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    OpenPayerNPI Medicare & MedicaidNoam Bartuv
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    Noam Bartuv — Billing Profile & Reimbursement Data

    NPI 1245824812 · Rehovot, XX · Otolaryngology Physician

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    Noam Bartuv is a otolaryngology physician provider located in Rehovot, Unspecified Location. This profile covers 7 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNoam Bartuv
    Address# 1 Pasternak St
    CityRehovot
    StateXX (Unspecified Location)
    ZIP76610
    TaxonomyOtolaryngology Physician
    NPI EnumeratedFebruary 24, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$16.3K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the dataset: total Medicare revenue is $16.3K and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is concentrated entirely in Medicare, so Medicaid-driven volume or state-level program exposure is not evidenced here.

    Revenue concentration is high: the precomputed top three Medicare codes — 99214 (27.0%), 99215 (20.8%), and 99204 (20.1%) — together account for 67.9% of the provider's Medicare revenue. Those three E/M codes drive the majority of the small $16.3K Medicare footprint, indicating dependence on routine office evaluation and management visits for revenue.

    The provider’s taxonomy is Otolaryngology Physician and the code mix supports an office-based ENT practice: dominant codes are E/M visits 99214, 99215, and 99204, supplemented by diagnostic/clinic procedures such as 31575 (flexible laryngoscopy, $2.1K, 12.8%). Smaller procedural items like 69210 (earwax removal, $544, 3.3%) further point to a clinic-focused workflow rather than a high-volume surgical practice.

    Competitive standing by code is modest nationally. For example, 99214 ranks #346001 of 479517 providers (27th percentile) and is described as "typical, unremarkable volume," 99215 ranks #93023 of 145531 (35th percentile), and 99204 ranks #125817 of 227068 (43th percentile); these percentiles indicate routine, not dominant, activity relative to national peers.

    Procedural volumes are limited relative to national peers: 31575 has 23 claims and $2.1K revenue but ranks #6196 of 7800 providers (19th percentile), while 69210 ranks #10088 of 13553 (23th percentile) with $544 revenue. These lower percentiles for procedures suggest the provider performs fewer diagnostic or minor-procedure encounters than many otolaryngologists nationally.

    Visit complexity appears mixed but low-volume: higher-intensity new-patient code 99205 contributes $1.7K (10.1%) yet ranks #58960 of 66257 (6th percentile), while 99213 contributes $944 (5.8%) and ranks in the 6th percentile; average paid-per-claim values (e.g., 99214 at $94, 99215 at $131, 99204 at $117) are consistent with typical Medicare reimbursement for office-based E/M services. This pattern reflects a practice that bills for both moderate- and high-complexity visits but at modest volumes.

    The provider’s NPI was enumerated 2021-02-24 (~5 years ago), indicating relatively recent Medicare enrollment. Given the limited lifetime Medicare revenue reported ($16.3K), the short tenure could partially explain the small scale, though the data do not indicate practitioner work setting or affiliations.

    Concentration and scale create both risk and clarity about operational focus: with $16.3K total Medicare revenue and 67.9% concentrated in three E/M codes, the practice’s revenue is sensitive to changes in outpatient visit volume or E/M coding patterns. The complete absence of Medicaid billing further underscores reliance on Medicare beneficiary volume and suggests limited exposure to state Medicaid populations in the available claims data.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…50$90$4.4K
    99215The 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…30$130$3.4K
    99204The 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…30$120$3.3K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.20$90$2.1K
    99205The 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…10$140$1.7K
    99213The 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…20$60$940
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131310140$60$18.8K
    9921471080$90$15.8K
    9921531060$110$13.3K
    9920461020$120$2.8K
    3157510N/A$N/A$N/A
    6921010N/A$N/A$N/A
    9920520N/A$N/A$N/A

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Unspecified Location Distribution
    Noam Bartuv — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location