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    OpenPayerNPI Medicare & MedicaidJeffrey Cohen
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    Jeffrey Cohen — Billing Profile & Reimbursement Data

    NPI 1467687962 · Washington, DC · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Jeffrey Cohen is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Washington, District of Columbia. This profile covers 10 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
    OrganizationJeffrey Cohen
    Address110 Irving St Nw Ste 6d15
    CityWashington
    StateDC
    ZIP20010
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedMay 28, 2009

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

    Payer SourceTotal Paid
    Medicare$320.2K
    Medicaid$0

    Key Findings

    JEFFREY COHEN is a cardiothoracic/vascular surgeon whose Medicare billing is heavily weighted toward high-acuity valve and revascularization procedures, with prominent use of percutaneous aortic valve replacement (33361), open aortic valve replacement (33405), and coronary artery bypass grafting (33533/33534). The code mix — combining TAVR, open AVR, and multi-vessel CABG — points to a practice that performs both catheter-based and complex open cardiac surgery rather than a primarily outpatient or consultative role.

    Medicare represents the substantive payer footprint for this provider: lifetime Medicare revenue is $320.2K while there is no Medicaid billing on file (none below), making the practice effectively single-payer at the public-insurance level. The top three Medicare codes account for 72.9% of this provider's total Medicare revenue, reflecting a concentrated revenue base tied to a few high-value procedures.

    33361 is a dominant source of volume and revenue for this provider: 152 claims, $649 avg paid/claim, $98.6K revenue (30.8% of this provider's total Medicare revenue); it ranks #14 of 2679 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That national standing indicates unusually high TAVR activity relative to most peers and suggests this provider is a major procedural contributor in transcatheter aortic valve replacement.

    33405 and 33533/33534 together further indicate high surgical throughput: 33405 shows 38 claims, $1651 avg paid/claim, $62.7K revenue (19.6%) and ranks #9 of 406 (98th percentile; extreme outlier, far above typical national volume for this code); 33533 shows 52 claims, $1386 avg paid/claim, $72.1K revenue (22.5%) and ranks #96 of 2459 (96th percentile; notably above typical national volume); 33534 shows 31 claims, $1761 avg paid/claim, $54.6K revenue (17.0%) and ranks #4 of 106 (97th percentile; notably above typical national volume). Collectively these ranks place the provider well above typical national volumes for major cardiac surgery codes, consistent with a high-acuity surgical practice.

    The provider shows statistical outlier behavior on multiple procedure codes beyond the top three: 33518 (41 claims, $355 avg paid/claim, $14.6K revenue; ranks #10 of 1101, 99th percentile; extreme outlier) and 33508 (74 claims, $14 avg paid/claim, $1K revenue; ranks #18 of 2002, 99th percentile; extreme outlier) both indicate concentrated procedure-support billing patterns that are far above typical national volumes. At the same time, some diagnostic/interpretive services such as 93314 (81 claims, $74 avg paid/claim, $6K revenue, 1.9%; ranks #15 of 298, 95th percentile; typical, unremarkable volume for this code) appear at expected levels and likely support the surgical caseload.

    The concentrated revenue profile (top three Medicare codes = 72.9% of Medicare revenue) implies business risk and dependence on a narrow set of high-value procedures; any changes in referral patterns, hospital privileging, or reimbursement for TAVR and major CABG codes could disproportionately impact overall Medicare revenue. This concentration also means that competitive positioning for those specific service lines (TAVR and surgical AVR/CABG) will be the primary determinant of the provider's Medicare performance.

    Tenure data show the NPI was enumerated 2009-05-28 (~17 years ago), indicating an established billing presence. Given the long enumeration and the high relative volumes on specialized cardiac procedures, the profile is consistent with an experienced proceduralist operating within a hospital-based or tertiary cardiac program rather than a general cardiology outpatient practice.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…150$650$98.6K
    33533Coronary artery bypass, using arterial graft(s); single arterial graft50$1,390$72.1K
    33405The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…40$1,650$62.7K
    33534The provider diverts blood flow from damaged vessels in the heart by grafting in two arterial segments from another location, such as in the chest or abdomen, to restore circulation, improve the…30$1,760$54.6K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…40$360$14.6K
    33519The provider diverts blood flow from damaged vessels in the heart by grafting three vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery…10$470$6.1K
    93314In this procedure, the provider performs transesophageal echocardiography, TEE, with interpretation of the overall function of the heart’s valves and chambers and determines the presence of many…80$70$6K
    33517The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…20$160$2.9K
    33268At the same session as a primary procedure requiring sternotomy or thoracotomy, the provider performs exclusion, such as by excision, of the left atrial appendage, a small, pouchlike sac in the top…10$110$1.6K
    33508The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.70$10$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3340511040$1,650$62.7K
    3353411030$1,710$53.1K
    3353311040$1,430$48.8K
    3336111040$650$38.8K
    3351811030$350$10.2K
    3351921020$460$7.7K
    3351721020$160$3K
    9331411020$70$2.9K
    3326811010$110$1.6K
    3350811030$10$570

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medstar Medical Group Ii LLCMDGeneral Practice Physician$0$91.5M
    Howard HauptmanMDRheumatology Physician$2.9M$0
    Kelly OrwatSCInternal Medicine Physician$1.3M$0
    Stephen RonsonMDSpecialist$1.2M$0
    Prashanth RaoMDCardiovascular Disease Physician$1.1M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Atif RasheedTNEmergency Medicine Physician$832.9K$54.7K
    Jazibeh QureshiMDRheumatology Physician$880.1K$0
    Paresh ShahMDClinical Cardiac Electrophysiology Physician$836K$0
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalDCChildren's Hospital$0$243.1M
    Medstar Washington Hospital CenterDCGeneral Acute Care Hospital$0$239M
    Children's HospitalDCPediatrics Physician$0$115.3M
    Whc Physician Group LLCDCGeneral Practice Physician$0$93.8M
    Medstar Medical Group Radiology, LLCDCDiagnostic Radiology Physician$0$17.5M
    National Rehabilitation Hospital IncDCRehabilitation Hospital$0$16.9M
    Hero Dental Of Washington Dc PCDCGeneral Practice Dentistry$0$11.7M
    Medstar Heart Institute LLCDCSurgery Physician$0$4.8M
    Bio-medical Applications Of Columbia Heights, Inc.DCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Washington Hospital Center CorpDCGeneral Practice Physician$0$3.7M

    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. District of Columbia Distribution
    Jeffrey Cohen — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia