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    OpenPayerNPI Medicare & MedicaidJustin Holder
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    Justin Holder — Billing Profile & Reimbursement Data

    NPI 1598108821 · Bronx, NY · Diagnostic Radiology Physician

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    Justin Holder is a diagnostic radiology physician provider located in Bronx, New York. This profile covers 14 Medicare and 7 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
    OrganizationJustin Holder
    Address111 E 210th St
    CityBronx
    StateNY
    ZIP10467
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 17, 2013

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

    Payer SourceTotal Paid
    Medicare$35.3K
    Medicaid$17.1K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.170$70$12.1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.80$80$6.2K
    72195In this procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis area without contrast material.40$110$4.2K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.50$50$2.5K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.20$100$2.2K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…30$70$2.1K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…20$90$2K
    92611The provider conducts a study on the inside of the mouth, the voice box, and the food pipe using cine or video recording. He checks whether the patient can swallow properly.20$80$1.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.20$50$860
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…30$20$600

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7418337550050$180$17.2K
    741774461,350110$100$14.8K
    712501,1591,30080$60$9.1K
    741764971,25060$80$7.3K
    9261161020$80$5.6K
    7127564998050$80$5.6K
    710451,2331,370290$10$5.1K
    712605711,12060$50$5K
    767701,1591,26050$60$4.8K
    721953816020$120$4.4K

    Showing 1–10 of 14

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.540$30$16.1K
    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…40$10$460
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.10$20$220
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…50$1$210
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…10$10$160
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.10$1$50
    G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program60$0$0

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.308810220$150$230.6K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.440470150$170$118.5K
    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…352500130$100$74.4K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…398430250$40$49.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,3541,610600$10$16.9K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.424460140$10$7.2K
    G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program11321090$1$30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montefiore Medical CenterNYGeneral Acute Care Hospital$0$961.7M
    Montefiore Medical CenterNYAnesthesiology Physician$1.4M$398.4M
    Montefiore Mount Vernon HospitalNYGeneral Acute Care Hospital$0$24.6M
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Sachin Kumar Amruthlal JainNYCardiovascular Disease Physician$773K$663.1K
    Mahmood KazmiNYPsychiatry Physician$540.6K$760.6K
    Glenda AgustinCAInternal Medicine Physician$1.3M$6.7K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K
    Matthew ComitoNYDiagnostic Radiology Physician$642.6K$67K
    Venise CameronNYFamily Medicine Physician$593.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Port Morris Home Care Agency, LLCNYHome Health Agency$0$95.8M
    Jsp Life Agency Inc.NYHome Health Agency$0$94M
    Bronx Jewish Community Council -home Attendant Services IncNYHome Health Agency$0$39.2M
    Bronx Community Home Care, Inc.NYIn Home Supportive Care Agency$0$26.5M
    Bronx Sc LLCNYAmbulatory Surgical Clinic/Center$396.7K$2.4M
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    Aleksandr MorimNYDiagnostic Radiology Physician$801.3K$62.8K
    Elona DhramiNYOphthalmology Physician$213.2K$332.2K
    Nehalben SakhareliyaNYFamily Nurse Practitioner$507.9K$0
    Michael GuccioneNYSpecialist$164.8K$291K

    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
    Justin Holder — 0 of 14 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Justin Holder — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York