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NPI 1235139775 · Hauppauge, NY · Diagnostic Radiology Physician
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Paul Bonheim is a diagnostic radiology physician provider located in Hauppauge, New York. This profile covers 15 Medicare and 22 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 | Paul Bonheim |
| Address | 521 Route 111 |
| City | Hauppauge |
| State | NY |
| ZIP | 11788 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | July 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $522.8K |
| Medicaid | $309.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93890 | N/A | 930 | $180 | $164.8K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 930 | $160 | $150.1K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 920 | $130 | $123K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 260 | $70 | $19.4K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 270 | $60 | $15.2K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 200 | $80 | $14.8K |
| 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. | 190 | $50 | $8.9K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 60 | $150 | $8.4K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 70 | $80 | $5.6K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 130 | $40 | $5.3K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93890 | 2 | 140 | 70 | $210 | $32.9K |
| 93886 | 2 | 220 | 60 | $200 | $26.5K |
| 93892 | 2 | 130 | 70 | $150 | $23.4K |
| 93880 | 228 | 1,730 | 50 | $140 | $14.5K |
| 93925 | 250 | 710 | 40 | $180 | $13.9K |
| 93930 | 16 | 30 | 30 | $150 | $11.5K |
| 93975 | 11 | 330 | 30 | $190 | $11K |
| 93978 | 63 | 440 | 40 | $140 | $10.3K |
| 93970 | 512 | 1,590 | 40 | $100 | $8.6K |
| 93976 | 124 | 210 | 30 | $110 | $8.1K |
Showing 1–10 of 15
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.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 2,270 | $50 | $115.7K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 1,710 | $50 | $83.6K |
| 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. | 1,050 | $30 | $29.4K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 310 | $70 | $21.3K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 180 | $90 | $15.9K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 190 | $60 | $11.3K |
| 95921 | The provider evaluates the function of the autonomic nervous system, which controls those body functions, such as heart rate, temperature regulation, and other functions that are involuntary. He uses… | 180 | $60 | $10.9K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 180 | $40 | $7.5K |
| 93978 | The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess… | 750 | $1 | $2.3K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 100 | $20 | $2.1K |
Showing 1–10 of 22
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
22 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… | 14,295 | 19,110 | 360 | $70 | $321K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 32 | 360 | 180 | $220 | $166.8K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 396 | 770 | 340 | $130 | $154.1K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 113 | 670 | 250 | $110 | $150.7K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 431 | 730 | 190 | $110 | $81.3K |
| 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… | 367 | 500 | 130 | $100 | $74.4K |
| 93890 | N/A | 137 | 180 | 150 | $130 | $72.1K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 170 | 240 | 120 | $140 | $69.8K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 315 | 630 | 190 | $100 | $67.3K |
| 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. | 110 | 480 | 190 | $70 | $65.2K |
Showing 1–10 of 22
Other providers in the same ZIP code as Paul Bonheim, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Better Living Now Inc | NY | Durable Medical Equipment & Medical Supplies | $0 | $59.5M |
| County Of Suffolk | NY | Local Education Agency (LEA) | $0 | $29.3M |
| Personal Touch Home Care Of Long Island | NY | Home Health Agency | $0 | $25.5M |
| Bayada Home Health Care, Inc. | NY | Home Health Agency | $0 | $20.9M |
| Jessica Lee | NY | Ophthalmology Physician | $1.9M | $120.9K |
| James Lin | NY | Ophthalmology Physician | $1.7M | $157.7K |
| Albert Li | NY | Retina Specialist (Ophthalmology) Physician | $1M | $329K |
| Shahram Hormozi | NY | Interventional Cardiology Physician | $1.1M | $221.9K |
| Chih-shan Chen | NY | MOHS-Micrographic Surgery Physician | $502.5K | $0 |
| Jeffrey Warhit | NY | Diagnostic Radiology Physician | $274.6K | $153.3K |
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