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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. Vahe Melkonyan
๐Ÿ”ช
MDIndividual

Vahe Melkonyan, MD

NPI: 1073664934
Sherman Oaks, CA
10 years of data
Vascular Surgery
$11.5M
Total Payments
16.5K
Beneficiaries
29.9K
Services
2.92x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$11.5M
Specialty median$184.1K

๐Ÿ“‹ Key Findings

1Billed $11.5M over 10 years
22.92x markup ratio (above median)
399th percentile in Vascular Surgery by payments
4Payments surged 53% in 2018
58 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $11.5M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

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 53% in 2018

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
2014$865.59$290.402.98x$575.19$1.2M4.1K2.2K
2015$892.47$278.363.21x$614.11$984.1K3.9K2.2K
2016$1.1K$413.172.74x$719.50$923.1K3.4K1.9K
2017$963.57$306.663.14x$656.91$939.6K3.1K1.7K
2018$1.7K$629.282.67x$1.1K$1.4M3.1K1.6K
2019$1.5K$505.123.05x$1.0K$1.3M2.7K1.5K
2020$1.5K$528.152.91x$1.0K$1.1M2.0K1.2K
2021$1.5K$542.402.84x$996.49$1.2M2.2K1.2K
2022$1.5K$495.033.11x$1.0K$1.1M2.4K1.3K
2023$1.5K$449.543.27x$1.0K$1.3M3.1K1.6K

Top Procedures (20)

36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance
$4.0M
2.7K services$1.5K/svc2.69x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skinโš  3.2x markup
$2.0M
1.8K services$1.1K/svc3.17x markup
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidanceโš  3.0x markup
$1.8M
1.3K services$1.3K/svc3.02x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuversโš  3.5x markup
$912.2K
5.3K services$172.69/svc3.47x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin
$772.9K
554 services$1.4K/svc2.87x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$468.8K
5.0K services$93.86/svc2.66x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
$439.5K
4.0K services$109.32/svc2.74x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$285.2K
4.2K services$67.18/svc2.23x markup
99204New patient office or other outpatient visit, typically 45 minutes
$220.6K
1.8K services$123.67/svc2.83x markup
36479Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin
$180.7K
595 services$303.64/svc2.63x markup
36471Injection of chemical agent into multiple veins of same legโš  3.7x markup
$107.8K
1.0K services$107.61/svc3.72x markup
37765Multiple incisions for removal of varicose veins of arm or legโš  4.6x markup
$97.8K
337 services$290.30/svc4.63x markup
93925Ultrasound study of arteries and arterial grafts of both legsโš  3.3x markup
$75.1K
349 services$215.33/svc3.25x markup
37187Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance
$51.4K
28 services$1.8K/svc1.91x markup
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin
$50.9K
188 services$270.64/svc2.96x markup
36470Injection of chemical agent into single veinโš  3.7x markup
$18.6K
197 services$94.52/svc3.70x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$11.1K
292 services$38.06/svc2.36x markup
99203New patient office or other outpatient visit, typically 30 minutes
$8.9K
103 services$86.38/svc2.60x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needleโš  8.4x markup
$5.7K
97 services$59.21/svc8.44x markup
99354Prolonged office or other outpatient service first hour
$1.0K
12 services$84.11/svc2.38x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36466Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance2.7K$4.0M$1.5K2.69x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin1.8K$2.0M$1.1K3.17x
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance1.3K$1.8M$1.3K3.02x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers5.3K$912.2K$172.693.47x
36475Destruction of insufficient vein of arm or leg, accessed through the skin554$772.9K$1.4K2.87x
99214Established patient office or other outpatient, visit typically 25 minutes5.0K$468.8K$93.862.66x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4.0K$439.5K$109.322.74x
99213Established patient office or other outpatient visit, typically 15 minutes4.2K$285.2K$67.182.23x
99204New patient office or other outpatient visit, typically 45 minutes1.8K$220.6K$123.672.83x
36479Laser destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin595$180.7K$303.642.63x
36471Injection of chemical agent into multiple veins of same leg1.0K$107.8K$107.613.72x
37765Multiple incisions for removal of varicose veins of arm or leg337$97.8K$290.304.63x
93925Ultrasound study of arteries and arterial grafts of both legs349$75.1K$215.333.25x
37187Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance28$51.4K$1.8K1.91x
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin188$50.9K$270.642.96x
36470Injection of chemical agent into single vein197$18.6K$94.523.70x
99212Established patient office or other outpatient visit, typically 10 minutes292$11.1K$38.062.36x
99203New patient office or other outpatient visit, typically 30 minutes103$8.9K$86.382.60x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle97$5.7K$59.218.44x
99354Prolonged office or other outpatient service first hour12$1.0K$84.112.38x

Markup Analysis

Charge-to-Payment Ratio

2.92x

This provider submits charges 2.92 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. This is higher than the national average.

Location

Sherman Oaks, CA

Provider Verification

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

Similar Providers

Other Vascular Surgery providers in CA for peer comparison.

Vahe Melkonyan (you)
$11.5M
Harold Tabaie, MD
$69.0M
Rajiv Nagesetty, MD
$48.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Harold Tabaie, MDLos Angeles, CA$69.0Mโœ“ Clear
Rajiv Nagesetty, MDWalnut Creek, CA$48.3Mโœ“ Clear

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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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