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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAvi Cohen
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    Avi Cohen — Billing Profile & Reimbursement Data

    NPI 1003173667 · Detroit, MI · Pulmonary Disease Physician

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    Avi Cohen is a pulmonary disease physician provider located in Detroit, Michigan. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAvi Cohen
    Address2799 W Grand Blvd
    CityDetroit
    StateMI
    ZIP48202
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedApril 19, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$26.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$100$4.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$70$4.4K
    31653The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…20$200$3.2K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…20$160$3.1K
    31622In this procedure, the provider performs diagnostic rigid or flexible bronchoscopy, a test to view airways and diagnose lung disease. He may or may not use fluoroscopic guidance to perform this test.…20$110$2K
    31629The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.20$110$2K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.30$60$1.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$80$1.6K
    31627In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.20$80$1.6K
    31654In this add–on procedure, the provider uses ultrasound guidance in the throat (trachea) and/or the major air passages to the lungs (bronchi) in addition to passing a rigid or flexible scope into the…20$60$1.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992332,6874,22070$90$12.3K
    992323,8406,73090$60$12K
    9921413,72815,47080$80$11.4K
    31653102020$170$3.7K
    3165232010$130$2.3K
    3162982020$110$2.3K
    9472924333060$20$1.8K
    3162261020$90$1.7K
    3162772010$70$1.4K
    3162853020$70$1.3K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Avi Cohen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Macomb Hospital CorporationMIGeneral Acute Care Hospital$0$40.9M
    Henry Ford Macomb Hospital CorporationMIFamily Medicine Physician$0$9.2M
    Henry Ford Macomb Hospital CorporationMIAdvanced Practice Midwife$0$7.3M
    Patrick MclaughlinMIRadiation Oncology Physician$737.5K$0
    Luay SayedMIInterventional Cardiology Physician$593.6K$0
    June ChanMIRadiation Oncology Physician$420.6K$0
    Gunateet GoswamiMICardiovascular Disease Physician$409.1K$0
    Samer KazzihaMICardiovascular Disease Physician$345.5K$0
    Subhi SbahiMICardiovascular Disease Physician$336K$0
    Fadi Al-qas HannaMICardiovascular Disease Physician$325.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Avi Cohen — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan