Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Egnor (NPI 1376573949)

Field	Value
Entity Type	Individual
Organization	Michael Egnor
Address	24 Research Way
City	East Setauket
State	NY
ZIP	11733
Taxonomy	Neurological Surgery Physician
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicare	$34.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
62223	The provider places a shunt, or tube, leading from the ventricles of the brain to the abdominal cavity, pleural cavity, or other terminus, meaning another location to drain. Providers perform the…	20	$740	$11.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	160	$50	$7.9K
62252	The provider reprograms a programmable shunt system, which allows for noninvasive adjustments to correct over or under drainage of cerebrospinal fluid, or CSF.	80	$80	$6.2K
62160	In this add on procedure, the provider uses a small endoscope to access the brain to place or replace a ventricular catheter for a shunt system or for external drainage. This service is performed as…	20	$210	$3.3K
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…	30	$110	$2.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$60	$1.4K
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…	20	$70	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Michael Egnor — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	28,483	31,440	80	$70	$12.1K
62223	4	10	20	$700	$11.3K
99203	6,559	11,360	30	$90	$4.7K
99212	854	7,850	30	$40	$3.6K
62160	1	10	20	$210	$3.3K
62252	1	10	40	$80	$3.1K
99202	600	1,490	20	$50	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yue Zhang	VA	Hematology & Oncology Physician	$1.8M	$1K
Rajoo Patel	NY	Cardiovascular Disease Physician	$1.1M	$6.6K
Emanuel Chryssos	NY	Cardiovascular Disease Physician	$1M	$30
Chirayu Gor	NY	Cardiovascular Disease Physician	$838.3K	$0
Igor Chernyavskiy	NY	Pulmonary Disease Physician	$227.7K	$596.7K
Thomas Mcbrearty	NY	Cardiovascular Disease Physician	$823.8K	$110
Robert Kulina	NY	Cardiovascular Disease Physician	$820K	$150
Christopher Cesa	NY	Cardiovascular Disease Physician	$804.8K	$30
Lev Lubarsky	NY	Cardiovascular Disease Physician	$777.8K	$60
Jason Sadlofsky	NY	Cardiovascular Disease Physician	$752K	$20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Steven Montana	NY	Hematology & Oncology Physician	$2.2M	$28.3K
Fadi El-baba	NY	Retina Specialist (Ophthalmology) Physician	$2M	$18K
Joseph Cirrone	NY	Radiation Oncology Physician	$1.7M	$0
Mark Borek	NY	Cardiovascular Disease Physician	$1.5M	$0
Martin Silverstein	NY	Radiation Oncology Physician	$1.2M	$17.5K
Gurmohan Syali	NY	Medical Oncology Physician	$1.1M	$69.2K
Rocco Caruso	NY	Hematology & Oncology Physician	$1M	$4.6K
Khurram Chaudhary	NY	Retina Specialist (Ophthalmology) Physician	$910.4K	$66.8K
Vincent Basilice	NY	Ophthalmology Physician	$738.9K	$1.6K

Michael Egnor — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References