Loading...
NPI 1508834540 · Saratoga Springs, NY · Cardiovascular Disease Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Nicholas Kondo is a cardiovascular disease physician provider located in Saratoga Springs, New York. This profile covers 38 Medicare and 3 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 | Nicholas Kondo |
| Address | 6 Care Lane |
| City | Saratoga Springs |
| State | NY |
| ZIP | 12866 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | March 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $581.4K |
| Medicaid | $9.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 100 | $1,280 | $121.5K |
| 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… | 980 | $90 | $91K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 190 | $420 | $79.2K |
| J1306 | Injection, inclisiran, 1 mg | 8,520 | $10 | $76.7K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 50 | $650 | $31.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 210 | $140 | $30.6K |
| J2785 | Injection, regadenoson, 0.1 mg | 420 | $40 | $17.8K |
| 99204 | The provider sees a new 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 provider… | 160 | $90 | $15.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 100 | $130 | $13.3K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,080 | $10 | $10.8K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1306 | 6 | 20 | 6,820 | $10 | $108.9K |
| 78431 | 21 | 70 | 60 | $970 | $103.2K |
| G2066 | 236 | 310 | 200 | $60 | $94.7K |
| A9555 | 32 | 70 | 160 | $340 | $86.2K |
| 93229 | 70 | 210 | 30 | $770 | $40.8K |
| 93306 | 939 | 1,990 | 200 | $110 | $30.7K |
| 78452 | 802 | 900 | 60 | $280 | $25.8K |
| 93296 | 144 | 330 | 110 | $20 | $23.1K |
| 99214 | 766 | 30,450 | 90 | $100 | $19K |
| 83880 | 26 | 140 | 50 | $40 | $17.4K |
Showing 1–10 of 38
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.
3 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… | 290 | $30 | $8.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 210 | $1 | $850 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 150 | $0 | $0 |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 7,469 | 16,550 | 220 | $90 | $186.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,653 | 3,120 | 260 | $10 | $11.8K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 373 | 1,600 | 50 | $10 | $1.2K |
Other providers in the same ZIP code as Nicholas Kondo, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Saratoga Hospital | NY | General Acute Care Hospital | $0 | $40.1M |
| Faisal Chaudhary | NY | Rheumatology Physician | $964K | $3.6K |
| William Field | NY | Anatomic Pathology & Clinical Pathology Physician | $514.4K | $0 |
| George Knapp | NY | Family Medicine Physician | $248.4K | $81.3K |
| Robert Donnarumma | NY | Emergency Medicine Physician | $181K | $0 |
| William O'connor | NY | Orthopaedic Foot and Ankle Surgery Physician | $173.5K | $0 |
| Rachid Daoui | NY | Internal Medicine Physician | $168.6K | $0 |
| Hung Nguyen | NY | Internal Medicine Physician | $137.8K | $130 |
| Gordan Kuhar | NY | Pain Medicine Physician | $103.5K | $380 |
| Justin Ferrara | NY | Orthopaedic Surgery Physician | $95.6K | $240 |
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.