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    OpenPayerNPI Medicare & MedicaidEdward Kormylo
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    Edward Kormylo — Billing Profile & Reimbursement Data

    NPI 1568436392 · Patchogue, NY · Foot Surgery Podiatrist

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    Edward Kormylo is a foot surgery podiatrist provider located in Patchogue, New York. This profile covers 12 Medicare and 2 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
    OrganizationEdward Kormylo
    Address33 Medford Ave Ste D
    CityPatchogue
    StateNY
    ZIP11772
    TaxonomyFoot Surgery Podiatrist
    NPI EnumeratedFebruary 16, 2006

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

    Payer SourceTotal Paid
    Medicare$144K
    Medicaid$4.6K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.860$60$48.4K
    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…580$60$35K
    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…180$90$15.5K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…130$100$13.1K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…30$220$7K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…40$150$5.6K
    29580The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…180$30$5.1K
    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…40$120$5.1K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…150$20$3.7K
    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…40$80$2.7K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11044142040$240$37.7K
    110436010050$170$29K
    992149,64530,45090$100$19K
    991833070110$90$13.8K
    110421150080$80$12.1K
    992131,86831,44080$70$12.1K
    992045,29314,17030$130$6.6K
    110453370150$20$5.7K
    295801815060$60$5K
    992035,41211,36030$90$4.7K

    Showing 1–10 of 12

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.220$20$4.5K
    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…60$10$280

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 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…14,42919,110360$70$321K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.71140180$140$184.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Long Island Community Hospital At Nyu Langone HealthNYGeneral Acute Care Hospital$0$27.6M
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Ravi PulipatiNYVascular Surgery Physician$2M$24.6K
    Mark GudesblattNYNeurology Physician$1.6M$270K
    Adeel IqbalNYInternal Medicine Physician$1.3M$10.1K
    Raja VarmaNYCardiovascular Disease Physician$885.3K$5.4K
    Balaji PratapNYCardiovascular Disease Physician$834.5K$26.2K
    Vaiman TsangNYDiagnostic Radiology Physician$790.6K$53.7K
    Ramrattie RambarranNYFamily Nurse Practitioner$775.4K$890
    Fouad Bou HarbNYInfectious Disease Physician$560.8K$189.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarene Services IncNYNursing Care Agency$0$63M
    Great South Bay Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$912.1K$3.5M
    Christopher AdamNYOphthalmology Physician$3.1M$219.4K
    Aleksander VayntraubNYRadiation Oncology Physician$2.1M$700
    Shahid NawazNYHematology & Oncology Physician$2M$85.7K
    Sanjeev JainNYHematology & Oncology Physician$1.5M$59.6K
    Hitesh NarainNYObstetrics & Gynecology Physician$22.4K$1M
    David EagleNYHematology & Oncology Physician$803.3K$23.7K
    Boris RosenfeldNYFamily Medicine Physician$690K$0
    Deepu AlexanderNYCardiovascular Disease Physician$647K$26.1K

    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
    Edward Kormylo — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Edward Kormylo — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York