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NPI 1477780054 · Buffalo, NY · Neurology Physician
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Thomas Pfiffner is a neurology physician provider located in Buffalo, New York. This profile covers 25 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Pfiffner |
| Address | 40 George Karl Blvd Ste 120 |
| City | Buffalo |
| State | NY |
| ZIP | 14221 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | June 22, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $271.7K |
| Medicaid | $19.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 3,060 | $40 | $116.3K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 180 | $130 | $23.3K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 90 | $240 | $22.3K |
| 72148 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast. | 130 | $140 | $18.5K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 130 | $140 | $18.1K |
| 99214 | The 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… | 120 | $80 | $9.5K |
| 72156 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the cervical spinal canal and contents first without using contrast and again after injecting contrast material. | 40 | $230 | $8.7K |
| 72158 | In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material. | 40 | $230 | $8.5K |
| 70549 | The provider performs magnetic resonance angiography of the vessels of the neck and surrounding areas without contrast and then takes images again using contrast. | 20 | $260 | $6.3K |
| 70544 | The provider performs magnetic resonance angiography of the vessels of the head and surrounding areas. The provider does not use contrast. | 40 | $160 | $5.7K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1561 | 19 | 40 | 3,100 | $40 | $234.9K |
| 99214 | 12,873 | 30,450 | 90 | $100 | $19K |
| 96413 | 311 | 380 | 110 | $110 | $18.1K |
| 70553 | 229 | 590 | 70 | $160 | $17.5K |
| 72148 | 179 | 810 | 50 | $120 | $13.1K |
| 99213 | 30,841 | 31,440 | 80 | $70 | $12.1K |
| 70551 | 191 | 710 | 60 | $100 | $11.5K |
| 70450 | 1,061 | 1,080 | 170 | $40 | $9.1K |
| 96365 | 410 | 610 | 80 | $60 | $7.7K |
| 72141 | 43 | 630 | 30 | $110 | $6.8K |
Showing 1–10 of 25
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 480 | $30 | $15.8K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 30 | $80 | $2.2K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 30 | $50 | $1.3K |
| 99213 | The 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… | 30 | $10 | $360 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 16,348 | 19,110 | 360 | $70 | $321K |
| 99214 | The 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… | 6,031 | 16,550 | 220 | $90 | $186.8K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 280 | 370 | 110 | $180 | $127.6K |
| 72141 | In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material. | 100 | 150 | 60 | $200 | $76.1K |
Other providers in the same ZIP code as Thomas Pfiffner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Willcare, Inc. | NY | Home Health Agency | $0 | $60.6M |
| America Homecare Inc | NY | In Home Supportive Care Agency | $0 | $40.4M |
| Buffalo Emergency Associates LLP | NY | Emergency Medicine Physician | $0 | $24M |
| Philip Niles | NY | Retina Specialist (Ophthalmology) Physician | $1.6M | $21.1K |
| Martin Boscarino | NY | Ophthalmology Physician | $1.5M | $27.9K |
| Endoscopy Center Of Western New York LLC | NY | Ambulatory Surgical Clinic/Center | $462.5K | $964K |
| Wehrle Drive Asc LLC | NY | Ambulatory Surgical Clinic/Center | $967.1K | $0 |
| Christopher Jermak | NY | Ophthalmology Physician | $902.1K | $27K |
| Ramakrishna Ratnakaram | NY | Ophthalmology Physician | $723.2K | $12.7K |
| Paul Wirth | NY | MOHS-Micrographic Surgery Physician | $611.2K | $1.4K |
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