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    OpenPayerNPI Medicare & MedicaidSean Rosenblum
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    Sean Rosenblum — Billing Profile & Reimbursement Data

    NPI 1154345924 · Bronx, NY · Foot & Ankle Surgery Podiatrist

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    Sean Rosenblum is a foot & ankle surgery podiatrist provider located in Bronx, New York. This profile covers 9 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Rosenblum
    Address820 Lydig Ave
    CityBronx
    StateNY
    ZIP10462
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJuly 26, 2006

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

    Payer SourceTotal Paid
    Medicare$153.8K
    Medicaid$12.4K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,100$70$71.6K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.1,320$30$38.2K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.480$40$18.9K
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.760$10$9.2K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.90$70$5.5K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.60$70$4.5K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…90$30$3K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…20$110$1.9K
    G0127Trimming of dystrophic nails, any number20$20$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993084622,360250$60$44.9K
    11056570760140$70$18.5K
    117213831,270260$40$16.1K
    993074731,00080$30$8K
    1172015660120$30$7K
    1105518150060$60$6.9K
    1006029940020$110$5K
    G0127199220150$10$4.3K
    1171910320120$10$1.8K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.2,690$1$5.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,310$1$3.9K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…290$10$2.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.810$1$1.6K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…30$10$220
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.1,290$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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…6132,090420$10$18.7K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.288910310$20$17.1K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.15290210$20$15.7K
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.16140190$20$8.9K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…723870130$10$3.7K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…3422060$10$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marva ButtersNYPodiatrist$347.8K$183.6K
    Amit GandhiNYFoot & Ankle Surgery Podiatrist$436.4K$7.5K
    Kevin SaluckNJPodiatrist$407.9K$1.3K
    Robert LeePAFoot & Ankle Surgery Podiatrist$311.7K$18K
    Nicholas SzwabaNJPrimary Podiatric Medicine Podiatrist$212.4K$2.7K
    Arti KarmurAZFoot & Ankle Surgery Podiatrist$45.3K$950

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amazing Home Care Services LLCNYHome Health Agency$0$576.3M
    Family Wellness Program, LLCNYHome Health Agency$0$319.5M
    Amazing Home Care Services, LLCNYHome Health Agency$0$255.9M
    Intergen Health, LLCNYHome Health Agency$0$156.3M
    R.a.i.n. Home Attendant Services, Inc.NYHome Health Agency$0$153.6M
    Intergen Health, LLCNYHome Health Agency$0$142M
    Med Star Surgical & Breathing Equipment Inc.NYDurable Medical Equipment & Medical Supplies$0$139.1M
    Home Choice LLCNYHome Health Agency$0$43.9M
    Prashanth MannamNYInternal Medicine Physician$227.6K$1M
    Natalya RodionovaNYFamily Medicine Physician$38.3K$1M

    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
    Sean Rosenblum — 2 of 9 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Sean Rosenblum — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York