Loading...
NPI 1679542757 · New York, NY · Orthopaedic Surgery Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Kenneth Egol is a orthopaedic surgery physician provider located in New York, New York. This profile covers 13 Medicare and 1 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 | Kenneth Egol |
| Address | 240 E 18th St |
| City | New York |
| State | NY |
| ZIP | 10003 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | March 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $125.9K |
| Medicaid | $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.
13 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… | 440 | $80 | $33.9K |
| 27245 | In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the… | 30 | $1,160 | $30.1K |
| 27236 | In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to… | 20 | $1,140 | $22.8K |
| 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… | 110 | $140 | $14.9K |
| 99214 | The 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… | 70 | $110 | $8.3K |
| 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… | 50 | $160 | $7.2K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 10 | $230 | $3K |
| 99205 | The provider sees a new 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 provider… | 10 | $200 | $2.4K |
| 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… | 20 | $120 | $1.7K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 10 | $60 | $770 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27245 | 25 | 100 | 20 | $1,040 | $20.7K |
| 99214 | 17,401 | 30,450 | 90 | $100 | $19K |
| 27236 | 9 | 60 | 10 | $940 | $15K |
| 99213 | 2,971 | 31,440 | 80 | $70 | $12.1K |
| 99223 | 3,489 | 8,650 | 40 | $150 | $9.3K |
| 20680 | 10 | 20 | 10 | $520 | $7.8K |
| 20610 | 1,805 | 1,870 | 60 | $60 | $7K |
| 99204 | 1,477 | 14,170 | 30 | $130 | $6.6K |
| 99205 | 3,833 | 4,260 | 30 | $180 | $6.4K |
| 99222 | 6,210 | 7,870 | 30 | $110 | $5.9K |
Showing 1–10 of 13
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.
1 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… | 50 | $40 | $2K |
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
1 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… | 14,666 | 19,110 | 360 | $70 | $321K |
Other providers in the same ZIP code as Kenneth Egol, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Home Health Management Services, Inc. | NY | Home Health Agency | $0 | $85.7M |
| New York Eye & Ear Infirmary | NY | Special Hospital | $0 | $38.9M |
| Nyu Langone Hospitals | NY | General Acute Care Hospital | $0 | $32.2M |
| Realization Center, Inc. | NY | Clinic/Center | $0 | $27.2M |
| Gpddc, LLC | NY | Ambulatory Surgical Clinic/Center | $401.4K | $11.7M |
| Louis Angioletti | NY | Retina Specialist (Ophthalmology) Physician | $2.2M | $31.6K |
| Jasminka Balderacchi | NY | Anatomic Pathology & Clinical Pathology Physician | $1.9M | $0 |
| Navin Mehta | NY | Ophthalmology Physician | $460K | $875.8K |
| Alan Dayan | NY | Retina Specialist (Ophthalmology) Physician | $838.6K | $226.1K |
| Wen Fan | NY | Anatomic Pathology & Clinical Pathology Physician | $1.1M | $0 |
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.