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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLorenzo Gamez
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    Lorenzo Gamez — Billing Profile & Reimbursement Data

    NPI 1386823581 · East Setauket, NY · Orthopaedic Surgery Physician

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    Lorenzo Gamez is a orthopaedic surgery physician provider located in East Setauket, New York. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLorenzo Gamez
    Address6 Technology Dr Ste 100
    CityEast Setauket
    StateNY
    ZIP11733
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 24, 2007

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

    Payer SourceTotal Paid
    Medicare$92.9K
    Medicaid$0

    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.

    13 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…530$80$41.6K
    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…150$110$16.8K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.280$40$10K
    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…80$100$7.7K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.210$30$6K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.30$180$4.4K
    29425The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. She forms the bottom of the cast to accommodate…20$70$1.7K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…30$50$1.6K
    Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass20$40$800
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.30$30$780

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,01330,45090$100$19K
    7372134248050$120$13.5K
    992132,23931,44080$70$12.1K
    992032,06311,36030$90$4.7K
    2060035840030$40$2.2K
    2942521030$70$2.1K
    206059527030$50$2K
    736301,1141,70040$20$1.6K
    736201752030$20$1.2K
    73610201,08030$20$900

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas PetracoNYOrthopaedic Surgery Physician$726.2K$0
    Anthony CappellinoNYOrthopaedic Surgery Physician$681.6K$0
    Louis GuidaNYSpecialist$315.1K$334.6K
    Warren SpinnerNYNeurology Physician$478.2K$85.9K
    Christopher MiletoNYOrthopaedic Surgery Physician$494.3K$0
    Dimitrios ChristoforouNYOrthopaedic Hand Surgery Physician$481.9K$0
    John BrennanNYOrthopaedic Surgery Physician$458.1K$0
    Gregory MalloNYOrthopaedic Surgery Physician$440.3K$0
    Steven PuopoloNYOrthopaedic Hand Surgery Physician$425.9K$0
    Jeffrey HartNYOrthopaedic Surgery Physician$379.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Steven MontanaNYHematology & Oncology Physician$2.2M$28.3K
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Joseph CirroneNYRadiation Oncology Physician$1.7M$0
    Mark BorekNYCardiovascular Disease Physician$1.5M$0
    Martin SilversteinNYRadiation Oncology Physician$1.2M$17.5K
    Gurmohan SyaliNYMedical Oncology Physician$1.1M$69.2K
    Emanuel ChryssosNYCardiovascular Disease Physician$1M$30
    Rocco CarusoNYHematology & Oncology Physician$1M$4.6K
    Khurram ChaudharyNYRetina Specialist (Ophthalmology) Physician$910.4K$66.8K

    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
    Lorenzo Gamez — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York