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NPI 1194238691 · Bronx, NY · Occupational Therapist
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Jonathan Pimentel is a occupational therapist provider located in Bronx, New York. This profile covers 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jonathan Pimentel |
| Address | 1977 Chatterton Ave |
| City | Bronx |
| State | NY |
| ZIP | 10472 |
| Taxonomy | Occupational Therapist |
| NPI Enumerated | November 7, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $258.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 3,580 | $30 | $100.1K |
| 97535 | A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. | 3,510 | $30 | $94.9K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 3,270 | $20 | $62.2K |
| 97533 | In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service… | 110 | $30 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 10,700 | $50 | $545.4K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 13,200 | $40 | $541.1K |
| 97535 | A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. | 13,480 | $40 | $525.5K |
| 97533 | In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service… | 570 | $40 | $23.2K |
| 97167 | The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment… | 90 | $80 | $7.2K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 50 | $30 | $1.3K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 210 | 2,060 | 1,300 | $60 | $322.2K |
| 97533 | In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service… | 77 | 160 | 530 | $40 | $267.3K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 2,254 | 2,430 | 1,310 | $40 | $257.8K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 123 | 1,560 | 1,010 | $20 | $89.7K |
| 97535 | A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease. | 15 | 380 | 420 | $40 | $83.4K |
| 97167 | The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment… | 17 | 50 | 50 | $130 | $62.5K |
Other providers in the same ZIP code as Jonathan Pimentel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Knickerbocker Dialysis Inc | NY | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $19.8M |
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