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NPI 1316930894 · Albany, NY · Pulmonary Disease Physician
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Harold Sokol is a pulmonary disease physician provider located in Albany, New York. This profile covers 12 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Harold Sokol |
| Address | 5 Palisades Dr |
| City | Albany |
| State | NY |
| ZIP | 12205 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | August 30, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $51.3K |
| Medicaid | $310 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 240 | $90 | $21.9K |
| 99213 | The 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… | 150 | $70 | $9.8K |
| 99204 | The 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 | $6.5K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 70 | $40 | $2.8K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 60 | $40 | $2.1K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 40 | $40 | $1.6K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 60 | $30 | $1.6K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 10 | $80 | $1.2K |
| 99203 | The 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… | 10 | $80 | $1.2K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 50 | $20 | $1.1K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 7,416 | 30,450 | 90 | $100 | $19K |
| 99213 | 10,010 | 31,440 | 80 | $70 | $12.1K |
| 95810 | 150 | 180 | 30 | $260 | $10.5K |
| 99204 | 4,398 | 14,170 | 30 | $130 | $6.6K |
| 94729 | 323 | 680 | 70 | $40 | $4.8K |
| 99203 | 9,636 | 11,360 | 30 | $90 | $4.7K |
| 94727 | 205 | 310 | 50 | $40 | $4K |
| 94726 | 256 | 400 | 60 | $40 | $3.9K |
| 94060 | 324 | 740 | 50 | $30 | $3.1K |
| 71046 | 1,733 | 2,340 | 60 | $10 | $2.4K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 30 | $10 | $210 |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 10 | $10 | $100 |
| 3074F | No Summary found for this code | 10 | $0 | $0 |
| 3078F | No Summary found for this code | 20 | $0 | $0 |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 13,816 | 16,550 | 220 | $90 | $186.8K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 133 | 150 | 70 | $30 | $13.2K |
| 3074F | No Summary found for this code | 2,059 | 2,230 | 180 | $1 | $1.1K |
| 3078F | No Summary found for this code | 1,965 | 2,260 | 180 | $1 | $800 |
Other providers in the same ZIP code as Harold Sokol, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Consumer Directed Choices, Inc. | NY | Attendant Care Provider | $0 | $238.7M |
| Maxim Of New York, LLC | NY | Home Health Agency | $0 | $92.6M |
| Attentive Care Of Albany, Inc | NY | Home Health Agency | $0 | $36.7M |
| David Rabady | NY | Retina Specialist (Ophthalmology) Physician | $3.8M | $1.1M |
| Robert Feldman | NY | Ophthalmology Physician | $1.8M | $165.9K |
| Everett Road Asc, LLC | NY | Ambulatory Surgical Clinic/Center | $1.7M | $240.2K |
| Martin Ferrillo | NY | Interventional Pain Medicine Physician | $425.5K | $55.3K |
| Executive Woods Ambulatory Surgery Center LLC | NY | Ambulatory Surgical Clinic/Center | $310.9K | $0 |
| Daniel Single | NY | Orthopaedic Surgery Physician | $247.5K | $0 |
| Alfonso Prieto | NY | Clinical Cardiac Electrophysiology Physician | $207.6K | $10.7K |
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