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    OpenPayerNPI Medicare & MedicaidLarry Di Fabrizio
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    Larry Di Fabrizio — Billing Profile & Reimbursement Data

    NPI 1154393452 · New York, NY · Pulmonary Disease Physician

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    Larry Di Fabrizio is a pulmonary disease physician provider located in New York, New York. This profile covers 8 Medicare and 5 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
    OrganizationLarry Di Fabrizio
    Address10 E 102nd St
    CityNew York
    StateNY
    ZIP10029
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$324.9K
    Medicaid$6.8K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,350$120$158.4K
    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…850$80$71.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…220$170$37.1K
    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…220$130$28.1K
    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
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…770$10$9.2K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.40$10$330
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…20$10$160

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,11030,45090$100$19K
    99233408,64080$100$15.8K
    992155188,28040$140$10.1K
    992233958,65040$150$9.3K
    99205834,26030$180$6.4K
    9472944568070$40$4.8K
    9472636440060$40$3.9K
    94375410060$20$3.5K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…410$10$2.8K
    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…160$10$2.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$30$1.5K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…50$1$110
    1036FN/A10$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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9,21616,550220$90$186.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…5312,620100$50$25.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…6751,67040$90$19.1K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…8915070$30$13.2K
    1036FN/A1,7071,770150$1$50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Sinai HospitalNYGeneral Acute Care Hospital$0$278.8M
    Icahn School Of Medicine At Mount SinaiNYCardiovascular Disease Physician$0$21.7M
    Mount Sinai Medical Center Of Florida, IncFLGeneral Acute Care Hospital$0$18.3M
    Karthik GujjaNYCardiovascular Disease Physician$2.9M$394.9K
    Nimesh PatelNYLegal Medicine$671.3K$2M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    Jessica LeeNYOphthalmology Physician$1.9M$120.9K
    Shane MeehanNYDermatopathology (Pathology) Physician$1.9M$4.1K
    David PinhasNYOphthalmology Physician$1.4M$330.5K
    Windsor TingNYVascular Surgery Physician$36.3K$1.6M

    Nearby Providers

    Other providers in the same ZIP code as Larry Di Fabrizio, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helping U Homecare, Inc.NYHome Health Agency$0$143.8M
    New York City Health And Hospitals CorporationNYGeneral Acute Care Hospital$0$100.7M
    Fpa Hospital BasedNYEmergency Medicine Physician$0$71M
    Center For Comprehensive Health Practice IncNYMulti-Specialty Clinic/Center$125.5K$11.9M
    Ron RosenNYNuclear Medicine Physician$2.4M$8.9K
    Carnegie Hill Endoscopy LLCNYAmbulatory Surgical Clinic/Center$1.6M$177.4K
    Joseph ShamsNYVascular & Interventional Radiology Physician$1.5M$142.3K
    Su Jung LeeNYFamily Nurse Practitioner$931.2K$0
    Ignatius LauNYVascular Surgery Physician$853.5K$0
    David MobleyNYVascular & Interventional Radiology Physician$826.1K$7.5K

    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
    Larry Di Fabrizio — 5 of 8 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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Larry Di Fabrizio — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York