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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. Rajiv Nagesetty
๐Ÿ”ช
MDIndividual

Rajiv Nagesetty, MD

NPI: 1689786840
Walnut Creek, CA
10 years of data
Vascular Surgery
$48.3M
Total Payments
262
Beneficiaries
398.7K
Services
4.35x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$48.3M
Specialty median$184.1K
Rank #3 of 5 in specialty

๐Ÿ“‹ Key Findings

1Billed $48.3M over 10 years
24.35x markup ratio (above median)
399th percentile in Vascular Surgery by payments
4159 services/day โ€” unusually high
516 procedures with >3x markup

This provider averages 159 services per working day

Based on 398.7K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $48.3M in total Medicare payments ranks in the 99th percentile of Vascular Surgery providers nationally.

Averaging 159 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$507.58$110.384.60x$397.20$5.0M45.5K29
2015$489.77$107.354.56x$382.42$5.0M46.7K31
2016$465.13$102.664.53x$362.47$5.1M49.3K31
2017$469.33$105.214.46x$364.12$5.2M49.6K25
2018$545.65$123.444.42x$422.21$4.8M38.7K25
2019$549.88$138.053.98x$411.83$5.3M38.2K24
2020$565.83$139.114.07x$426.72$4.7M34.0K24
2021$562.43$141.483.98x$420.95$5.0M35.6K24
2022$598.70$136.694.38x$462.01$4.5M33.2K24
2023$589.22$129.864.54x$459.36$3.6M27.9K25

Top Procedures (20)

37225Removal of plaque in arteries of legโš  4.2x markup
$14.7M
1.4K services$10.2K/svc4.22x markup
37227Removal of plaque and insertion of stents in arteries of legโš  3.8x markup
$11.8M
802 services$14.8K/svc3.80x markup
37229Removal of plaque in artery of leg, initial vesselโš  5.8x markup
$7.5M
1.1K services$6.9K/svc5.84x markup
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidanceโš  4.4x markup
$3.1M
2.2K services$1.4K/svc4.43x markup
0238TCatheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation
$1.9M
152 services$12.5K/svc1.25x markup
93925Ultrasound of leg arteries or artery graftsโš  4.5x markup
$1.8M
7.5K services$239.19/svc4.47x markup
99213Established patient office or other outpatient visit, 20-29 minutesโš  3.8x markup
$1.0M
14.3K services$73.01/svc3.78x markup
93880Ultrasound of both sides of head and neck blood flowโš  4.5x markup
$739.2K
4.4K services$168.76/svc4.54x markup
93970Ultrasound study of arm or leg veins with compression and maneuversโš  5.0x markup
$634.5K
3.8K services$167.91/svc4.95x markup
37220Balloon dilation of groin artery, initial vesselโš  7.5x markup
$570.3K
352 services$1.6K/svc7.55x markup
37221Insertion of stent in groin artery, initial vesselโš  5.9x markup
$529.8K
162 services$3.3K/svc5.91x markup
93971Ultrasound study of one arm or leg veins with compression and maneuversโš  4.4x markup
$520.9K
4.4K services$119.47/svc4.43x markup
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidanceโš  4.5x markup
$437.8K
235 services$1.9K/svc4.53x markup
93922Ultrasound study of arm and leg arteriesโš  6.0x markup
$432.1K
5.9K services$73.68/svc6.01x markup
99204New patient office or other outpatient visit, 45-59 minutesโš  3.8x markup
$401.2K
2.8K services$142.18/svc3.84x markup
75716Review by radiologist of both arms or legs arteries image
$392.3K
2.2K services$175.75/svc2.38x markup
36223Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist
$320.9K
148 services$2.2K/svc2.99x markup
75625Review by radiologist of abdominal aorta image
$294.4K
2.2K services$131.02/svc2.24x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skinโš  6.2x markup
$263.2K
249 services$1.1K/svc6.19x markup
99214Established patient office or other outpatient visit, 30-39 minutesโš  3.3x markup
$145.4K
1.6K services$88.65/svc3.28x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37225Removal of plaque in arteries of leg1.4K$14.7M$10.2K4.22x
37227Removal of plaque and insertion of stents in arteries of leg802$11.8M$14.8K3.80x
37229Removal of plaque in artery of leg, initial vessel1.1K$7.5M$6.9K5.84x
36475Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance2.2K$3.1M$1.4K4.43x
0238TCatheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation152$1.9M$12.5K1.25x
93925Ultrasound of leg arteries or artery grafts7.5K$1.8M$239.194.47x
99213Established patient office or other outpatient visit, 20-29 minutes14.3K$1.0M$73.013.78x
93880Ultrasound of both sides of head and neck blood flow4.4K$739.2K$168.764.54x
93970Ultrasound study of arm or leg veins with compression and maneuvers3.8K$634.5K$167.914.95x
37220Balloon dilation of groin artery, initial vessel352$570.3K$1.6K7.55x
37221Insertion of stent in groin artery, initial vessel162$529.8K$3.3K5.91x
93971Ultrasound study of one arm or leg veins with compression and maneuvers4.4K$520.9K$119.474.43x
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance235$437.8K$1.9K4.53x
93922Ultrasound study of arm and leg arteries5.9K$432.1K$73.686.01x
99204New patient office or other outpatient visit, 45-59 minutes2.8K$401.2K$142.183.84x
75716Review by radiologist of both arms or legs arteries image2.2K$392.3K$175.752.38x
36223Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist148$320.9K$2.2K2.99x
75625Review by radiologist of abdominal aorta image2.2K$294.4K$131.022.24x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin249$263.2K$1.1K6.19x
99214Established patient office or other outpatient visit, 30-39 minutes1.6K$145.4K$88.653.28x

Markup Analysis

Charge-to-Payment Ratio

4.35x

This provider submits charges 4.35 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.35x means for every $100 Medicare pays, this provider initially charges $435. This is higher than the national average.

Location

Walnut Creek, 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.

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