Varicose vein ablation clinicians in Saint Louis, Missouri

CMS lists 41 clinicians who have billed Medicare for at least one varicose vein removal procedure and practice in Saint Louis, Missouri (details below).

Varicose vein ablation volume

Clinician	Varicose vein removal procedures billed	Percentile rank
Wan-Lin Horng, MD	332	95%
Jason Keune, MD	204	91%
Robert Hacker	120	86%
Gregory Botteron, MD	96	84%
Christopher Allen, MD	85	82%
George Tadros, MD	84	82%
Jacobo Nurko, MD	68	79%
Deena Chihade	41	71%
Olaguoke Akinwande, MD	28	64%
Ayaz Malik, MD	16	53%
Brent Allen, MD	15	52%
Silas Williams, MD	15	52%
Raffi Krikorian, MD	12	47%
Brian Rubin, MD	12	47%
Melanie Schwiesow, MD	11	45%
Shilpkumar Arora, MD	1-10	45% or below
Travis Brown, DO	1-10	45% or below
Sundeep Das, MD	1-10	45% or below
Amy Gable, PA	1-10	45% or below
Patrick Geraghty, MD	1-10	45% or below
Satvik Hadigal, MD	1-10	45% or below
Sandeep Hindupur, MD	1-10	45% or below
Pavan Kavali, MD	1-10	45% or below
Azamuddin Khaja, MD	1-10	45% or below
Vipul Khetarpaul, MD	1-10	45% or below
Ali Malik, MD	1-10	45% or below
Naganathan Mani, MD	1-10	45% or below
Ryan McEnaney, MD	1-10	45% or below
Khanjan Nagarsheth, MD	1-10	45% or below
John Ohman, MD	1-10	45% or below
Usman Qayyum, MD	1-10	45% or below
Amir Ata Rahnemai Azar, MD	1-10	45% or below
Rafiq Ramadan, MD	1-10	45% or below
Bassam Roukoz, MD	1-10	45% or below
Steven Sauk, MD	1-10	45% or below
Brian Seeck, MD	1-10	45% or below
Victoria Simmons, MD	1-10	45% or below
Jacqueline Stuber	1-10	45% or below
Scott Westfall, MD	1-10	45% or below
Andrew Wishy, DO	1-10	45% or below
Mohamed Zayed, MD	1-10	45% or below

Sorted by the number of varicose vein removal procedures billed to Medicare, highest first, not by quality or skill. CMS suppresses counts between 1 and 10 to protect patient privacy and publishes the range instead.

Understanding CMS Data

CMS's "Varicose vein removal" category combines specific billing codes for varicose vein treatment to calculate the number of times each clinician billed Medicare for a "Varicose vein removal." These include heat (radiofrequency or laser) ablation, medical adhesive closure, mechanochemical ablation, and sclerotherapy injections. All of these close a varicose vein in place rather than removing it, and the category does not include surgical removal of a vein (vein stripping or phlebectomy). A treatment counts whether it was an injection during an office visit or a catheter procedure, and a patient who has treatment in more than one session contributes to the total each time. CMS states that it excludes claim lines with modifiers indicating that a clinician performed a very limited role in a procedure. CMS reports only procedures that clinicians billed to Original Medicare and Medicare Advantage. Therefore, CMS's procedure volume data does not include procedures that clinicians may have performed on patients who have other health care coverage (e.g., commercial insurance, self-pay, or the VA). Billing variation and coding errors can also affect CMS's data. Therefore, the number of procedures that CMS reports for a clinician may be higher or lower than the actual number of varicose vein removal procedures a clinician performed during the reporting period. Lastly, we apply no specialty filter in this category, so this page includes clinicians of every primary specialty.

Source: Centers for Medicare & Medicaid Services (August 18, 2026 release).