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    v1.0.28
    OpenPayerNPI Medicare & MedicaidValeri Koganski
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    Valeri Koganski — Billing Profile & Reimbursement Data

    NPI 1285696948 · Langhorne, PA · Internal Medicine Physician

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    Valeri Koganski is a internal medicine physician provider located in Langhorne, Pennsylvania. This profile covers 26 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
    OrganizationValeri Koganski
    Address1717 Langhorne Newtown Rd Ste 402
    CityLanghorne
    StatePA
    ZIP19047
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 6, 2006

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

    Payer SourceTotal Paid
    Medicare$201.7K
    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.

    26 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…810$100$79.2K
    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…200$140$27.7K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…390$40$15.4K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.300$40$12K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$130$10.1K
    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…130$70$9.2K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…70$110$7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…80$80$6.4K
    G0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first…80$70$5.5K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$230$5.3K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921451923,230100$80$14.5K
    994585870100$30$13.2K
    9945720150100$40$10K
    G04392,2135,25060$110$9.5K
    992155417,17040$120$8.6K
    9945422150100$40$8.5K
    992136,80622,37070$60$7.7K
    961323414040$90$5.7K
    9949633899020$180$4.3K
    9949725492040$60$4K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marika HartmanPAAdult Health Nurse Practitioner$49.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bmg Circle Of Life, LLCPAHome Health Agency$0$15.3M
    Family Service Association Of Bucks CountyPAMental Health Clinic/Center (Including Community Mental Health Center)$0$11.9M
    Penndel Mental Health Center, Inc.PACommunity/Behavioral Health Agency$0$11M
    St Mary Medical CenterPAGeneral Acute Care Hospital$0$10.8M
    Penndel Mental Health CenterPACommunity/Behavioral Health Agency$0$10.7M
    Woods Services IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$10.6M
    Emergency Care Services Of Pennsylvania, P.C.PAEmergency Medicine Physician$0$9.2M
    Pyramid Healthcare Inc.PASubstance Abuse Rehabilitation Facility$0$8.6M
    Woods Services, IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.8M
    Woods Services, IncPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.6M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Valeri Koganski — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania