Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Justin Margolis (NPI 1083907836)

Field	Value
Entity Type	Individual
Organization	Justin Margolis
Address	Department Of Surgery
City	Stony Brook
State	NY
ZIP	11794
Taxonomy	Vascular Surgery Physician
NPI Enumerated	May 25, 2011

Payer Source	Total Paid
Medicare	$98.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	170	$100	$16.8K
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…	140	$100	$13.6K
93970	The 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…	270	$40	$11.7K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	270	$30	$8.6K
99204	The provider sees a new 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 provider…	70	$120	$8.6K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	130	$60	$7.6K
93990	The provider assesses the flow of blood through a hemodialysis graft using duplex ultrasound scanning. He performs this procedure to evaluate the condition of the graft.	60	$80	$4.8K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	110	$40	$4.4K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	30	$120	$4.2K
93985	The provider performs a duplex ultrasound scan of the arteries and veins in both upper extremities to assess vascular supply and venous return in the arm prior to establishing hemodialysis access.	20	$210	$4.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Justin Margolis — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,468	30,450	90	$100	$19K
93880	288	1,730	50	$140	$14.5K
99213	25,728	31,440	80	$70	$12.1K
93975	138	330	30	$190	$11K
93978	248	440	40	$140	$10.3K
93970	93	1,590	40	$100	$8.6K
93924	49	50	30	$130	$8.4K
93923	99	550	40	$90	$7.7K
93990	32	100	40	$100	$6.8K
99204	3,032	14,170	30	$130	$6.6K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital At Stony Brook	NY	General Acute Care Hospital	$0	$105.3M
Stony Brook Children's Service, University Faculty Practice Corporatio	NY	Pediatrics Physician	$0	$24.1M
Dinko Franceschi	NY	Nuclear Radiology Physician	$1.8M	$73.6K
William Caldwell	NY	Pain Medicine (Anesthesiology) Physician	$788K	$5.1K
Matthew Comito	NY	Diagnostic Radiology Physician	$642.6K	$67K
Jordan Slutsky	NY	MOHS-Micrographic Surgery Physician	$605.1K	$0
Roger Fan	NY	Cardiovascular Disease Physician	$539.3K	$100
Travis Bench	NY	Cardiovascular Disease Physician	$471.2K	$200
Lachlan Smith	NY	Diagnostic Radiology Physician	$416.1K	$46.6K
Jason Kim	NY	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$418.6K	$5.9K

Justin Margolis — Billing Profile & Reimbursement Data

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Justin Margolis — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References