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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSotir Polena
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    Sotir Polena — Billing Profile & Reimbursement Data

    NPI 1023206505 · Huntington, NY · Interventional Cardiology Physician

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    Sotir Polena is a interventional cardiology physician provider located in Huntington, New York. This profile covers 39 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSotir Polena
    Address172 E Main St
    CityHuntington
    StateNY
    ZIP11743
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedOctober 9, 2007

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

    Payer SourceTotal Paid
    Medicare$682.3K
    Medicaid$1.9K

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37227N/A20$11,070$188.2K
    78492In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…60$1,240$74.5K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…70$1,060$70.2K
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…50$1,290$60.5K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries120$380$45.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…700$50$34.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…180$120$22.3K
    36247Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…20$1,400$21K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…120$180$20.9K
    93454In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…90$220$20K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    37227243030$9,400$328.9K
    784922440100$1,230$178.4K
    36465418050$1,240$101.4K
    A95554370160$340$86.2K
    36475108030$950$37.2K
    933061,0531,990200$110$30.7K
    9292811425030$510$21.8K
    992337,5988,64080$100$15.8K
    36247486030$420$15.1K
    938809391,73050$140$14.5K

    Showing 1–10 of 39

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.480$1$1.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.9262,130340$10$17.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sun River Health Inc.NYFederally Qualified Health Center (FQHC)$0$546.7M
    North Shore-lij Medical PCNYUrology Physician$0$388.1M
    Premium Health IncNYFederally Qualified Health Center (FQHC)$0$85.4M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Edward BennettNYInternal Medicine Physician$152.7K$6.7M
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Eric ShakinNYOphthalmology Physician$3.3M$291.7K
    Lynda PiboonNYObstetrics & Gynecology Physician$62.2K$3.1M
    Stuart WeinermanNYEndocrinology, Diabetes & Metabolism Physician$2.3M$2.3K

    Nearby Providers

    Other providers in the same ZIP code as Sotir Polena, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Service League, Inc.NYCommunity/Behavioral Health Agency$0$73.2M
    American Forensic Toxicology Services LLCNYClinical Medical Laboratory$1.2M$33.2M
    Joshua KleinNYCardiovascular Disease Physician$1.7M$6.8K
    Mark BergmanNYCardiovascular Disease Physician$1.6M$670
    Elizabeth SmallNYOphthalmology Physician$1.2M$0
    Marco PapaleoNYCardiovascular Disease Physician$1.2M$270
    Rajeswara PatchaNYInterventional Cardiology Physician$976.2K$0
    Balveen SinghNYCardiovascular Disease Physician$970.2K$2.3K
    Wendy LouNYMOHS-Micrographic Surgery Physician$930.9K$0
    Felix KuoNYDermatology Physician$851K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Sotir Polena — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Sotir Polena — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York