Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Geffin
    Ask Trek AI about this page

    Michael Geffin — Billing Profile & Reimbursement Data

    NPI 1578583902 · Plymouth, MA · Urology Physician

    Customize your policy alerts

    Sign up for Michael Geffin — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Geffin is a urology physician provider located in Plymouth, Massachusetts. This profile covers 46 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Geffin
    Address51 Obery St
    CityPlymouth
    StateMA
    ZIP02360
    TaxonomyUrology Physician
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$409.3K
    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,220$100$116.2K
    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…830$70$55.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…220$190$40.7K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…380$50$18.8K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg130$130$17K
    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…140$120$16.5K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…20$540$11.8K
    50386In this procedure, the provider removes an internally dwelling ureteral stent using a transurethral approach and imaging guidance. He does not use an endoscope to perform the procedure.20$610$10.4K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$330$8.8K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.120$70$8.4K

    Showing 1–10 of 46

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    46 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92172560120$130$18.1K
    520001624090$170$17.6K
    9921411215,410110$80$15.6K
    84403104040$30$15.5K
    5570631020$690$13.8K
    5264841020$560$12.9K
    99490156230180$50$12.8K
    5038611020$610$10.4K
    5222461030$430$10.3K
    992323,6155,40070$60$9.3K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hesham MalikMADiagnostic Radiology Physician$3.9M$0
    James BleilerMAUrology Physician$941K$0
    Stephen GillardMAUrology Physician$755K$0
    Petronela IorgaMAAnatomic Pathology & Clinical Pathology Physician$633K$0
    Stanley KrausMAUrology Physician$449.4K$0
    Michael CurranMAUrology Physician$440K$0
    James FitzgeraldMAUrology Physician$422.1K$0
    Michael DonovanMAUrology Physician$406.5K$0
    Angel JohnsonMAGynecology Physician$381.6K$0
    Padraic MccahillMAUrology Physician$334.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$316.5M
    Centrus Premier Home Care IncMAHome Health Agency$0$201.1M
    Pediatric Services Of America, LLCMAHome Health Agency$0$21.9M
    The Arc Of Greater PlymouthMAFoster Care Agency$0$12M
    Beth Israel Deaconess Hospital Plymouth, Inc.MACommunity Based Hospice Care Agency$0$11.5M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Harbor Health Services, Inc.MACommunity Health Clinic/Center$0$7.7M
    Habilitation Assistance CorporationMADevelopmentally Disabled Services Day Training Agency$0$7.6M
    Commonwealth Of Massachusetts-dmhMACase Management Agency$0$6.6M
    Plymouth Laser Center, P.C.MAAmbulatory Surgical Clinic/Center$2.2M$157.2K

    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. Massachusetts Distribution
    Michael Geffin — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts