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NPI 1225050412 · Hewlett, NY · Urology Physician
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Sheldon Pike is a urology physician provider located in Hewlett, New York. This profile covers 24 Medicare and 16 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 | Sheldon Pike |
| Address | 1185 Broadway |
| City | Hewlett |
| State | NY |
| ZIP | 11557 |
| Taxonomy | Urology Physician |
| NPI Enumerated | July 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $327.7K |
| Medicaid | $198.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52442 | In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra. | 130 | $840 | $110.9K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 120 | $360 | $41.4K |
| 52441 | Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra. | 20 | $1,230 | $27K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 180 | $130 | $23.5K |
| 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… | 280 | $80 | $22.2K |
| 99233 | The 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… | 160 | $110 | $17.3K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 180 | $90 | $16.5K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 250 | $50 | $13.3K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 20 | $540 | $10.8K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 180 | $50 | $8.1K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 52442 | 2 | 20 | 60 | $480 | $36.7K |
| 99490 | 430 | 1,210 | 150 | $50 | $21K |
| 50590 | 10 | 30 | 20 | $770 | $19.3K |
| 99214 | 27,261 | 30,450 | 90 | $100 | $19K |
| 51729 | 8 | 80 | 30 | $330 | $16.8K |
| 99233 | 2,552 | 8,640 | 80 | $100 | $15.8K |
| 52000 | 471 | 620 | 60 | $170 | $14.3K |
| 99213 | 5,319 | 31,440 | 80 | $70 | $12.1K |
| 52441 | 4 | 20 | 10 | $640 | $11.6K |
| 99223 | 3,615 | 8,650 | 40 | $150 | $9.3K |
Showing 1–10 of 24
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,160 | $30 | $60.4K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 400 | $60 | $23.8K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 240 | $100 | $23.4K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 470 | $40 | $19.6K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 770 | $20 | $16.2K |
| 51728 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary… | 170 | $90 | $14.4K |
| 51784 | This test measures the electrical activity in the anal or urethral sphincter muscles. | 720 | $20 | $12.3K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 890 | $10 | $8.9K |
| 51741 | Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time. | 1,330 | $10 | $6.6K |
| 99335 | N/A | 530 | $10 | $5.8K |
Showing 1–10 of 16
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
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,581 | 19,110 | 360 | $70 | $321K |
| 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… | 12,010 | 16,550 | 220 | $90 | $186.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 3,718 | 5,420 | 210 | $70 | $154.3K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 117 | 290 | 240 | $130 | $131.3K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 11 | 40 | 50 | $180 | $87K |
| 51728 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary… | 24 | 50 | 170 | $150 | $80.5K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 161 | 500 | 130 | $100 | $74.4K |
| 51784 | This test measures the electrical activity in the anal or urethral sphincter muscles. | 15 | 90 | 110 | $50 | $28K |
| 76857 | A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,… | 37 | 200 | 80 | $40 | $25.7K |
| 99336 | N/A | 83 | 120 | 140 | $20 | $18.5K |
Showing 1–10 of 16
Other providers in the same ZIP code as Sheldon Pike, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tri-med Home Care Services, Inc. | NY | Home Health Agency | $0 | $286M |
| Tri-med Staffing, Inc. | NY | Home Health Agency | $0 | $180.3M |
| Jordan Brodsky | NY | Rheumatology Physician | $2.4M | $440 |
| Michael Singer | NY | Diagnostic Radiology Physician | $1.2M | $0 |
| Rana Mongroo | NY | Rheumatology Physician | $954.4K | $0 |
| Benjamin Levine | NY | Rheumatology Physician | $933.1K | $330 |
| Tobin Abraham | NY | Rheumatology Physician | $842.8K | $160 |
| Asaf Klein | NY | Rheumatology Physician | $826.7K | $13.2K |
| Aaron Grotas | NY | Urology Physician | $393.7K | $78.5K |
| Stuart Kaplan | NY | Rheumatology Physician | $438.6K | $5.6K |
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