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NPI 1679689764 · Newark, NJ · Podiatrist
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Javier Ponce is a podiatrist provider located in Newark, New Jersey. This profile covers 12 Medicare and 34 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 | Javier Ponce |
| Address | 654 Mount Prospect Ave Ste 301 |
| City | Newark |
| State | NJ |
| ZIP | 07104 |
| Taxonomy | Podiatrist |
| NPI Enumerated | August 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.4M |
| Medicare | $57.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 450 | $40 | $16.5K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 150 | $60 | $9.4K |
| 11765 | The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail. | 60 | $140 | $7.6K |
| 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… | 80 | $70 | $5.8K |
| 11106 | The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions. | 30 | $130 | $4.4K |
| 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… | 40 | $110 | $4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 80 | $50 | $3.8K |
| 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… | 30 | $100 | $3.2K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 20 | $80 | $1.5K |
| 99203 | The provider sees a new 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 provider… | 10 | $100 | $1.4K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 11,308 | 13,640 | 130 | $90 | $23.6K |
| 11056 | 274 | 550 | 150 | $70 | $17.2K |
| 11721 | 276 | 750 | 310 | $40 | $15.9K |
| 99213 | 7,813 | 14,090 | 100 | $70 | $13.1K |
| 99204 | 3,544 | 7,160 | 40 | $130 | $6.5K |
| 11106 | 8 | 20 | 20 | $120 | $6.5K |
| 99203 | 4,942 | 5,660 | 40 | $80 | $4.8K |
| 11765 | 2 | 10 | 20 | $140 | $4.8K |
| 93922 | 214 | 290 | 40 | $60 | $3.9K |
| 99212 | 883 | 3,450 | 40 | $40 | $3.6K |
Showing 1–10 of 12
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.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | 5,940 | $50 | $290.9K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 4,490 | $60 | $264.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 8,570 | $20 | $145.7K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 1,880 | $60 | $118.3K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 12,940 | $10 | $103.5K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 550 | $100 | $55.8K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 2,240 | $20 | $53.7K |
| 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… | 2,160 | $20 | $49.6K |
| 99203 | The provider sees a new 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 provider… | 960 | $40 | $42.2K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 4,360 | $10 | $34.9K |
Showing 1–10 of 34
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
34 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 91 | 110 | 340 | $200 | $461.3K |
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | 5 | 20 | 890 | $80 | $277.3K |
| 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… | 1,436 | 4,450 | 740 | $40 | $229.8K |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | 9 | 50 | 1,230 | $60 | $208K |
| 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… | 1,800 | 3,790 | 580 | $60 | $204K |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | 13 | 40 | 560 | $60 | $166.4K |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | 13 | 30 | 250 | $100 | $115.3K |
| 99203 | The provider sees a new 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 provider… | 310 | 1,460 | 150 | $80 | $97.8K |
| 17110 | The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or… | 16 | 60 | 150 | $60 | $89.1K |
| 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… | 353 | 1,160 | 110 | $110 | $79.7K |
Showing 1–10 of 34
Other providers in the same ZIP code as Javier Ponce, ranked by combined Medicare and Medicaid revenue.
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