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NPI 1588657241 · Far Rockaway, NY · Physical Medicine & Rehabilitation Physician
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Edbert Morales is a physical medicine & rehabilitation physician provider located in Far Rockaway, New York. This profile covers 6 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Edbert Morales |
| Address | 327 Beach 19th St |
| City | Far Rockaway |
| State | NY |
| ZIP | 11691 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | August 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $70.4K |
| Medicaid | $34.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 590 | $80 | $46.3K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 120 | $120 | $14.6K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 90 | $50 | $4.1K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 30 | $70 | $2.5K |
| 99203 | The 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… | 20 | $100 | $1.7K |
| 99213 | The 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… | 10 | $80 | $900 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 1,510 | $10 | $15.1K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,280 | $10 | $11.5K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 880 | $10 | $5.3K |
| 99252 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the provider… | 30 | $30 | $990 |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 20 | $70 | $980 |
| 99253 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 10 | $50 | $540 |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 60 | $10 | $360 |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 110 | $1 | $210 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 2,094 | 2,430 | 1,310 | $40 | $257.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 702 | 4,120 | 130 | $30 | $26.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 69 | 1,410 | 50 | $60 | $18.6K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 15 | 450 | 40 | $50 | $13.9K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 451 | 790 | 80 | $20 | $12.3K |
| 99254 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends… | 68 | 110 | 30 | $80 | $12K |
| 99253 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 62 | 80 | 20 | $70 | $6.8K |
| 99252 | The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the provider… | 14 | 30 | 30 | $30 | $4.2K |
Other providers in the same ZIP code as Edbert Morales, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rockaway Home Attendant Services, Inc. | NY | Home Health Agency | $0 | $86.2M |
| Foundation For The Elderly | NY | In Home Supportive Care Agency | $0 | $63.1M |
| Vip Homecare Inc | NY | Home Health Agency | $0 | $60.2M |
| Episcopal Health Services Inc | NY | General Acute Care Hospital | $0 | $46.4M |
| Ameristar Home Care Services, LLC. | NY | Home Health Agency | $0 | $32.7M |
| Nosheen Khan | NY | Podiatrist | $7.7M | $0 |
| Daniel Buff | NY | Internal Medicine Physician | $748.9K | $519K |
| Olusegun Ogunfowora | NY | Internal Medicine Physician | $891.7K | $251.4K |
| Dmitriy Elkin | NY | Internal Medicine Physician | $671.9K | $448.4K |
| Igor Talis | NY | Family Medicine Physician | $341.2K | $221.3K |
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