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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Agee
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    Matthew Agee — Billing Profile & Reimbursement Data

    NPI 1316443179 · New York, NY · Diagnostic Radiology Physician

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    Matthew Agee is a diagnostic radiology physician provider located in New York, New York. This profile covers 16 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
    OrganizationMatthew Agee
    Address525 E 68th St
    CityNew York
    StateNY
    ZIP10065
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 2, 2018

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

    Payer SourceTotal Paid
    Medicare$740.7K
    Medicaid$4.3K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…400$860$342K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries230$410$94.8K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie200$440$88.2K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…60$1,120$71.4K
    A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie80$800$67.5K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…810$40$35.7K
    77089The provider uses imaging data and software to calculate a patient’s trabecular bone score. The service includes an interpretation and report on the patient’s fracture risk.810$30$27.4K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…90$30$3K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…50$60$2.7K
    78195In this procedure, the provider uses a gamma–emitting radioactive tracer to diagnose and localize diseases of the lymphatics and lymph nodes.50$50$2.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A95952250190$470$251.1K
    788153333080$690$116.6K
    A959671090$850$76.3K
    A95522420060$350$42.8K
    788163714040$590$31.8K
    77089230180$30$7.6K
    770803185080$30$5.5K
    770859412050$40$4.1K
    78830154040$70$3.4K
    783062117020$70$3.2K

    Showing 1–10 of 16

    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
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…40$100$4.3K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…7211080$570$236.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parcare Community Health Network IncNYMulti-Specialty Clinic/Center$0$88.5M
    Kings Physician Services, PCNYDiagnostic Radiology Physician$0$47.3M
    New York Queens Medicine And Surgery, P.C.NYPediatrics Physician$0$40.8M
    Michael LiouNYInterventional Cardiology Physician$947.3K$2.6M
    Ruben NiesvizkyNYHematology & Oncology Physician$3.1M$12.4K
    Szilard KissNYRetina Specialist (Ophthalmology) Physician$2.1M$910.2K
    Deepali SharmaNYHematology & Oncology Physician$2.6M$57.1K
    Roger PearseNYMedical Oncology Physician$2.2M$1.6K
    Anton OrlinPAOphthalmology Physician$1.3M$654.3K
    Herrick WunNYVascular Surgery Physician$220K$1.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The New York And Presbyterian HospitalNYGeneral Acute Care Hospital$276.3K$207.4M
    Memorial Hospital For Cancer And Allied DiseasesNYGeneral Acute Care Hospital$0$135.1M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Sherif HeibaNYNuclear Medicine Physician$1.7M$18.5K
    Gregory HarmonNYOphthalmology Physician$1.4M$54.2K
    Douglas BrylkaNYRadiology Clinic/Center$1.3M$0
    David FoxNYVascular Surgery Physician$859K$77.5K
    Mark FrancesconeNYDiagnostic Radiology Physician$824K$6.3K
    Lily ZouNYDiagnostic Radiology Physician$714.5K$0
    Sarah ChoxiNYAnesthesiology Physician$652.9K$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 York Distribution
    Matthew Agee — 2 of 16 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
    Matthew Agee — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York