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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAdam Bernheim
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    Adam Bernheim — Billing Profile & Reimbursement Data

    NPI 1033348495 · New York, NY · Diagnostic Radiology Physician

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    Adam Bernheim is a diagnostic radiology physician provider located in New York, New York. This profile covers 10 Medicare and 7 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
    OrganizationAdam Bernheim
    Address1 Gustave L Levy Pl
    CityNew York
    StateNY
    ZIP10029
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 7, 2009

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

    Payer SourceTotal Paid
    Medicare$196.5K
    Medicaid$25.9K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.650$120$74.9K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…250$260$65.5K
    0501TN/A30$980$32.3K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.60$170$10.7K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.50$140$7.2K
    71270In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. He then follows with contrast material and takes more…10$180$2.3K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…10$60$700
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$360
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…50$10$280
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml21,680$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0501T71040$940$61.2K
    755741417040$170$16.6K
    71250401,30080$60$9.1K
    7127595798050$80$5.6K
    710451,1401,370290$10$5.1K
    712605951,12060$50$5K
    712719546030$90$4.6K
    71270395020$100$2.5K
    710461,9722,34060$10$2.4K
    Q9967739203,970$1$860

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.440$30$13.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…3,850$1$7.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,170$1$4.7K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…20$20$330
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.100$1$190
    G9327Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements30$0$0
    G9551Final reports for imaging studies without an incidentally found lesion noted20$0$0

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…227290140$180$111.4K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.113410110$70$42.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…3911,510230$10$28.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2451,610600$10$16.9K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.259460140$10$7.2K
    G9327Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements172030$1$1
    G9551Final reports for imaging studies without an incidentally found lesion noted12816060$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Sinai HospitalNYGeneral Acute Care Hospital$0$278.8M
    Parcare Community Health Network IncNYMulti-Specialty Clinic/Center$0$88.5M
    Fpa Hospital BasedNYEmergency Medicine Physician$0$71M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Main Street Radiology At Bayside LLCNYDiagnostic Radiology Physician$0$24.1M
    Icahn School Of Medicine At Mount SinaiNYCardiovascular Disease Physician$0$21.7M
    Mount Sinai Medical Center Of Florida, IncFLGeneral Acute Care Hospital$0$18.3M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Karthik GujjaNYCardiovascular Disease Physician$2.9M$394.9K
    Nimesh PatelNYLegal Medicine$671.3K$2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helping U Homecare, Inc.NYHome Health Agency$0$143.8M
    New York City Health And Hospitals CorporationNYGeneral Acute Care Hospital$0$100.7M
    Center For Comprehensive Health Practice IncNYMulti-Specialty Clinic/Center$125.5K$11.9M
    Ron RosenNYNuclear Medicine Physician$2.4M$8.9K
    Carnegie Hill Endoscopy LLCNYAmbulatory Surgical Clinic/Center$1.6M$177.4K
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M
    Joseph ShamsNYVascular & Interventional Radiology Physician$1.5M$142.3K
    Su Jung LeeNYFamily Nurse Practitioner$931.2K$0
    Ignatius LauNYVascular Surgery Physician$853.5K$0
    David MobleyNYVascular & Interventional Radiology Physician$826.1K$7.5K

    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
    Adam Bernheim — 1 of 9 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
    Adam Bernheim — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York