“…Higher hospital and provider volumes are known to be correlated with improved procedural outcomes. 13,14 However, contrary to physician or center case volumes, regional volumes do not impact outcomes of carotid revascularizations or translate into better care due to variation in outcomes of individual centers and physicians within each region. Regional case volumes likely reflect different population sizes, different numbers of VQIparticipating centers in that region, and/or increased disease burden, rather than increased experience.…”