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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdmund Hornstein
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    Edmund Hornstein — Billing Profile & Reimbursement Data

    NPI 1467422519 · Pittsfield, MA · Specialist

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    Edmund Hornstein is a specialist provider located in Pittsfield, Massachusetts. This profile covers 12 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
    OrganizationEdmund Hornstein
    Address777 North St
    CityPittsfield
    StateMA
    ZIP01201
    TaxonomySpecialist
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$171.8K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1745Injection, infliximab, excludes biosimilar, 10 mg3,920$30$101.9K
    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…460$60$25.8K
    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…170$80$13K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…110$110$12.8K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…760$10$7.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$50$3K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…120$20$3K
    99212The 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,…80$30$2.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$650
    J3489Injection, zoledronic acid, 1 mg90$10$620

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J17458203,920$30$119.4K
    964133260120$110$17.6K
    992145,53515,410110$80$15.6K
    9921383813,70070$60$8.8K
    2061090398060$50$5.8K
    963654611050$50$4.8K
    7708019350100$20$3.8K
    96415175090$20$3.2K
    992125412,66030$40$2.4K
    J34894760130$10$1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Berkshire Medical Center, IncMAGeneral Acute Care Hospital$0$150M
    Fairview HospitalMACritical Access Hospital$0$17.7M
    Berkshire Medical Center, IncMASubstance Abuse Rehabilitation Facility$0$15.4M
    Berkshire Faculty Services IncMAMulti-Specialty Clinic/Center$0$13.1M
    Eleanor SullivanMACardiovascular Disease Physician$782.1K$0
    James ArcoleoMACardiovascular Disease Physician$617.8K$44K
    Ioana StanescuCTRheumatology Physician$349.2K$0
    Sean MullallyMAHematology & Oncology Physician$300.3K$0
    Charles KanalyMANeurological Surgery Physician$287.8K$0
    Steven PollackFLCardiovascular Disease Physician$281.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusetsMACase Management Agency$0$275M
    The Brien Center For Mental Health And Substance Abuse Services Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$50.7M
    Elder Services Of Berkshire County Inc.MACase Management Agency$0$35.9M
    Hillcrest Educational Centers IncMAEmotionally Disturbed Childrens' Residential Treatment Facility$0$21.6M
    Berkshire County Arc, Inc.MAFoster Care Agency$0$19.8M
    Ucp Of Western Massachusetts IncMAEarly Intervention Provider Agency$0$14.9M
    Hospicecare In The Berkshires, Inc.MACommunity Based Hospice Care Agency$0$13.8M
    Alc CorpMAAddiction (Substance Use Disorder) Counselor$0$9.5M
    Baroco CorporationMADevelopmentally Disabled Services Day Training Agency$0$8.1M
    Hillcrest Dental Care, IncMADental Clinic/Center$0$7.9M

    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. Massachusetts Distribution
    Edmund Hornstein — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts