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    OpenPayerNPI Medicare & MedicaidAlexander Rovner
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    Alexander Rovner — Billing Profile & Reimbursement Data

    NPI 1326097403 · Mechanicsburg, PA · Neurology with Special Qualifications in Child Neurology Physician

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    Alexander Rovner is a neurology with special qualifications in child neurology physician provider located in Mechanicsburg, Pennsylvania. This profile covers 11 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
    OrganizationAlexander Rovner
    Address2005 Technology Pkwy Ste 400
    CityMechanicsburg
    StatePA
    ZIP17050
    TaxonomyNeurology with Special Qualifications in Child Neurology Physician
    NPI EnumeratedMay 8, 2006

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

    Payer SourceTotal Paid
    Medicare$57.5K
    Medicaid$1.7K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…230$100$23.1K
    G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in…380$20$9.1K
    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…120$60$7.6K
    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$80$6.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$130$4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$90$2.4K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…40$30$1.5K
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…20$40$860
    95870In this procedure, the provider performs needle electromyography, which refers to the recording and study of electrical activity of muscles using a needle electrode. Use this code when the provider…60$20$830
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…20$40$630

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G04532420480$30$16.4K
    9921416,34523,230100$80$14.5K
    992337,2466,63070$90$12K
    992324,56810,87080$60$9.6K
    992234,7577,02040$130$7.8K
    9588653832090$60$7.4K
    959383320120$30$6.1K
    992222137,85030$100$4.3K
    958701110100$20$3.2K
    95822172020$40$1.1K

    Showing 1–10 of 11

    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
    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…60$30$1.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…5,8898,160210$60$68.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rochester General HospitalNYGeneral Acute Care Hospital$0$226.8M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Rochester General Hospital-labNYClinical Medical Laboratory$0$33.4M
    Rochester General HospitalNYFamily Medicine Physician$0$25.2M
    Rochester General HospitalNYGeneral Acute Care Hospital$0$21.7M
    Pinnacle Health Medical ServicesPAFamily Medicine Physician$0$14.1M
    Vijay AluriIARheumatology Physician$2M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Anthony AndrewsPAOphthalmology Physician$1.3M$100
    Matthew WitmerNYRetina Specialist (Ophthalmology) Physician$889.6K$46K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Shore Surgery, LtdPAAmbulatory Surgical Clinic/Center$939.4K$0
    Salman LateefPAHospitalist Physician$538.3K$35.1K
    John RossiPASurgery Physician$482.7K$0
    Donald HarperPAAllergy & Immunology Physician$296.8K$0
    Jagdish ShahPAClinical Neurophysiology Physician$220K$0
    West Shore Pain And Spine Institute, LLCPAAmbulatory Surgical Clinic/Center$187.4K$0
    Kala RavertPANurse Practitioner$180.5K$0
    Jonathan MillironPAPhysical Therapist$179.4K$0
    Deborah FarrellPAPediatrics Physician$151.3K$0
    Arun KanmanthareddyPAInterventional Cardiology Physician$144.2K$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. Pennsylvania Distribution
    Alexander Rovner — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Alexander Rovner — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania