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    OpenPayerNPI Medicare & MedicaidMichael Ladinsky
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    Michael Ladinsky — Billing Profile & Reimbursement Data

    NPI 1679504872 · East Islip, NY · Family Medicine Physician

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    Michael Ladinsky is a family medicine physician provider located in East Islip, New York. This profile covers 71 Medicare and 6 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
    OrganizationMichael Ladinsky
    Address126 E Main St
    CityEast Islip
    StateNY
    ZIP11730
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 5, 2006

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

    Payer SourceTotal Paid
    Medicare$803.2K
    Medicaid$8.6K

    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.

    71 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,560$70$189.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit400$150$59.5K
    93880Duplex 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…300$180$54.7K
    93306The 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…290$180$51.9K
    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…260$110$29K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes840$30$25.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…1,540$20$24.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…140$160$22.9K
    84480The lab analyst performs a test to measure total T3 in patient blood.1,540$10$21.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1,560$10$20.3K

    Showing 1–10 of 71

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 71 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    71 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877982940740$30$218.3K
    862353740650$20$33.6K
    933066901,990200$110$30.7K
    992146,86330,45090$100$19K
    838804014050$40$17.4K
    938801111,73050$140$14.5K
    992134431,44080$70$12.1K
    G0439666,29050$130$11.2K
    823066971,03060$30$10.9K
    95004463001,360$1$10.4K

    Showing 1–10 of 71

    • More pages

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…290$30$8.1K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…10$30$410
    86769The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…20$10$150
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.10$1$20
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.130$0$0
    G8417Bmi is documented above normal parameters and a follow-up plan is documented10$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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…10,14119,110360$70$321K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.5815901,160$20$277.2K
    86769The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…235250230$30$103.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,4065,090450$10$35.9K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…602640150$40$27.7K
    G8417Bmi is documented above normal parameters and a follow-up plan is documented1,0071,060190$1$30

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jay StamblerNYInternal Medicine Physician$855.2K$412.9K
    Ramrattie RambarranNYFamily Nurse Practitioner$775.4K$890
    Vikas DesaiNYInternal Medicine Physician$608.7K$106.2K
    Daniel DaviesNYPodiatrist$358.2K$51.7K
    James TardiNYPodiatrist$359.2K$0
    Tracy OnalNYSports Medicine (Neuromusculoskeletal Medicine) Physician$245.9K$830
    Thomas DaviesNYPodiatrist$227.8K$170
    Alain ZilkhaNYDiagnostic Radiology Physician$184.7K$3.4K
    Paula HirtNYObstetrics & Gynecology Physician$108K$0
    Tzanwei FangNYDiagnostic Radiology Physician$85.9K$540

    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
    Michael Ladinsky — 16 of 25 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
    Michael Ladinsky — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York