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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Alex Pavidapha
๐Ÿ“ก
MDIndividual

Alex Pavidapha, M.D

NPI: 1053799585
Reston, VA
3 years of data
Interventional Radiology
$3.8M
Total Payments
31
Beneficiaries
40.2K
Services
5x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.8M
Specialty median$146.5K

๐Ÿ“‹ Key Findings

1Billed $3.8M over 3 years
25x markup ratio (above median)
398th percentile in Interventional Radiology by payments
454 services/day โ€” unusually high
5Payments surged 15221% in 2022
618 procedures with >3x markup

This provider averages 54 services per working day

Based on 40.2K total services over 3 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Interventional Radiology providers nationally.

Averaging 54 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 195681% from 2021 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 15221% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2021$554.00$27.9019.86x$526.10$1.8K642
2022$497.30$95.495.21x$401.81$273.6K2.9K7
2023$466.37$93.764.97x$372.61$3.5M37.3K22

Top Procedures (20)

37243Occlusion of growths or obstructed vessels with review by radiologistโš  3.8x markup
$1.9M
239 services$8.1K/svc3.78x markup
37242Occlusion of artery with review by radiologistโš  7.1x markup
$897.5K
255 services$3.5K/svc7.06x markup
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branchโš  7.3x markup
$350.7K
528 services$664.23/svc7.25x markup
37244Occlusion of artery or vein bleeding with review by radiologistโš  5.9x markup
$174.6K
44 services$4.0K/svc5.91x markup
36248Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyondโš  4.0x markup
$152.7K
1.5K services$104.89/svc4.05x markup
75774Review by radiologist of additional artery imageโš  3.8x markup
$130.0K
1.5K services$86.57/svc3.76x markup
75726Review by radiologist of abdominal artery imageโš  3.7x markup
$35.1K
234 services$150.15/svc3.73x markup
99443Telephone medical discussion with physician, 21-30 minutes
$23.8K
229 services$103.84/svc2.49x markup
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutesโš  4.3x markup
$11.8K
346 services$34.13/svc4.31x markup
76937Ultrasonic guidance for blood vessel accessโš  3.4x markup
$9.7K
274 services$35.40/svc3.38x markup
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutesโš  4.9x markup
$8.8K
860 services$10.23/svc4.88x markup
75710Review by radiologist of arm or leg artery imageโš  4.2x markup
$5.6K
43 services$131.37/svc4.22x markup
75736Review by radiologist of pelvis artery imageโš  3.9x markup
$5.3K
45 services$118.56/svc3.86x markup
51102Aspiration of bladder with insertion of bladder tube to skinโš  3.4x markup
$4.5K
21 services$212.96/svc3.37x markup
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per mlโš  5.0x markup
$3.7K
32.3K services$0.11/svc4.99x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$2.9K
26 services$110.07/svc2.87x markup
51710Complicated change of bladder tubeโš  4.1x markup
$2.8K
25 services$112.84/svc4.10x markup
77002Fluoroscopic guidance for needle placementโš  3.7x markup
$2.2K
21 services$106.60/svc3.71x markup
74430Review by radiologist of urinary bladder imageโš  3.8x markup
$1.5K
40 services$37.26/svc3.81x markup
99202New patient office or other outpatient visit, 15-29 minutesโš  3.9x markup
$1.5K
23 services$63.09/svc3.88x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37243Occlusion of growths or obstructed vessels with review by radiologist239$1.9M$8.1K3.78x
37242Occlusion of artery with review by radiologist255$897.5K$3.5K7.06x
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch528$350.7K$664.237.25x
37244Occlusion of artery or vein bleeding with review by radiologist44$174.6K$4.0K5.91x
36248Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond1.5K$152.7K$104.894.05x
75774Review by radiologist of additional artery image1.5K$130.0K$86.573.76x
75726Review by radiologist of abdominal artery image234$35.1K$150.153.73x
99443Telephone medical discussion with physician, 21-30 minutes229$23.8K$103.842.49x
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes346$11.8K$34.134.31x
76937Ultrasonic guidance for blood vessel access274$9.7K$35.403.38x
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes860$8.8K$10.234.88x
75710Review by radiologist of arm or leg artery image43$5.6K$131.374.22x
75736Review by radiologist of pelvis artery image45$5.3K$118.563.86x
51102Aspiration of bladder with insertion of bladder tube to skin21$4.5K$212.963.37x
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml32.3K$3.7K$0.114.99x
99214Established patient office or other outpatient visit, 30-39 minutes26$2.9K$110.072.87x
51710Complicated change of bladder tube25$2.8K$112.844.10x
77002Fluoroscopic guidance for needle placement21$2.2K$106.603.71x
74430Review by radiologist of urinary bladder image40$1.5K$37.263.81x
99202New patient office or other outpatient visit, 15-29 minutes23$1.5K$63.093.88x

Markup Analysis

Charge-to-Payment Ratio

5x

This provider submits charges 5 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. This is higher than the national average.

Location

Reston, VA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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