Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidIgor Priven
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Igor Priven — Billing Profile & Reimbursement Data

    NPI 1518938422 · Manalapan, NJ · Endocrinology, Diabetes & Metabolism Physician

    Customize your policy alerts

    Sign up for Igor Priven — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Igor Priven is a endocrinology, diabetes & metabolism physician provider located in Manalapan, New Jersey. This profile covers 65 Medicare and 11 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)

    FieldValue
    Entity TypeIndividual
    OrganizationIgor Priven
    Address345 Route 9 Ste 8
    CityManalapan
    StateNJ
    ZIP07726
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicare$702.6K
    Medicaid$9.6K

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…570$110$62.9K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.560$100$57.4K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…310$130$40.8K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…160$220$36.1K
    82172The lab analyst performs apolipoprotein testing on components of lipoprotein complexes that contain a variety of high, low, and very–low density lipoproteins. The three most important of these…1,660$20$34.8K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…210$160$33.3K
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…510$60$30.4K
    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…300$80$22.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…730$30$21.3K
    99442N/A330$60$20.7K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08973633803,060$20$87.8K
    823062125050$30$79K
    8444327380100$20$65.5K
    8006131370130$10$65.4K
    839701212060$40$54.3K
    800534356090$10$50.8K
    994894860100$60$47.2K
    82172420460$20$41.6K
    826071915050$10$39.9K
    P96041320480$10$39.9K

    Showing 1–10 of 65

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…1,150$1$3.4K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.1,500$1$3K
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…1,960$1$2K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…70$1$200
    99442N/A140$1$140
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…10$10$130
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$0$0
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…210$0$0
    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…30$0$0
    99441N/A610$0$0

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    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

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,0364,450740$40$229.8K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.20140170$70$54.5K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…80140100$70$41.4K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…323330280$20$34.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.715920510$1$19.3K
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…610250$30$16.4K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…110160$50$14K
    99442N/A15537090$30$11.4K
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…120100$30$9.1K
    99441N/A4324090$20$6.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew SurganNJEndocrinology, Diabetes & Metabolism Physician$428.5K$0
    Inessa GrinblatNJSpecialist$411.9K$0
    Jacqueline VaynkofNJEndocrinology, Diabetes & Metabolism Physician$394.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur MandatoNJCommunity/Behavioral Health Agency$0$33.5M
    Stress Care Of New Jersey, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$14.4M
    Ivy Pediatrics, PANJPediatrics Physician$0$11.7M
    Northern Monmouth Regional Surgery Center LLCNJAmbulatory Surgical Clinic/Center$1.1M$0
    John CovaleskyNJCardiovascular Disease Physician$569.3K$0
    Jatinchandra PatelNJCardiovascular Disease Physician$528.9K$0
    Mark PassNJGeriatric Medicine (Internal Medicine) Physician$496.5K$0
    Charles MarcheseNJPodiatrist$469.5K$0
    Yelena BirgerNJInternal Medicine Physician$286.1K$157.6K
    Manalapan Surgery Center, Inc.NJAmbulatory Surgical Clinic/Center$348.7K$0

    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. New Jersey Distribution
    Igor Priven — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Igor Priven — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey