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    OpenPayerNPI Medicare & MedicaidMathew Fakhoury
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    Mathew Fakhoury — Billing Profile & Reimbursement Data

    NPI 1306208046 · Yonkers, NY · Urology Physician

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    Mathew Fakhoury is a urology physician provider located in Yonkers, New York. This profile covers 31 Medicare and 4 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
    OrganizationMathew Fakhoury
    Address944 N Broadway Ste 103
    CityYonkers
    StateNY
    ZIP10701
    TaxonomyUrology Physician
    NPI EnumeratedMarch 22, 2016

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

    Payer SourceTotal Paid
    Medicare$122.7K
    Medicaid$3.1K

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    53854The provider uses a radiofrequency–generated water vapor thermal device to destroy prostate tissue to treat BPH and lower urinary tract symptoms.10$1,620$21K
    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…150$120$17.5K
    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…140$110$15.2K
    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…140$80$10.6K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$670$9.3K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$380$6.9K
    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…50$130$6.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…30$210$6.1K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$140$4.3K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…20$180$3.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5385441020$1,060$27.5K
    9921411,59230,45090$100$19K
    5172810517030$310$16K
    5200047162060$170$14.3K
    9923210,11711,85080$70$13.8K
    9921310,67131,44080$70$12.1K
    52601164010$710$11.4K
    523566114020$450$9.5K
    5200131020$550$9.4K
    7687218130030$110$6.9K

    Showing 1–10 of 31

    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.

    4 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…80$30$2.5K
    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…30$20$500
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.10$10$70
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    4 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…16,07619,110360$70$321K
    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…10,99916,550220$90$186.8K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.284300190$20$16.8K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…1,2801,450290$1$8.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamaica HospitalNYGeneral Acute Care Hospital$0$178.3M
    St. Barnabas HospitalNYGeneral Acute Care Hospital$149.3K$163.4M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Middletown Medical PCNYEmergency Medicine Physician$0$49.3M
    Jamaica HospitalNYEmergency Medical Services (Emergency Medicine) Physician$0$37.9M
    Sbh Physicians, PCNYInternal Medicine Physician$0$31.5M
    Tjh Medical Services, P.C.NYInternal Medicine Physician$0$30M
    Jamaica HospitalNYGeneral Acute Care Hospital$0$27.8M
    Montefiore New Rochelle HospitalNYGeneral Acute Care Hospital$0$24.1M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accentcare Of New York, Inc.NYHome Health Agency$0$265.4M
    Montefiore Medical CenterNYCase Management Agency$0$73M
    St. Joseph's Hospital, YonkersNYGeneral Acute Care Hospital$214.8K$69.7M
    St. John's Riverside HospitalNYGeneral Acute Care Hospital$318.7K$66.3M
    Family Service Society Of YonkersNYHome Health Agency$0$24.1M
    Amit KhanejaNYClinical Neurophysiology Physician$1.3M$301K
    Sachin Kumar Amruthlal JainNYCardiovascular Disease Physician$773K$663.1K
    Sherif El-masryNYUrology Physician$238.2K$447.9K
    Majed SamarnehNYInternal Medicine Physician$446.2K$81.5K
    Michael FicazzolaNYUrology Physician$422K$3.7K

    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 York Distribution
    Mathew Fakhoury — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Mathew Fakhoury — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York