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    OpenPayerNPI Medicare & MedicaidRoy Geronemus
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    Roy Geronemus — Billing Profile & Reimbursement Data

    NPI 1730172685 · New York, NY · Specialist

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    Roy Geronemus is a specialist provider located in New York, New York. This profile covers 18 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationRoy Geronemus
    Address110 E 60th St Rm 1108
    CityNew York
    StateNY
    ZIP10022
    TaxonomySpecialist
    NPI EnumeratedAugust 25, 2005

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

    Payer SourceTotal Paid
    Medicare$472.2K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…330$600$195.8K
    17313Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.200$480$96.6K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.240$380$90.9K
    17314Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.50$350$17.3K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…160$60$10.4K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.50$190$9.7K
    99212The 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,…190$50$9.4K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.120$80$9.2K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…30$220$6.5K
    13131The provider repairs a wound measuring 1.1 cm to 2.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…30$180$6.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1731146150200$520$136.2K
    1731234140140$360$65.3K
    173131112080$510$50.8K
    17314349040$360$20.8K
    131329215050$250$17.8K
    131215716030$260$13.3K
    9921320,52131,44080$70$12.1K
    111024461,27080$80$11.1K
    131017812030$280$9.3K
    1312041020$260$7K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James KlancnikNYSpecialist$4.2M$175.2K
    K FreundNYOphthalmology Physician$3.6M$675.9K
    Ali AboufaresNYInterventional Cardiology Physician$1.3M$2.1M
    Irene BarbazettoNYOphthalmology Physician$3.2M$86.9K
    Michael EngelbertNYOphthalmology Physician$2.6M$27.1K
    Michael CooneyNYOphthalmology Physician$2.1M$75K
    John SorensonNYOphthalmology Physician$2M$0
    Richard SpaideNYOphthalmology Physician$1.9M$320
    Wayne FuchsNYOphthalmology Physician$1.7M$0
    Jason SlakterNYOphthalmology Physician$1.2M$0

    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
    Roy Geronemus — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York