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    OpenPayerNPI Medicare & MedicaidLaurence Tawil
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    Laurence Tawil — Billing Profile & Reimbursement Data

    NPI 1033191226 · Rock Hill, NY · Internal Medicine Physician

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    Laurence Tawil is a internal medicine physician provider located in Rock Hill, New York. This profile covers 51 Medicare and 15 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
    OrganizationLaurence Tawil
    Address61 Emerald Pl
    CityRock Hill
    StateNY
    ZIP12775
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$301.7K
    Medicaid$191.4K

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…940$100$91.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit350$140$49.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…360$90$31.4K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$280$18K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…220$70$14.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…100$150$14.4K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…270$30$7.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.550$10$7.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.640$10$6.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.690$10$5.6K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921485830,45090$100$19K
    99457310480150$40$12.5K
    992136,97231,44080$70$12.1K
    G04391166,29050$130$11.2K
    823061111,03060$30$10.9K
    992151,6618,28040$140$10.1K
    99458142260100$30$10.1K
    90847213050$70$8.3K
    844432131,51090$20$7.9K
    906771412,48020$280$7.8K

    Showing 1–10 of 51

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,250$60$132.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…820$40$35.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…700$10$8.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…350$20$5.3K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.50$110$5.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.260$10$3.3K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…10$40$510
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…40$10$340
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…10$10$130
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.10$10$130

    Showing 1–10 of 15

    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

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…7,20919,110360$70$321K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.5585901,160$20$277.2K
    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…2,19116,550220$90$186.8K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…159170210$20$162.3K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.1,4712,010200$90$81.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.335570470$10$80.8K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…649710370$10$45.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,3995,090450$10$35.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…8432,090420$10$18.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…9501,840390$10$17.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Robert DinsmoreNYHematology & Oncology Physician$2.4M$45.7K
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Gnanamba KondaguntaNYHematology & Oncology Physician$1.6M$185.4K
    Manuel PerryNYHematology & Oncology Physician$1.3M$101.7K
    Gurvinder SethiNYHematology & Oncology Physician$1.1M$168.6K
    Yong KeNYAnatomic Pathology & Clinical Pathology Physician$351.6K$802.7K
    Noaman VaidyaNYDiagnostic Radiology Physician$667.1K$350K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Konstantin LipelisNYPhysical Medicine & Rehabilitation Physician$189.1K$423.8K
    Zoltan FeketeNYNeurology Physician$126.4K$311.3K
    Robert ScoyniNYGastroenterology Physician$185.8K$250.6K
    Alexey AmchentsevNYPulmonary Disease Physician$142.2K$179K
    Rajan Karuvelankulam SubbiahNYPulmonary Disease Physician$138.4K$152.7K

    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
    Laurence Tawil — 4 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Laurence Tawil — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York