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    OpenPayerNPI Medicare & MedicaidArmistead Williams
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    Armistead Williams — Billing Profile & Reimbursement Data

    NPI 1073580908 · New York, NY · Neurology Physician

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    Armistead Williams is a neurology physician provider located in New York, New York. This profile covers 21 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
    OrganizationArmistead Williams
    Address521 W 57th St
    CityNew York
    StateNY
    ZIP10019
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$6.7M
    Medicaid$0

    Key Findings

    The provider’s code mix is dominated by high-cost biologic infusions consistent with a neurology practice treating multiple sclerosis and other immune-mediated neurologic conditions: J2350 (ocrelizumab), J2323 (natalizumab), J1561 (immune globulin), and J9312 (rituximab) account for the bulk of drug-related activity. The presence of these injectable biologics and immunomodulatory agents alongside infusion administration codes indicates the operation functions as an infusion-centric neurology practice rather than a primarily diagnostic-only clinic.

    Revenue is heavily concentrated in a very small number of items: top 3 Medicare codes by revenue account for 90.9% of this provider's total Medicare revenue, with J2350 generating $4.6M (68.5%), J2323 $939.6K (13.9%), and J1561 $571.5K (8.4%) of the $6.7M total Medicare revenue. That level of concentration means most of the practice’s Medicare dollars are driven by a handful of biologic/injectable therapies.

    This profile is effectively single-payer on file — total Medicare revenue is $6.7M while there is none below for Medicaid (no Medicaid billing on file) — so Medicare comprises the entire public-claims footprint shown. Reliance on Medicare-only revenue magnifies exposure to Medicare reimbursement and utilization changes for the specific drugs and infusion services the provider delivers.

    For competitive standing the provider is a national outlier on J2350: 100.8K claims and $4.6M revenue, ranking #1 of 105 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That single-code dominance contrasts with more modest national positions on other top drugs and suggests this provider is a market leader for ocrelizumab administration.

    Operational capacity for infusion is further supported by unusually high utilization of infusion administration codes: 96415 has 732 claims and $18.3K revenue (rank #26 of 4959 providers nationally, 99th percentile; extreme outlier), 96366 has 634 claims and $11.4K revenue (rank #118 of 2976, 96th percentile; notably above typical), and 96365 has 321 claims and $18.3K revenue (rank #871 of 8873, 90th percentile). These add-on and hourly infusion codes indicate substantial infusion throughput and support the inference of a dedicated infusion service line.

    The practice also shows significant provision of high-complexity office care and specialized diagnostic procedures: 99215 appears with 255 claims and $37K revenue (rank #7863 of 145531, 95th percentile; notably above typical), and 62270 (a CSF/diagnostic procedure) shows 72 claims and $8.1K revenue (rank #4 of 140, 97th percentile). This mix implies ongoing, complex neurologic management—both drug administration and higher-acuity evaluation/diagnostics—rather than only episodic drug dispensing.

    Outside of the J2350 dominance, volumes for the other top drugs are elevated but more typical: J2323 is 52.2K claims and $939.6K revenue (rank #6 of 40, 87th percentile; typical, unremarkable volume) and J1561 is 15K claims and $571.5K revenue (rank #19 of 180, 90th percentile; typical, unremarkable volume). That pattern suggests a practice anchored by one flagship biologic service line supplemented by a broader infusion portfolio rather than uniformly extreme volumes across all drugs.

    The provider has long tenure in public claims data, with NPI enumerated 2006-02-28 (~20 years ago), which supports the view of an established specialty infusion practice that has scaled over time. Analysts should consider that long-standing referral relationships and invested infusion capacity likely contribute to the concentrated, high-volume billing pattern observed, particularly for J2350.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2350Injection, ocrelizumab, 1 mg100,800$50$4.6M
    J2323Injection, natalizumab, 1 mg52,200$20$939.6K
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg15,040$40$571.5K
    J9312Injection, rituximab, 10 mg6,800$60$428.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…320$120$37K
    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…260$150$37K
    J0475Injection, baclofen, 10 mg260$140$35.8K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…730$30$18.3K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.320$60$18.3K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.630$20$11.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J235011014,700$50$1.4M
    J232321033,000$20$632.8K
    J15614403,100$40$234.9K
    J93121202,550$60$175K
    J0475510280$140$50.2K
    9641347380110$110$18.1K
    992154068,28040$140$10.1K
    963656061080$60$7.7K
    992052,7084,26030$180$6.4K
    6237053060$70$5.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James StarkNYNeurology Physician$827.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Lukes Roosevelt Hospital CenterNYGeneral Acute Care Hospital$0$190.5M
    Karen ThorntonNYFamily Medicine Physician$183K$13.5M
    West Side Gi, LLCNYAmbulatory Surgical Clinic/Center$566.4K$13M
    Roosevelt Surgery Center, LLCNYAmbulatory Surgical Clinic/Center$1.1M$938.4K
    Elizabeth KavalerNYUrology Physician$1.7M$0
    Esoterix Genetic Laboratories, LLCNYClinical Medical Laboratory$418.7K$724.2K
    Suelane Do OuroNYInterventional Pain Medicine Physician$682.3K$332.8K
    Robert HowardNYRegistered Dietitian$17K$962.8K
    Alexander VolvovskyNYDiagnostic Radiology Physician$814.1K$0
    Stephen ManghisiNYDiagnostic Radiology Physician$593.1K$570

    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
    Armistead Williams — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York