220 | 2,810 | $10 | $94.7K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 213 | 310 | 330 | $40 | $71.3K |
Showing 1–10 of 23
Other providers in the same ZIP code as Kishor Vora, ranked by combined Medicare and Medicaid revenue.
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