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    OpenPayerNPI Medicare & MedicaidFrank Darras
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    Frank Darras — Billing Profile & Reimbursement Data

    NPI 1750323069 · East Setauket, NY · Urology Physician

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    Frank Darras is a urology physician provider located in East Setauket, New York. This profile covers 23 Medicare and 3 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
    OrganizationFrank Darras
    Address24 Research Way
    CityEast Setauket
    StateNY
    ZIP11733
    TaxonomyUrology Physician
    NPI EnumeratedJune 12, 2006

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

    Payer SourceTotal Paid
    Medicare$309.2K
    Medicaid$17.1K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…900$130$113K
    50360The provider transplants a kidney and ureter from a cadaver or living donor into a recipient. The provider does not remove a kidney (nephrectomy) from the recipient.20$2,370$56.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…430$110$47.6K
    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…260$100$26.1K
    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…70$160$11.3K
    52315The provider performs a complicated cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…20$450$8.1K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…30$230$7.8K
    38562The provider excises lymph nodes (lymphadenectomy) from the pelvic area or near the aorta to identify the stage of cancer in the pelvis.20$350$5.3K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…50$110$4.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$70$4.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    50360114020$1,820$38.3K
    992146,89030,45090$100$19K
    992336188,64080$100$15.8K
    5200044462060$170$14.3K
    992326,59511,85080$70$13.8K
    9921320,88531,44080$70$12.1K
    99215208,28040$140$10.1K
    5231551020$400$9.9K
    992232,2628,65040$150$9.3K
    992391,8053,46050$100$7.1K

    Showing 1–10 of 23

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,910$10$15.3K
    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…270$10$1.6K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…50$0$0

    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

    3 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…7,70716,550220$90$186.8K
    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…1542,05090$140$121.2K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…8101,60050$10$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason KimNYUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$418.6K$5.9K
    Steven WeissbartNYUrology Physician$375.5K$4.7K
    David SchulsingerNYUrology Physician$260.6K$12.5K
    Wayne WaltzerNYUrology Physician$241.7K$0
    Howard AdlerNYUrology Physician$153.6K$330
    Yefim SheynkinNYUrology Physician$78.4K$11K
    Olga Makrak-sturnioloNYAdult Health Nurse Practitioner$21.8K$0
    Adam KresselNYSurgery Physician$13.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Steven MontanaNYHematology & Oncology Physician$2.2M$28.3K
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Joseph CirroneNYRadiation Oncology Physician$1.7M$0
    Mark BorekNYCardiovascular Disease Physician$1.5M$0
    Martin SilversteinNYRadiation Oncology Physician$1.2M$17.5K
    Gurmohan SyaliNYMedical Oncology Physician$1.1M$69.2K
    Emanuel ChryssosNYCardiovascular Disease Physician$1M$30
    Rocco CarusoNYHematology & Oncology Physician$1M$4.6K
    Khurram ChaudharyNYRetina Specialist (Ophthalmology) Physician$910.4K$66.8K

    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
    Frank Darras — 1 of 23 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Frank Darras — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York