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NPI 1619977030 · New Hyde Park, NY · Diagnostic Radiology Physician
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Allen Rothpearl is a diagnostic radiology physician provider located in New Hyde Park, New York. This profile covers 16 Medicare and 25 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 | Allen Rothpearl |
| Address | 1510 Jericho Tpke |
| City | New Hyde Park |
| State | NY |
| ZIP | 11040 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.2M |
| Medicare | $433.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 870 | $110 | $98.6K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 910 | $80 | $71.5K |
| 95921 | The provider evaluates the function of the autonomic nervous system, which controls those body functions, such as heart rate, temperature regulation, and other functions that are involuntary. He uses… | 870 | $80 | $67.2K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 170 | $250 | $41.7K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 220 | $170 | $35.8K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 200 | $150 | $30.5K |
| 76700 | An 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… | 240 | $100 | $24K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 70 | $230 | $16.8K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 70 | $170 | $11.1K |
| 76770 | A 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… | 90 | $100 | $8.7K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 1,000 | 1,990 | 200 | $110 | $30.7K |
| 93886 | 39 | 220 | 60 | $200 | $26.5K |
| 93880 | 194 | 1,730 | 50 | $140 | $14.5K |
| 93925 | 189 | 710 | 40 | $180 | $13.9K |
| 95923 | 2 | 180 | 40 | $110 | $12.1K |
| 93975 | 165 | 330 | 30 | $190 | $11K |
| 93978 | 187 | 440 | 40 | $140 | $10.3K |
| 95921 | 2 | 120 | 50 | $80 | $10.2K |
| 93970 | 524 | 1,590 | 40 | $100 | $8.6K |
| 76536 | 332 | 1,080 | 50 | $70 | $6.3K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 20,230 | $250 | $5M |
| 76700 | An 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… | 21,620 | $70 | $1.6M |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 7,160 | $130 | $945.1K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 5,520 | $120 | $656.3K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 6,620 | $100 | $641.9K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 3,130 | $140 | $450.9K |
| 93890 | N/A | 2,650 | $170 | $439.1K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 8,060 | $40 | $354.7K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 2,470 | $130 | $328.9K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 3,960 | $80 | $312.8K |
Showing 1–10 of 25
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
25 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 1 | 360 | 180 | $220 | $166.8K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 57 | 770 | 340 | $130 | $154.1K |
| 76700 | An 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… | 6 | 670 | 250 | $110 | $150.7K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 184 | 840 | 460 | $80 | $139.7K |
| 93976 | The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the… | 105 | 290 | 240 | $130 | $131.3K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 41 | 1,710 | 290 | $110 | $129.3K |
| 70551 | The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam. | 322 | 370 | 110 | $180 | $127.6K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 88 | 730 | 190 | $110 | $81.3K |
| 76770 | A 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… | 22 | 500 | 130 | $100 | $74.4K |
| 93890 | N/A | 8 | 180 | 150 | $130 | $72.1K |
Showing 1–10 of 25
Other providers in the same ZIP code as Allen Rothpearl, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Long Island Jewish Medical Center | NY | General Acute Care Hospital | $0 | $370.9M |
| Truetox Laboratories LLC | NY | Clinical Medical Laboratory | $647.5K | $56.4M |
| Advanced Dermatology PC | NY | Dermatology Physician | $0 | $43.9M |
| United Seating And Mobility LLC | NY | Durable Medical Equipment & Medical Supplies | $0 | $21M |
| United Sleep Diagnostics Inc | NY | Sleep Disorder Diagnostic Clinic/Center | $828.3K | $4.4M |
| Edward Rutkovsky | NY | Internal Medicine Physician | $2.1M | $10.3K |
| Nimish Dharia | NY | Cardiovascular Disease Physician | $1.4M | $37.4K |
| Vincent Macaluso | NY | Neurology Physician | $1.3M | $0 |
| Sajid Khan | NY | Internal Medicine Physician | $623K | $373.8K |
| Sarat Bhumi | NY | Cardiovascular Disease Physician | $569K | $367.9K |
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