Daphna Gelblum — Billing Profile & Reimbursement Data
NPI 1215917604 · Commack, NY · Radiation Oncology Physician
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Daphna Gelblum is a radiation oncology physician provider located in Commack, New York. This profile covers 18 Medicare and 0 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 | Daphna Gelblum |
| Address | 650 Commack Rd |
| City | Commack |
| State | NY |
| ZIP | 11725 |
| Taxonomy | Radiation Oncology Physician |
| NPI Enumerated | January 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $269K |
| Medicaid | $0 |
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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77427 | Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing… | 290 | $180 | $50.5K |
| 77301 | Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy… | 130 | $380 | $48.5K |
| 77338 | In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy… | 130 | $200 | $26.2K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1,400 | $20 | $25.2K |
| 77435 | In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions… | 40 | $590 | $24.2K |
| 77300 | Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning… | 610 | $30 | $18.2K |
| 99205 | The 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… | 110 | $160 | $17.2K |
| 77263 | The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc… | 100 | $160 | $16K |
| 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… | 170 | $60 | $9.7K |
| 99215 | The 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… | 60 | $130 | $7.7K |
Showing 1–10 of 18
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 77301 | 9 | 240 | 30 | $670 | $29.5K |
| 77427 | 32 | 300 | 120 | $170 | $25.1K |
| 99214 | 27,261 | 30,450 | 90 | $100 | $19K |
| 77435 | 15 | 80 | 20 | $570 | $17K |
| 77338 | 17 | 250 | 40 | $260 | $12.6K |
| 99213 | 8,975 | 31,440 | 80 | $70 | $12.1K |
| 99215 | 2,799 | 8,280 | 40 | $140 | $10.1K |
| 77280 | 94 | 170 | 30 | $160 | $8.9K |
| 31575 | 187 | 580 | 60 | $100 | $8.8K |
| 77263 | 32 | 290 | 50 | $150 | $8.4K |
Showing 1–10 of 18
Nearby Providers
Other providers in the same ZIP code as Daphna Gelblum, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rbk Pediatrics PC | NY | Pediatrics Physician | $0 | $22.1M |
| Edward Condon | NY | Endocrinology, Diabetes & Metabolism Physician | $1.1M | $2.5M |
| Marc Allen | NY | Internal Medicine Physician | $1.2M | $1.5M |
| Jahan Aghalar | NY | Internal Medicine Physician | $1.6M | $26.8K |
| Stephen Kaplan | NY | Clinical Psychologist | $132.1K | $1.5M |
| Commack Volunteer Ambulance Corps | NY | Land Ambulance | $673K | $685.7K |
| David Miller | NY | Oral and Maxillofacial Surgery (Dentist) | $18.8K | $797.5K |
| Mohammed Azaz | NY | Internal Medicine Physician | $280.5K | $213.6K |
| Edward Buro | NY | Podiatrist | $443.2K | $1.4K |
| Jonathan Lown | NY | Internal Medicine Physician | $379.6K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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