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NPI 1043279045 · East Meadow, NY · Nephrology Physician
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Sofia Rubinstein is a nephrology physician provider located in East Meadow, New York. This profile covers 7 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sofia Rubinstein |
| Address | 2201 Hempstead Tpke |
| City | East Meadow |
| State | NY |
| ZIP | 11554 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | March 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $107.5K |
| Medicare | $79.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 90 | $330 | $30.3K |
| 90937 | Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing… | 190 | $90 | $17.1K |
| 99232 | The 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… | 200 | $70 | $14.4K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 50 | $120 | $6.5K |
| 99233 | The 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… | 40 | $110 | $4.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 30 | $140 | $3.6K |
| 99214 | The 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… | 30 | $80 | $2.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 1,160 | $90 | $103.1K |
| 90937 | Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing… | 130 | $30 | $3.1K |
| 99214 | The 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… | 50 | $30 | $1.4K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 10 | $40 | $550 |
| 0505F | No Summary found for this code | 640 | $0 | $0 |
| 3066F | Nephropathy is a kidney disease, which may occur due to damage to the kidneys. The provider reports this code to document the treatment for nephropathy such as for patients receiving dialysis,… | 130 | $0 | $0 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90937 | Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing… | 63 | 80 | 3,680 | $40 | $919.1K |
| 99214 | The 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… | 12,428 | 16,550 | 220 | $90 | $186.8K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 88 | 440 | 420 | $70 | $52.8K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,155 | 1,410 | 50 | $60 | $18.6K |
| 3066F | Nephropathy is a kidney disease, which may occur due to damage to the kidneys. The provider reports this code to document the treatment for nephropathy such as for patients receiving dialysis,… | 12 | 30 | 50 | $1 | $20 |
| 0505F | No Summary found for this code | 3 | 10 | 710 | $0 | $0 |
Other providers in the same ZIP code as Sofia Rubinstein, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sports Physical Therapy Occupational Therapy And Rehabilitation Servic | NY | Hand Physical Therapist | $0 | $25.4M |
| County Of Nassau County Controller | NY | Mental Health Clinic/Center (Including Community Mental Health Center) | $344.6K | $8.4M |
| Christopher Calapai | NY | Family Medicine Physician | $1.9M | $380 |
| Michael Drabkin | NY | Vascular & Interventional Radiology Physician | $1.1M | $1.8K |
| Jay Purvin | NY | Podiatrist | $345.3K | $178K |
| Jason Lipetz | NY | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $466.3K | $0 |
| Albert Ferrara | NY | Internal Medicine Physician | $422.6K | $21.1K |
| Genia Bekker | NY | Obstetrics & Gynecology Physician | $283.9K | $100K |
| Michael Schwartz | NY | Sports Medicine (Orthopaedic Surgery) Physician | $343.4K | $0 |
| Faina Akselrod | NY | Obstetrics & Gynecology Physician | $302.9K | $39.3K |
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