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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWarren Spinner
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    Warren Spinner — Billing Profile & Reimbursement Data

    NPI 1164617544 · Port Jefferson Station, NY · Neurology Physician

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    Warren Spinner is a neurology physician provider located in Port Jefferson Station, New York. This profile covers 53 Medicare and 7 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
    OrganizationWarren Spinner
    Address5 Medical Dr
    CityPort Jefferson Station
    StateNY
    ZIP11776
    TaxonomyNeurology Physician
    NPI EnumeratedSeptember 10, 2007

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

    Payer SourceTotal Paid
    Medicare$478.2K
    Medicaid$85.9K

    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.

    53 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit18,130$10$90.7K
    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…670$110$74.7K
    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…610$80$49.8K
    J0588Injection, incobotulinumtoxin a, 1 unit7,930$1$31.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.400$60$24.9K
    64615The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…120$160$18.7K
    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…120$150$18.1K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…140$120$16.7K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…70$170$12.1K
    99203The provider sees a new 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 provider…80$110$8.7K

    Showing 1–10 of 53

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 53 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    53 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585592809,400$1$63.4K
    J30328104,450$10$53.2K
    J05886206,030$1$39.2K
    992141,76430,45090$100$19K
    9588633456080$80$12.5K
    958119814030$300$12.4K
    959239118040$110$12.1K
    992131,74231,44080$70$12.1K
    9581013118030$260$10.5K
    959217512050$80$10.2K

    Showing 1–10 of 53

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95715The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…50$890$45.3K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…150$120$18.2K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…60$170$10.6K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…30$240$6.5K
    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…290$20$4.9K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…10$30$400
    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…100$1$310

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…12,86119,110360$70$321K
    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…7,53416,550220$90$186.8K
    95715The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…91090$560$184.4K
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…80130150$170$72.5K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…191390140$120$68.4K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…2940120$160$51.8K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…136150110$50$22.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louis GuidaNYSpecialist$315.1K$334.6K
    Christopher MiletoNYOrthopaedic Surgery Physician$494.3K$0
    Danielle DegiorgioNYPhysical Medicine & Rehabilitation Physician$363K$0
    Shakira ShankerNYNeurology Physician$266.1K$2.4K
    Mark HararyNYSports Medicine (Family Medicine) Physician$259.2K$0
    Tanya Kapoor-mainiLANeurology Physician$243.5K$0
    Hayley QuellerNYSports Medicine (Internal Medicine) Physician$230.7K$0
    Sarah AtkinsonORNeurology Physician$181.5K$0
    John KelemenNYNeurology Physician$168.4K$0
    Jennifer GrayNYNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician$150.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Tony AbrahamNYNuclear Radiology Physician$7.6M$442.6K
    Riem BadrNYHematology (Pathology) Physician$8M$2.2K
    David ChuNYHematology & Oncology Physician$3.1M$44.7K
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Regina JablonskiNYHematology & Oncology Physician$2.8M$39.3K
    George CyriacNYHematology & Oncology Physician$2.7M$14.5K
    Amishi DesaiNYHematology & Oncology Physician$2.2M$431.4K
    Adriana GuigovaNYHematology & Oncology Physician$2.3M$46.9K
    Alfredo Torres GonzalezNYHematology & Oncology Physician$1.9M$16K

    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
    Warren Spinner — 0 of 25 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Warren Spinner — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York