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    OpenPayerNPI Medicare & MedicaidFlorante Melchor
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    Florante Melchor — Billing Profile & Reimbursement Data

    NPI 1750383220 · Hicksville, NY · Internal Medicine Physician

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    Florante Melchor is a internal medicine physician provider located in Hicksville, New York. This profile covers 24 Medicare and 13 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
    OrganizationFlorante Melchor
    Address120 Bethpage Rd
    CityHicksville
    StateNY
    ZIP11801
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 12, 2005

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

    Payer SourceTotal Paid
    Medicare$211.5K
    Medicaid$102.2K

    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.

    24 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…480$100$48.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit160$150$24.4K
    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…130$150$20K
    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…220$80$17.4K
    93890N/A50$270$12.9K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…50$260$12.8K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…80$110$9K
    93892The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or…50$160$7.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…50$150$7.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…80$80$6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    938908614070$210$32.9K
    933061,6661,990200$110$30.7K
    9388612622060$200$26.5K
    938928513070$150$23.4K
    992143,10330,45090$100$19K
    938809031,73050$140$14.5K
    992136,85831,44080$70$12.1K
    G04398126,29050$130$11.2K
    992151,1308,28040$140$10.1K
    906771,5682,48020$280$7.8K

    Showing 1–10 of 24

    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.

    13 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…950$90$87.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$60$3.1K
    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…60$40$2.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,080$1$2.2K
    G0008Administration of influenza virus vaccine120$20$2K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…70$20$1.5K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…50$20$1.2K
    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…10$60$870
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…80$10$660
    94070In this procedure, the provider deliberately induces bronchospasm by controlled and measurable exposure to a specific stimulant. He then performs spirometry multiple times to evaluate the lung…10$40$500

    Showing 1–10 of 13

    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

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…14,25419,110360$70$321K
    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…4,22216,550220$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…1,7542,05090$140$121.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,8225,090450$10$35.9K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…427640150$40$27.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30250080$30$12.5K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…2,1663,120260$10$11.8K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…1,3941,450290$1$8.5K
    G0444Annual depression screening, 5 to 15 minutes9871,180210$10$7.7K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…48894070$20$7.6K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunrise Medical Laboratories, Inc.NYClinical Medical Laboratory$30.3M$101.5M
    Cottage Homecare, Services, IncNYHome Health Agency$0$121.8M
    Acutis Diagnostics IncNYClinical Medical Laboratory$5.2M$60.6M
    Aides At Home IncNYHome Health Agency$0$56.4M
    Central Nassau Guidance & Counseling Services, Inc.NYCommunity/Behavioral Health Agency$0$46M
    James MaiselNYOphthalmology Physician$4.4M$8.9K
    Leena DoshiNYDiagnostic Radiology Physician$914.5K$500
    Stephanie BeckerNYOphthalmology Physician$757.2K$41.4K
    Michael SableNYOphthalmology Physician$671K$470
    Richard ObedianNYOrthopaedic Surgery Physician$268.3K$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.

    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
    Florante Melchor — 0 of 24 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
    Florante Melchor — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York