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    OpenPayerNPI Medicare & MedicaidJay Babich
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    Jay Babich — Billing Profile & Reimbursement Data

    NPI 1275862732 · Ridgewood, NJ · Gastroenterology Physician

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    Jay Babich is a gastroenterology physician provider located in Ridgewood, New Jersey. This profile covers 13 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJay Babich
    Address140 Chestnut St
    CityRidgewood
    StateNJ
    ZIP07450
    TaxonomyGastroenterology Physician
    NPI EnumeratedDecember 12, 2009

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

    Payer SourceTotal Paid
    Medicare$55.8K
    Medicaid$800

    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.

    13 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…220$60$12.9K
    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$100$7.4K
    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…60$130$6.9K
    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.110$60$6.7K
    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…20$180$3.9K
    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…50$60$3.2K
    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$140$3K
    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…20$130$2.9K
    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…40$70$2.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk10$180$2.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538545456050$320$25.4K
    4538033059060$230$21.3K
    4323920161080$160$18.5K
    992324,5536,220120$70$18.4K
    992133,92414,090100$70$13.1K
    G012122829020$330$11.4K
    4537816034020$220$6.7K
    992221,0224,37040$110$6.7K
    992032,9225,66040$80$4.8K
    43248122020$210$4.4K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 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…50$20$810

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,7934,450740$40$229.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Essen Medical Urgicare, PLLCNYUrgent Care Clinic/Center$0$41.9M
    Essen Medical Associates, PCNYLegal Medicine$0$37.4M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Ananth ShankarNYNuclear Cardiology Physician$358.3K$5.3M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Anthony AndrewsPAOphthalmology Physician$1.3M$100
    Muhammad AhmadNYPulmonary Disease Physician$159.6K$1M
    Monzur MorshedNJCardiovascular Disease Physician$116.8K$991.7K
    Marcel BenoitNYNephrology Physician$670.4K$392.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Opportunities Unlimited A Non Profit Corp.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.5M
    West Bergen Mentalhealthcare, IncNJMental Health Counselor$0$20.9M
    West Bergen Mental Healthcare, Inc.NJClinic/Center$0$8.4M
    Tatiana SharahyNJInternal Medicine Physician$5.7M$0
    Larisa KaysermanNJOphthalmology Physician$3.1M$0
    Robert VallarNJOphthalmology Physician$1.7M$0
    Song Eun LeeNJOphthalmology Physician$1.5M$0
    Rony GelmanNJRetina Specialist (Ophthalmology) Physician$754.3K$0
    Kenneth LevinNJNeurology Physician$590.2K$0
    Bradford LivaNJRetina Specialist (Ophthalmology) Physician$578.4K$0

    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. New Jersey Distribution
    Jay Babich — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Jay Babich — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey