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NPI 1225058969 · Commack, NY · Endocrinology, Diabetes & Metabolism Physician
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Edward Condon is a endocrinology, diabetes & metabolism physician provider located in Commack, New York. This profile covers 48 Medicare and 51 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 | Edward Condon |
| Address | 6080 Jericho Tpke |
| City | Commack |
| State | NY |
| ZIP | 11725 |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.5M |
| Medicare | $1.1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
48 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… | 3,030 | $110 | $330.2K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 1,960 | $40 | $78.3K |
| 82308 | The lab analyst measures calcitonin, typically on serum or plasma. This hormone calcitonin is a polypeptide secreted by specialized cells in the thyroid gland. Calcitonin is elevated primarily in the… | 2,050 | $30 | $53.2K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 450 | $100 | $46K |
| 84681 | The lab analyst performs the technical lab test to measure C–peptide, which is a byproduct of insulin that the pancreas produces. | 1,790 | $20 | $35.7K |
| 99204 | The 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… | 240 | $140 | $33.7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 2,100 | $20 | $33.6K |
| 84146 | The analyst performs the technical test using clinical laboratory instruments to analyze specimens, typically serum or plasma, for prolactin, one of the hormones responsible for milk production after… | 1,770 | $20 | $33.6K |
| 84481 | The lab analyst performs a test to measure free T3 in patient blood. | 2,100 | $20 | $33.5K |
| 86800 | A lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to thyroglobulin, a protein produced by the thyroid gland that synthesizes, stores, and releases thyroid hormones. | 2,090 | $20 | $31.4K |
Showing 1–10 of 48
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
48 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 16 | 30,450 | 90 | $100 | $19K |
| 84445 | 3 | 10 | 140 | $50 | $12.5K |
| 99213 | 5,433 | 31,440 | 80 | $70 | $12.1K |
| 82306 | 18 | 1,030 | 60 | $30 | $10.9K |
| 84481 | 8 | 150 | 50 | $20 | $10.7K |
| 99215 | 1,793 | 8,280 | 40 | $140 | $10.1K |
| 83970 | 4 | 300 | 40 | $40 | $10.1K |
| 84681 | 1 | 30 | 320 | $20 | $10.1K |
| 82024 | 4 | 10 | 110 | $40 | $9.2K |
| 82308 | 1 | 10 | 80 | $30 | $8.5K |
Showing 1–10 of 48
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.
51 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… | 17,540 | $50 | $894.7K |
| 99204 | The 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… | 1,540 | $90 | $133.9K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 2,090 | $60 | $133.6K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 6,100 | $20 | $109.9K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 6,860 | $10 | $96.1K |
| 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… | 2,170 | $40 | $80.1K |
| 82308 | The lab analyst measures calcitonin, typically on serum or plasma. This hormone calcitonin is a polypeptide secreted by specialized cells in the thyroid gland. Calcitonin is elevated primarily in the… | 5,410 | $10 | $64.9K |
| 84681 | The lab analyst performs the technical lab test to measure C–peptide, which is a byproduct of insulin that the pancreas produces. | 6,090 | $10 | $60.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 7,500 | $10 | $60K |
| 84146 | The analyst performs the technical test using clinical laboratory instruments to analyze specimens, typically serum or plasma, for prolactin, one of the hormones responsible for milk production after… | 6,240 | $10 | $56.2K |
Showing 1–10 of 51
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
51 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… | 4,561 | 19,110 | 360 | $70 | $321K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 439 | 590 | 1,160 | $20 | $277.2K |
| 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… | 304 | 16,550 | 220 | $90 | $186.8K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 75 | 380 | 1,130 | $20 | $179K |
| 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,… | 3,317 | 5,420 | 210 | $70 | $154.3K |
| 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… | 1,335 | 2,050 | 90 | $140 | $121.2K |
| 86769 | The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease… | 200 | 250 | 230 | $30 | $103.5K |
| 99204 | The 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… | 351 | 3,820 | 100 | $130 | $99.7K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 113 | 410 | 1,970 | $10 | $81.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 505 | 570 | 470 | $10 | $80.8K |
Showing 1–10 of 51
Other providers in the same ZIP code as Edward Condon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rbk Pediatrics PC | NY | Pediatrics Physician | $0 | $22.1M |
| 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 |
| Venise Mule-glass | NY | Physical Therapist | $356.1K | $0 |
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