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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSantosh Mathen
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    Santosh Mathen — Billing Profile & Reimbursement Data

    NPI 1558596809 · Plainview, NY · Orthopaedic Hand Surgery Physician

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    Santosh Mathen is a orthopaedic hand surgery physician provider located in Plainview, New York. This profile covers 31 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
    OrganizationSantosh Mathen
    Address651 Old Country Rd
    CityPlainview
    StateNY
    ZIP11803
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedMay 15, 2009

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

    Payer SourceTotal Paid
    Medicare$204.5K
    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.

    31 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…770$80$61.9K
    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…140$120$16K
    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…130$100$13.5K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…130$100$13.1K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$960$12.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$410$11.4K
    99204The 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…70$150$9.8K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.210$40$8K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg1,360$10$6.8K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…60$90$5.3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560992010$2,340$37.5K
    9921411,76630,45090$100$19K
    2061127574080$90$15.9K
    647214711030$450$15.3K
    7372141748050$120$13.5K
    260558213030$320$12.3K
    992131,12931,44080$70$12.1K
    7322129740040$120$9.9K
    992237,8428,65040$150$9.3K
    9591133535030$180$9.2K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shazaan HushmendyNYOrthopaedic Surgery Physician$454.8K$0
    Crispin OngNYOrthopaedic Surgery Physician$372.8K$0
    Fernando ChecoNYOrthopaedic Surgery of the Spine Physician$372.6K$0
    Scott SilverbergNYOrthopaedic Surgery Physician$358.8K$0
    Jordan KerkerNYSports Medicine (Orthopaedic Surgery) Physician$278.1K$0
    Anthony MarulloNYSpecialist$246.7K$0
    Dorothy ScarpinatoNYOrthopaedic Surgery Physician$234.3K$0
    Daniel SeidmanNYOrthopaedic Surgery Physician$201.3K$0
    Mitchell KeschnerNYOrthopaedic Surgery Physician$197K$0
    Scott BarbashVASports Medicine (Orthopaedic Surgery) Physician$184.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Island Therapy Associates, LLC D/b/a All About KidsNYDevelopmentally Disabled Services Day Training Agency$0$26.9M
    Central Nassau Guidance & Counseling Services, Inc.NYMental Illness Community Based Residential Treatment Facility$0$26M
    Acupath Laboratories, Inc.NYClinical Medical Laboratory$6.5M$14.8M
    Renal Focus Asc LLCNYAmbulatory Surgical Clinic/Center$4.2M$79.6K
    Bijan Setareh-shenasNYDermatology Physician$1.4M$2.8M
    Peter BrennenNYRetina Specialist (Ophthalmology) Physician$3M$339.3K
    Mehran SabooriNYRadiation Oncology Physician$1.5M$0
    Shawn ZimbergNYRadiation Oncology Physician$1.1M$0
    Mohsen PahlavanNYNephrology Physician$768.8K$305K
    Prem ChatparNYRheumatology Physician$939.3K$5.3K

    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 York Distribution
    Santosh Mathen — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York