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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Zelefsky
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    Michael Zelefsky — Billing Profile & Reimbursement Data

    NPI 1093785065 · New York, NY · Radiation Oncology Physician

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    Michael Zelefsky is a radiation oncology physician provider located in New York, New York. This profile covers 19 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
    OrganizationMichael Zelefsky
    Address1275 York Ave
    CityNew York
    StateNY
    ZIP10021
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedJanuary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$341K
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…200$380$76.5K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…1,590$30$46.2K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…210$200$41.8K
    77435In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…70$580$40.6K
    55875The provider, a urologist or oncologist, places needles or catheters into the prostate for separate placement of radioactive "seeds" to treat prostate cancer; needle or catheter placement may be done…40$710$25.6K
    99205The provider sees a new 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 provider…130$160$20K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…110$150$16.7K
    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…120$120$14.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…50$170$8.9K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…70$120$8.2K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5587444020$1,440$44.6K
    77301124030$670$29.5K
    77427251300120$170$25.1K
    5587531020$710$18.5K
    7743548020$570$17K
    77338225040$260$12.6K
    9921310,61531,44080$70$12.1K
    992151,2858,28040$140$10.1K
    772632829050$150$8.4K
    G600254140190$20$8.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin VoogCARadiation Oncology Physician$1.6M$0
    Brett CoxILRadiation Oncology Physician$1.6M$0
    Majid MaybodyNYVascular & Interventional Radiology Physician$974.1K$370
    Volkan BeylergilNYDiagnostic Radiology Physician$702.6K$20K
    Elizabeth MorrisNYDiagnostic Radiology Physician$695.4K$0
    Charles SimoneNYRadiation Oncology Physician$583.8K$0
    Jehee ChoiCARadiation Oncology Physician$508.7K$0
    Daniel GorovetsNYRadiation Oncology Physician$455.4K$0
    Somali GavaneNYNuclear Imaging & Therapy Physician$395.1K$20.7K
    Nancy LeeNYRadiation Oncology Physician$405.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lenox Hill Radiology & Medical Imaging Associates, PCNYDiagnostic Radiology Physician$0$145.7M
    Manhattan Home Care LtdNYHome Health Agency$0$27.3M
    New York Society For The Relief Of Ruptured & Crippled MaintainingNYGeneral Acute Care Hospital$0$20.4M
    Ru-ik CheeNYSurgery Physician$1M$2M
    Szilard KissNYRetina Specialist (Ophthalmology) Physician$2.1M$910.2K
    Jennifer KrawitzNYOphthalmology Physician$2.9M$0
    Daniel RosbergerNYSpecialist$2.7M$4.7K
    Kenneth WaldNYOphthalmology Physician$1.5M$824.9K
    Roger PearseNYMedical Oncology Physician$2.2M$1.6K
    Michael NissenNYOphthalmology Physician$2.1M$0

    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
    Michael Zelefsky — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York