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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheldon Hersh
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    Sheldon Hersh — Billing Profile & Reimbursement Data

    NPI 1699885483 · Forest Hills, NY · Otolaryngology/Facial Plastic Surgery Physician

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    Sheldon Hersh is a otolaryngology/facial plastic surgery physician provider located in Forest Hills, New York. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSheldon Hersh
    Address11011 72nd Ave
    CityForest Hills
    StateNY
    ZIP11375
    TaxonomyOtolaryngology/Facial Plastic Surgery Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$235.5K
    Medicaid$0

    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.

    14 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…880$80$71.4K
    99203The 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…320$100$32.7K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.130$180$23.9K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing440$50$21.9K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…470$30$15.4K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.350$40$15K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…450$30$13.6K
    92550The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…670$20$13.3K
    92563The provider assesses problems in the transmission of nerve impulses from the ear by computing the difference in time between when a tone is emitted and when it is heard. The test results indicate…410$30$13.2K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$80$6.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31231222520110$170$30.4K
    9921387231,44080$70$12.1K
    3157520858060$100$8.8K
    9920411,51414,17030$130$6.6K
    G0268925090$40$5.5K
    9255755690110$30$5.2K
    992039311,36030$90$4.7K
    692108686060$30$4.6K
    9256221060$40$3.1K
    92588713050$30$2.9K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sheldon Hersh, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven LeffNJOphthalmology Physician$176.9K$41.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Acquisition Corp.NYHome Health Agency$0$1B
    Caring Professionals, IncNYHome Health Agency$0$951.9M
    Caring Professionals, Inc.NYHome Health Agency$0$391.3M
    Infiniti Home Care IncNYHome Health Agency$0$378.6M
    New Millenium Ny, IncNYHome Health Agency$0$214.6M
    Bilinguals Inc.NYEarly Intervention Provider Agency$0$103.6M
    Infiniti Home Care, Inc Dba Continental Home CareNYHome Health Agency$0$59.3M
    The Child Center Of Ny, Inc.NYAdolescent and Children Mental Health Clinic/Center$0$57.6M
    Eva Homecare Agency, Inc.NYHome Health Agency$0$55.3M
    Attentive Home Care, IncNYHome Health Agency$0$31.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Sheldon Hersh — 6 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York