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NPI 1669587879 · Mount Vernon, NY · Urology Physician
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Marc Janis is a urology physician provider located in Mount Vernon, New York. This profile covers 40 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 | Marc Janis |
| Address | 105 Stevens Ave |
| City | Mount Vernon |
| State | NY |
| ZIP | 10550 |
| Taxonomy | Urology Physician |
| NPI Enumerated | August 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $295.6K |
| Medicaid | $66.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,330 | $80 | $106.2K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 150 | $130 | $19.3K |
| 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… | 250 | $70 | $18.4K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 30 | $530 | $13.2K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 80 | $160 | $13.1K |
| 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… | 110 | $110 | $11.2K |
| 52224 | The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys… | 10 | $760 | $10.7K |
| 52000 | In 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… | 40 | $230 | $8.5K |
| 99204 | The 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… | 50 | $150 | $7.5K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 570 | $10 | $7.4K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
40 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 52224 | 34 | 40 | 20 | $680 | $25K |
| 55899 | 34 | 40 | 40 | $260 | $24.9K |
| 50590 | 5 | 30 | 20 | $770 | $19.3K |
| 99214 | 19,685 | 30,450 | 90 | $100 | $19K |
| J9217 | 49 | 160 | 110 | $130 | $18.1K |
| 99305 | 753 | 940 | 60 | $110 | $16.9K |
| 51728 | 117 | 170 | 30 | $310 | $16K |
| 52000 | 426 | 620 | 60 | $170 | $14.3K |
| 99232 | 2,530 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 320 | 31,440 | 80 | $70 | $12.1K |
Showing 1–10 of 40
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 |
|---|---|---|---|---|
| 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… | 2,360 | $30 | $63.6K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,890 | $1 | $1.9K |
| 99422 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 30 | $10 | $290 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 40 | $1 | $120 |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 40 | $1 | $80 |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 520 | $0 | $0 |
| 82570 | The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 540 | $0 | $0 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 180 | $0 | $0 |
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 |
|---|---|---|---|---|---|---|
| 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… | 4,337 | 19,110 | 360 | $70 | $321K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 4,218 | 5,090 | 450 | $10 | $35.9K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 218 | 300 | 190 | $20 | $16.8K |
| 82570 | The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 129 | 230 | 850 | $1 | $13.4K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 267 | 1,450 | 290 | $1 | $8.5K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 353 | 730 | 450 | $1 | $7.6K |
| 99422 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 40 | 90 | 30 | $30 | $2.8K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 324 | 1,600 | 50 | $10 | $1.2K |
Other providers in the same ZIP code as Marc Janis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Diana's Angels Home Care, Inc | NY | Home Health Agency | $0 | $38.5M |
| Satyavathi Sharma | NY | Internal Medicine Physician | $140.3K | $609K |
| Jiahuai Tan | NY | Internal Medicine Physician | $350.6K | $0 |
| Bijou Dennis-nfor | NY | Foot & Ankle Surgery Podiatrist | $46.1K | $36.1K |
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