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    OpenPayerNPI Medicare & MedicaidRenata Flaks
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    Renata Flaks — Billing Profile & Reimbursement Data

    NPI 1548576853 · Toms River, NJ · Family Nurse Practitioner

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    Renata Flaks is a family nurse practitioner provider located in Toms River, New Jersey. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRenata Flaks
    Address707 Main St
    CityToms River
    StateNJ
    ZIP08753
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 24, 2010

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

    Payer SourceTotal Paid
    Medicare$213.6K
    Medicaid$0

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…920$60$55K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.510$70$35.8K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.110$230$25.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.550$40$20.7K
    99212The 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,…430$30$14.7K
    99203The 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…180$70$13.4K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,850$10$9.3K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…230$40$8.7K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.70$120$8K
    10040The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.50$80$3.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,66013,640130$90$23.6K
    1110242590120$70$14.2K
    9921336814,090100$70$13.1K
    170046924040$140$11.1K
    1700070600170$40$10.6K
    120321514030$220$10.2K
    1711045460070$90$9.6K
    111034243060$40$4.9K
    992032045,66040$80$4.8K
    1700348560460$10$4.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daisy FisherMDNurse Practitioner$250.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NJHome Health Agency$0$269.7M
    Easter Seals New JerseyNJCommunity/Behavioral Health Agency$0$46M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$38.8M
    Loving Care Agency, IncNJHome Health Agency$0$19.2M
    Pediatric Affiliates PANJPediatrics Physician$0$17M
    Toms River Regional SchoolsNJLocal Education Agency (LEA)$0$14.9M
    Bayada Home Health Care, Inc.NJHome Health Agency$0$13M
    Preferred Home Health Care & Nursing Services, IncNJHome Health Agency$0$11.1M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$9.8M
    Cmg Brentwood, LLCNJAssisted Living Facility$0$9.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Renata Flaks — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey