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    OpenPayerNPI Medicare & MedicaidMartin Niethammer
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    Martin Niethammer — Billing Profile & Reimbursement Data

    NPI 1730214370 · Great Neck, NY · Neurology Physician

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    Martin Niethammer is a neurology physician provider located in Great Neck, New York. This profile covers 14 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMartin Niethammer
    Address611 Northern Blvd
    CityGreat Neck
    StateNY
    ZIP11021
    TaxonomyNeurology Physician
    NPI EnumeratedFebruary 23, 2007

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

    Payer SourceTotal Paid
    Medicare$360.4K
    Medicaid$2.1K

    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
    J0585Injection, onabotulinumtoxina, 1 unit46,640$10$233.2K
    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…560$110$59.5K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.100$150$14.6K
    64616The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…70$170$11.4K
    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…120$80$8.9K
    99205The 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…40$200$8K
    64642The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.50$140$7.4K
    64611The provider administers a chemical compound to the parotid and submandibular salivary glands bilaterally to decrease the amount of saliva produced and reduce the risk of aspiration.50$120$5.9K
    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…30$170$4.7K
    99223The 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…30$160$4.3K

    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
    J058582809,400$1$63.4K
    992142,46330,45090$100$19K
    992328,18011,85080$70$13.8K
    9921312,23631,44080$70$12.1K
    992155,0078,28040$140$10.1K
    6461695050$170$9.3K
    992235,2608,65040$150$9.3K
    6461255040$150$8.1K
    9920412,44614,17030$130$6.6K
    992051,1634,26030$180$6.4K

    Showing 1–10 of 14

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…80$30$2.1K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…11,11216,550220$90$186.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    Edward BennettNYInternal Medicine Physician$152.7K$6.7M
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    Eric ShakinNYOphthalmology Physician$3.3M$291.7K
    Lynda PiboonNYObstetrics & Gynecology Physician$62.2K$3.1M
    Stuart WeinermanNYEndocrinology, Diabetes & Metabolism Physician$2.3M$2.3K
    Jason KarpNYPulmonary Disease Physician$2.1M$35.2K
    Richard FurieNYRheumatology Physician$2.1M$19.5K
    Elliot LandauNYVascular & Interventional Radiology Physician$2M$20.3K
    Frank TarantiniNJVascular Surgery Physician$1.9M$2.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    C And T Homecare Services LLCNYIn Home Supportive Care Agency$0$847.7M
    North Shore-lij Medical PCNYUrology Physician$0$388.1M
    First Choice Home Care IncNYHome Health Agency$0$28M
    Welllife Network Inc.NYClinic/Center$0$22M
    Regioncare Inc.NYHome Infusion Agency$40.1K$9.4M
    Jonathan JonischNYOphthalmology Physician$6.4M$940.9K
    Kenneth GrahamNYOphthalmology Physician$5.6M$64.5K
    Brett RosenblattNYOphthalmology Physician$5.5M$9.3K
    David PoonNYOphthalmology Physician$4.1M$796.1K
    Jeffrey ShakinNYOphthalmology Physician$4.4M$82.4K

    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
    Martin Niethammer — 1 of 14 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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Martin Niethammer — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York