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    OpenPayerNPI Medicare & MedicaidAndrew Einstein
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    Andrew Einstein — Billing Profile & Reimbursement Data

    NPI 1386681450 · New York, NY · Cardiovascular Disease Physician

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    Andrew Einstein is a cardiovascular disease physician provider located in New York, New York. This profile covers 9 Medicare and 3 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
    OrganizationAndrew Einstein
    Address630 West 168th Street
    CityNew York
    StateNY
    ZIP10032
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMay 31, 2006

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

    Payer SourceTotal Paid
    Medicare$181.1K
    Medicaid$880

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries80$1,200$99.2K
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…40$1,600$64.2K
    J2785Injection, regadenoson, 0.1 mg140$50$6.4K
    78434The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…40$130$5.1K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…40$60$2.3K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…20$90$2.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$60$1.1K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…20$20$320
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…20$10$210

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9526610100$1,140$138.2K
    78431517060$970$103.2K
    7845278990060$280$25.8K
    7557412217040$170$16.6K
    J2785332490220$40$14.1K
    78434597080$90$12.2K
    9301550172070$60$6K
    9301641351040$20$1.1K
    9301844053050$10$800

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…40$10$460
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…60$10$280
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…50$1$160

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…232340120$230$132.7K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…5712050$10$4.2K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…6614040$10$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trustees Of Columbia University In The City Of New YorkNYSurgery Physician$0$96.9M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$54.9M
    Columbia University Health Care, Inc.NYDental Clinic/Center$0$29M
    Trustees Of Columbia University In The City Of New YorkNYInternal Medicine Physician$0$21.4M
    Trustees Of Columbia University In The City Of New YorkNYAnatomic Pathology & Clinical Pathology Physician$254.6K$7.4M
    Ali AboufaresNYInterventional Cardiology Physician$1.3M$2.1M
    Neil GonterNJRheumatology Physician$1.6M$0
    David SilversNYDermatopathology Physician$1.3M$0
    Mikhail DoubrovinNYNuclear Medicine Physician$1M$117.9K
    Alexandru KimelNJRheumatology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The New York And Presbyterian HospitalNYGeneral Acute Care Hospital$0$455.2M
    William SchiffNYOphthalmology Physician$1.9M$430
    Dean PreddieNYNephrology Physician$795.6K$649.2K
    Gaetano BarileNYOphthalmology Physician$1.2M$0
    Thomas FlynnNYOphthalmology Physician$1M$0
    Philip GreenNYInterventional Cardiology Physician$867.6K$47K
    Seth PullmanNYNeurology Physician$823.2K$31K
    Kimon ViolarisNYPediatrics Physician$853.2K$0
    Joseph LeeNYClinical Cardiac Electrophysiology Physician$763.1K$71.2K
    Hillary EpsteinNYAnatomic Pathology & Clinical Pathology Physician$787.7K$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
    Andrew Einstein — 0 of 9 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
    Andrew Einstein — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York