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    OpenPayerNPI Medicare & MedicaidIsmet Lukolic
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    Ismet Lukolic — Billing Profile & Reimbursement Data

    NPI 1275777039 · Seaford, DE · Gastroenterology Physician

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    Ismet Lukolic is a gastroenterology physician provider located in Seaford, Delaware. This profile covers 14 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIsmet Lukolic
    Address100 Rawlins Dr
    CitySeaford
    StateDE
    ZIP19973
    TaxonomyGastroenterology Physician
    NPI EnumeratedApril 23, 2009

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

    Payer SourceTotal Paid
    Medicare$109.1K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…380$60$23.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…110$200$22.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…240$90$21.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.210$70$13.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$110$7.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$70$4K
    99442N/A60$50$3.1K
    99203The provider sees a new 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 provider…50$60$2.9K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.20$130$2.6K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$150$1.9K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453852760100$310$44.7K
    432391060110$130$18.6K
    4538046060$200$17.7K
    9923345550080$90$15.4K
    99232472730120$60$14.2K
    992132951,810120$60$13.6K
    45378364020$210$8.6K
    9111031020$510$8.1K
    9922213860040$100$5.6K
    9920329767040$70$5.3K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ismet Lukolic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    Tidalhealth Physician Network, Inc.DEFamily Medicine Physician$0$8.7M
    Justin KucinskiMDInternal Medicine Physician$6.9M$0
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M
    Tanya CliffordMDNurse Practitioner$2.9M$0
    Tidalhealth Physician Network, Inc.DEFamily Medicine Physician$0$2.9M
    Muhammad SiddiqueMDMedical Oncology Physician$1.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Ismet Lukolic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tidalhealth Nanticoke, IncDEGeneral Acute Care Hospital$0$19.2M
    Dynamic Therapy Services LLCDEPhysical Therapist$0$12.8M
    Addiction Medical Facility, LLCDESubstance Abuse Rehabilitation Facility$98.8K$9M
    Resouces For Human Development, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$5.4M
    Ambient Medical Care, LLCDEUrgent Care Clinic/Center$0$3.3M
    Lynch, Rodriguez And Keller, PADEDentist$0$3.3M
    Ivonne HerreraDERheumatology Physician$2.7M$0
    Seaford Internal Medicine LLCDEInternal Medicine Physician$0$2.7M
    Alpha Care Medical, LLCDEFamily Medicine Physician$0$2.6M
    La Red Health Center, Inc.DEFederally Qualified Health Center (FQHC)$0$2.5M

    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. Delaware Distribution
    Ismet Lukolic — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware