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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamuel Badalian
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    Samuel Badalian — Billing Profile & Reimbursement Data

    NPI 1407848906 · Cooperstown, NY · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Samuel Badalian is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Cooperstown, New York. This profile covers 14 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
    OrganizationSamuel Badalian
    Address1 Atwell Rd
    CityCooperstown
    StateNY
    ZIP13326
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedAugust 19, 2005

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

    Payer SourceTotal Paid
    Medicare$54.1K
    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.

    14 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…240$50$10.8K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…20$450$10.3K
    99443N/A90$90$7.9K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…60$90$5.9K
    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$70$5.6K
    57260The provider repairs the vaginal tissues over the weakened spots to support the area and return the bladder and rectum to their correct positions.  This is a vaginal approach procedure. The provider…10$400$4.4K
    57250In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…10$260$2.9K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.60$30$1.9K
    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…20$60$1.1K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…50$20$1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921416,25130,45090$100$19K
    51729248030$330$16.8K
    992136,29431,44080$70$12.1K
    5726051010$620$11.8K
    57288102020$410$8.7K
    994431781,20030$90$5.7K
    517972719020$160$5.5K
    992038,72211,36030$90$4.7K
    5725021010$280$4K
    517013411030$40$3.6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Imogene Bassett HospitalNYRural Acute Care Hospital$0$121.7M
    Jinha ParkCADiagnostic Radiology Physician$907.1K$0
    Mona KinkhabwalaNYCardiovascular Disease Physician$577.9K$7.7K
    Rizwan AlimohammadNYCardiovascular Disease Physician$538.6K$41.6K
    Alecia GiovinazzoNYObstetrics & Gynecology Physician$133.6K$387.1K
    Shawn AhmedMNDiagnostic Radiology Physician$505K$0
    Sherwin PollockNYDiagnostic Radiology Physician$349.2K$30.3K
    Sonya KellaMNDiagnostic Radiology Physician$301.4K$50.4K
    Lauren GuseNYFamily Nurse Practitioner$330.5K$570
    Nicholas GeorgesMDDiagnostic Radiology Physician$330.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas SchumacherNYNephrology Physician$274.3K$44.8K
    Max LincolnNYOrthopaedic Surgery Physician$252.1K$0
    Erin MckayNYInternal Medicine Physician$235.3K$15K
    Lucille LeeNYRadiation Oncology Physician$127.4K$0
    James StoreyNYClinical Cardiac Electrophysiology Physician$114.6K$5.3K
    Raquel RosenNYNephrology Physician$114.6K$610
    Salil SharmaNYDiagnostic Radiology Physician$92.3K$2.2K
    Nidhi MadanNYInterventional Cardiology Physician$87.1K$0
    Gregory CummingsNYNeurology Physician$49.8K$31.3K
    Megan WinnerNYSurgery Physician$77.2K$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. New York Distribution
    Samuel Badalian — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York