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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Scherr
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    Douglas Scherr — Billing Profile & Reimbursement Data

    NPI 1114014206 · New York, NY · Urology Physician

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    Douglas Scherr is a urology physician provider located in New York, New York. This profile covers 24 Medicare and 1 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
    OrganizationDouglas Scherr
    Address525 E 68th St # 94
    CityNew York
    StateNY
    ZIP10021
    TaxonomyUrology Physician
    NPI EnumeratedOctober 9, 2006

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

    Payer SourceTotal Paid
    Medicare$473K
    Medicaid$1

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…570$210$120.9K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…60$720$42.5K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…40$870$37.5K
    99214The 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…270$110$30.5K
    51595In this procedure, the provider surgically removes the entire urinary bladder including extensive removal of bilateral pelvic lymph nodes, including external iliac, hypogastric, and obturator nodes.…20$2,010$30.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…350$80$27.3K
    J9030BCG live intravesical instillation, 1 mg13,310$1$26.6K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…280$80$22.3K
    52240The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…60$360$20.1K
    99204The 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…130$150$19.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5159511020$1,870$28.1K
    5222484020$680$25K
    992146,53330,45090$100$19K
    5586634020$810$17.8K
    52000362060$170$14.3K
    992133,99531,44080$70$12.1K
    992152,5898,28040$140$10.1K
    5235121010$520$9.3K
    5223523020$390$8.6K
    5199041030$260$8.5K

    Showing 1–10 of 24

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,3285,090450$10$35.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parcare Community Health Network IncNYMulti-Specialty Clinic/Center$0$88.5M
    New York Queens Medicine And Surgery, P.C.NYPediatrics Physician$0$40.8M
    Ruben NiesvizkyNYHematology & Oncology Physician$3.1M$12.4K
    Szilard KissNYRetina Specialist (Ophthalmology) Physician$2.1M$910.2K
    Roger PearseNYMedical Oncology Physician$2.2M$1.6K
    Anton OrlinPAOphthalmology Physician$1.3M$654.3K
    Herrick WunNYVascular Surgery Physician$220K$1.4M
    Xuan WangNYAnatomic Pathology Physician$1.3M$99K
    Douglas BrylkaNYRadiology Clinic/Center$1.3M$0
    Snehal AminNYDermatology Physician$1.2M$27.8K

    Nearby Providers

    Other providers in the same ZIP code as Douglas Scherr, 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
    Jennifer KrawitzNYOphthalmology Physician$2.9M$0
    Daniel RosbergerNYSpecialist$2.7M$4.7K
    Kenneth WaldNYOphthalmology Physician$1.5M$824.9K
    Michael NissenNYOphthalmology Physician$2.1M$0
    Lawrence BlumNYOphthalmology Physician$189.6K$1.7M
    Nneka BrooksNYOphthalmology Physician$1.9M$2.2K

    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
    Douglas Scherr — 7 of 24 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Douglas Scherr — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York