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NPI 1538225883 · New York, NY · Pediatrics Physician
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George Opio is a pediatrics physician provider located in New York, New York. This profile covers 8 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 | George Opio |
| Address | 330 East 17th St |
| City | New York |
| State | NY |
| ZIP | 10003 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | December 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $52.5K |
| Medicaid | $960 |
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 |
|---|---|---|---|---|
| 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… | 230 | $70 | $16.9K |
| 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,… | 310 | $50 | $15.6K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 60 | $140 | $7.8K |
| 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… | 90 | $90 | $7.7K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 30 | $70 | $1.9K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 40 | $30 | $1.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 110 | $10 | $890 |
| 0013A | N/A | 10 | $50 | $530 |
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
Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| 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… | 80 | $10 | $980 |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 10 | $0 | $0 |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 20 | $0 | $0 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 20 | $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
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… | 13,646 | 19,110 | 360 | $70 | $321K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 1,198 | 1,310 | 330 | $10 | $24.3K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 963 | 1,040 | 170 | $10 | $20.5K |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 299 | 310 | 540 | $1 | $15.5K |
Other providers in the same ZIP code as George Opio, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Home Health Management Services, Inc. | NY | Home Health Agency | $0 | $85.7M |
| New York Eye & Ear Infirmary | NY | Special Hospital | $0 | $38.9M |
| Nyu Langone Hospitals | NY | General Acute Care Hospital | $0 | $32.2M |
| Realization Center, Inc. | NY | Clinic/Center | $0 | $27.2M |
| Gpddc, LLC | NY | Ambulatory Surgical Clinic/Center | $401.4K | $11.7M |
| Jonathan Feistmann | NY | Ophthalmology Physician | $2.7M | $3.1M |
| Louis Angioletti | NY | Retina Specialist (Ophthalmology) Physician | $2.2M | $31.6K |
| Jasminka Balderacchi | NY | Anatomic Pathology & Clinical Pathology Physician | $1.9M | $0 |
| Navin Mehta | NY | Ophthalmology Physician | $460K | $875.8K |
| Alan Dayan | NY | Retina Specialist (Ophthalmology) Physician | $838.6K | $226.1K |
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