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    OpenPayerNPI Medicare & MedicaidMichael Dourmashkin
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    Michael Dourmashkin — Billing Profile & Reimbursement Data

    NPI 1336134139 · Melville, NY · Urology Physician

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    Michael Dourmashkin is a urology physician provider located in Melville, New York. This profile covers 29 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
    OrganizationMichael Dourmashkin
    Address532 Broadhollow Rd
    CityMelville
    StateNY
    ZIP11747
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 17, 2005

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

    Payer SourceTotal Paid
    Medicare$188.1K
    Medicaid$9.6K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,130$80$85K
    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…110$230$24K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.1,120$10$11.2K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…450$20$8.1K
    99203The 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…90$90$7.7K
    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$110$6.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.800$10$6.4K
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…100$60$5.6K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…100$50$5.2K
    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…1,380$1$4.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419,54530,45090$100$19K
    5200017062060$170$14.3K
    9921350031,44080$70$12.1K
    800531,6291,970120$10$6.9K
    992225,1427,87030$110$5.9K
    8440311823050$30$5K
    841542910050$20$4.9K
    992031,79511,36030$90$4.7K
    841534270050$20$4.5K
    992122,0317,85030$40$3.6K

    Showing 1–10 of 29

    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
    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…480$20$8.7K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.420$1$420
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.70$0$0
    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…640$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…8,71719,110360$70$321K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,8765,090450$10$35.9K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.109300190$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…5341,450290$1$8.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Ann AndersonNYClinical Pathology/Laboratory Medicine Physician$5.2M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Dimitri KessarisNYUrology Physician$275.7K$2.8M
    Eduard KaganNYRadiation Oncology Physician$2.1M$0
    Vishesh AgrawalNYRadiation Oncology Physician$2.1M$13K
    Michael OhebshalomNYUrology Physician$1M$1.1M
    Alfred ShtainerNYUrology Physician$427.4K$1.7M
    Elizabeth KavalerNYUrology Physician$1.7M$0
    Mehran SabooriNYRadiation Oncology Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Always Compassionate Home Care IncNYHome Health Agency$0$79.8M
    Wellcare Health Management, Inc.NYHome Health Agency$0$42.6M
    Allied Physicians Group, PLLCNYPediatrics Physician$0$34M
    Melville Sc LLCNYAmbulatory Surgical Clinic/Center$1.3M$0
    Robert MondscheinNYSurgery Physician$749.1K$110.1K
    Craig GrobmanNYInternal Medicine Physician$715.5K$0
    Eric PuttermanNYOrthopaedic Surgery Physician$627.5K$0
    Stephen HershowitzNYDiagnostic Radiology Physician$323.3K$244.8K
    Roy ShanonNYNeurology Physician$367.7K$187.5K
    Dana SavidgeNYClinical Psychologist$356.5K$6.3K

    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
    Michael Dourmashkin — 3 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Michael Dourmashkin — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York