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NPI 1184796310 · Smithtown, NY · Internal Medicine Physician
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Richard Gold is a internal medicine physician provider located in Smithtown, New York. This profile covers 59 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Richard Gold |
| Address | 215 E Main St |
| City | Smithtown |
| State | NY |
| ZIP | 11787 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | November 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $900.4K |
| Medicaid | $45.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
59 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,940 | $110 | $211.6K |
| 99307 | The 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… | 2,970 | $40 | $104K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,070 | $90 | $98.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 620 | $150 | $93.9K |
| 99213 | The 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… | 780 | $80 | $59.1K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 290 | $170 | $47.4K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 490 | $90 | $46.2K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 230 | $70 | $16.4K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 100 | $170 | $16K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 460 | $30 | $14.1K |
Showing 1–10 of 59
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
59 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 1,527 | 2,360 | 250 | $60 | $44.9K |
| 99309 | 265 | 2,150 | 220 | $90 | $41.7K |
| 93229 | 197 | 210 | 30 | $770 | $40.8K |
| 93306 | 1,429 | 1,990 | 200 | $110 | $30.7K |
| 99490 | 549 | 1,210 | 150 | $50 | $21K |
| 99214 | 100 | 30,450 | 90 | $100 | $19K |
| 99306 | 85 | 1,060 | 60 | $150 | $16.6K |
| 93880 | 1,045 | 1,730 | 50 | $140 | $14.5K |
| 99439 | 361 | 460 | 90 | $40 | $13.8K |
| 99457 | 430 | 480 | 150 | $40 | $12.5K |
Showing 1–10 of 59
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 1,850 | $10 | $22.2K |
| 99307 | The 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… | 3,310 | $10 | $16.5K |
| 99308 | The 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… | 340 | $20 | $5.4K |
| 99214 | The 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… | 50 | $30 | $1.3K |
| 1036F | N/A | 40 | $0 | $0 |
| 3074F | No Summary found for this code | 30 | $0 | $0 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 50 | $0 | $0 |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 12,326 | 16,550 | 220 | $90 | $186.8K |
| 99308 | The 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… | 1,110 | 2,090 | 420 | $10 | $18.7K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 358 | 1,840 | 390 | $10 | $17.1K |
| 99307 | The 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… | 42 | 870 | 130 | $10 | $3.7K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 810 | 1,600 | 50 | $10 | $1.2K |
| 3074F | No Summary found for this code | 1,728 | 2,230 | 180 | $1 | $1.1K |
| 1036F | N/A | 1,338 | 1,770 | 150 | $1 | $50 |
Other providers in the same ZIP code as Richard Gold, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Care Companions, Inc. | NY | Home Health Agency | $0 | $100M |
| Planned Parenthood Hudson Peconic Inc. | NY | Ambulatory Family Planning Facility | $0 | $25.1M |
| Timothy Groth | NY | Pain Medicine (Anesthesiology) Physician | $2.4M | $357.5K |
| Luna Healing Solution Inc | NY | Diagnostic Ultrasound Physician | $1.1M | $1.3M |
| Noshir Dacosta | NY | Hematology & Oncology Physician | $2.3M | $12.6K |
| Mcclain Laboratories LLC | NY | Anatomic Pathology & Clinical Pathology Physician | $1.7M | $385.6K |
| Donna Serure | NY | Dermatology Physician | $1.8M | $21.5K |
| Hong Xu | NY | Rheumatology Physician | $1.7M | $0 |
| Armen Ovsepian | NY | Specialist | $1.6M | $3.9K |
| Luiziana Marinescu | NY | Rheumatology Physician | $1.6M | $0 |
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