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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrian Gelbman
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    Brian Gelbman — Billing Profile & Reimbursement Data

    NPI 1578501185 · New York, NY · Pulmonary Disease Physician

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    Brian Gelbman is a pulmonary disease physician provider located in New York, New York. This profile covers 35 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
    OrganizationBrian Gelbman
    Address635 Madison Ave
    CityNew York
    StateNY
    ZIP10022
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 4, 2006

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

    Payer SourceTotal Paid
    Medicare$426.3K
    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…1,240$140$176.7K
    99443N/A300$100$30.9K
    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…210$130$27.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.540$50$26.4K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…540$40$20.5K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…510$40$19.3K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…550$30$18.6K
    71046In 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…450$30$13.1K
    86003The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…2,220$10$11.1K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…70$140$9.2K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87637247030$140$31.4K
    8600319302,740$10$24K
    9921424,04230,45090$100$19K
    838801514050$40$17.4K
    823067211,03060$30$10.9K
    9921578,28040$140$10.1K
    3157549958060$100$8.8K
    8278485170340$10$8.4K
    844433281,51090$20$7.9K
    800618641,460120$10$7.3K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laura LibbyNYInternal Medicine Physician$463.5K$0
    Daniel LibbyNYPulmonary Disease Physician$390.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James KlancnikNYSpecialist$4.2M$175.2K
    K FreundNYOphthalmology Physician$3.6M$675.9K
    Ali AboufaresNYInterventional Cardiology Physician$1.3M$2.1M
    Irene BarbazettoNYOphthalmology Physician$3.2M$86.9K
    Michael EngelbertNYOphthalmology Physician$2.6M$27.1K
    Michael CooneyNYOphthalmology Physician$2.1M$75K
    John SorensonNYOphthalmology Physician$2M$0
    Richard SpaideNYOphthalmology Physician$1.9M$320
    Wayne FuchsNYOphthalmology Physician$1.7M$0
    Jason SlakterNYOphthalmology Physician$1.2M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Brian Gelbman — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York