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NPI 1508837253 · Verona, NJ · Dermatopathology Physician
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Marcelo Horenstein is a dermatopathology physician provider located in Verona, New Jersey. This profile covers 8 Medicare and 7 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 | Marcelo Horenstein |
| Address | 60 Pompton Ave |
| City | Verona |
| State | NJ |
| ZIP | 07044 |
| Taxonomy | Dermatopathology Physician |
| NPI Enumerated | January 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $90.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 19,830 | $60 | $1.2M |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 2,090 | $90 | $190.6K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 1,450 | $80 | $114.3K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 690 | $100 | $71.5K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 420 | $40 | $16.2K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 180 | $80 | $13.9K |
| 88365 | The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a… | 20 | $170 | $3.5K |
| 88364 | The lab analyst applies an additional in situ hybridization single probe stain on a slide or slides prepared from the same patient specimen as the initial probe stain, such as tumor tissue. Then a… | 20 | $130 | $2.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 810 | $80 | $64.5K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 110 | $150 | $16.3K |
| 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… | 60 | $80 | $4.9K |
| 99203 | The 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… | 30 | $120 | $3.6K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 10 | $50 | $610 |
| 99212 | The 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,… | 10 | $40 | $530 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 10 | $1 | $10 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 119 | 210 | 1,660 | $60 | $347.9K |
| 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… | 3,682 | 4,450 | 740 | $40 | $229.8K |
| 99203 | The 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… | 1,122 | 1,460 | 150 | $80 | $97.8K |
| 99212 | The 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,… | 1,481 | 1,520 | 260 | $40 | $71.9K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 103 | 110 | 580 | $20 | $44.7K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 72 | 100 | 370 | $30 | $34.4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 145 | 160 | 170 | $1 | $3.4K |
Other providers in the same ZIP code as Marcelo Horenstein, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Chrill Care, Inc | NJ | Home Health Agency | $0 | $16.2M |
| Clinical Laboratory Of Nj LLC | NJ | Clinical Medical Laboratory | $243.7K | $5.7M |
| Stephen Spates | NJ | Dermatology Physician | $1M | $0 |
| Justin Yucht | NJ | Sports Medicine (Physical Medicine & Rehabilitation) Physician | $76.2K | $413.5K |
| Daniel Groisser | NJ | Dermatology Physician | $384.4K | $0 |
| Suburban Endoscopy Center, LLC | NJ | Ambulatory Surgical Clinic/Center | $349.3K | $0 |
| Gabriela Plesek Andia | NJ | Medical Physician Assistant | $315.1K | $0 |
| Justin Brown | NJ | Dermatology Physician | $295.8K | $0 |
| David Parker | NJ | Podiatrist | $169.2K | $870 |
| Evette Minkiewicz | NJ | Speech-Language Pathologist | $67.1K | $0 |
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