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    OpenPayerNPI Medicare & MedicaidSteven Golombek
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    Steven Golombek — Billing Profile & Reimbursement Data

    NPI 1760449565 · Dover, NJ · Rheumatology Physician

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    Steven Golombek is a rheumatology physician provider located in Dover, New Jersey. This profile covers 37 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
    OrganizationSteven Golombek
    Address600 Mount Pleasant Ave
    CityDover
    StateNJ
    ZIP07801
    TaxonomyRheumatology Physician
    NPI EnumeratedApril 27, 2006

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

    Payer SourceTotal Paid
    Medicare$4.2M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: lifetime Medicare revenue is $4.2M while Medicaid billing is none, indicating no Medicaid billing on file. For payers and network planners this signals the provider’s revenue and patient mix are driven almost entirely by Medicare beneficiaries rather than dual or Medicaid populations.

    Revenue is highly concentrated in a small set of physician‑administered drugs: the top three Medicare codes (J0897, J0717, J3262) account for 49.2% of the provider’s total Medicare revenue. Those top three contributors are J0897 ($762.5K, 18.0%), J0717 ($727.2K, 17.2%), and J3262 ($594.4K, 14.0%), underscoring dependence on high‑volume biologic injections.

    The code mix indicates a rheumatology practice structured around in‑office administration of biologic and infusion therapies. High‑revenue drug codes such as J0897 (denosumab), J0717 (certolizumab pegol), J3262 (tocilizumab) and J0129 (abatacept) alongside infusion/administration codes 96401 ($157.1K), 96413 ($96.6K), and 96415 ($15.4K) show the provider delivers substantial on‑site injectable and infusion services rather than primarily prescribing self‑administered medications.

    This provider shows dominant national standing on several drug codes: J0897 ranks #35 of 10057 providers nationally (100th percentile; extreme outlier) and J0717 ranks #37 of 848 providers nationally (96th percentile; notably above typical national volume). J3262 also ranks high at #31 of 618 providers nationally (95th percentile; notably above typical national volume). Those ranks indicate the provider is a major national outlier in physician‑administered biologic volume for these products.

    Office evaluation and management activity is high and complements infusion services: 99214 generated $278.8K from 2.8K claims (6.6% of Medicare revenue) and ranks #336 of 479517 providers nationally (100th percentile; extreme outlier), while 99213 produced $107.8K from 1.5K claims and ranks at the 100th percentile as well. The combination of elevated E/M volumes with infusion administrations suggests sustained ambulatory follow‑up and monitoring associated with chronic biologic therapy.

    Several administration and procedure codes are statistical outliers indicative of concentrated infusion operations: 96401 is an extreme outlier (rank #6 of 3868 providers nationally, 100th percentile) and procedure codes for intra‑articular injections such as 20610 (rank #395 of 39752, 99th percentile; extreme outlier) and J7324 (rank #27 of 1509, 98th percentile; extreme outlier) further illustrate unusually high procedure volumes compared with peers. These outlier labels point to a practice workflow built around procedural and infusion throughput.

    The provider’s NPI tenure is long‑standing: enumerated 2006-04-27 (~20 years ago), which supports interpretation of these volumes as the output of an established clinical practice rather than a new entrant. Long tenure combined with concentrated biologic and infusion billing suggests an entrenched service line and operational experience in office‑based administrations.

    From a payer risk and contracting perspective, the heavy reliance on physician‑administered biologics and infusion/chemotherapy administration codes implies revenue sensitivity to drug reimbursement changes and utilization management policies. Given the top three codes account for 49.2% of Medicare revenue and multiple codes are national outliers, payers should expect that any changes to coverage or reimbursement for these specific drugs or infusion services could materially affect this provider’s Medicare revenue stream.

    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg42,360$20$762.5K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)181,800$1$727.2K
    J3262Injection, tocilizumab, 1 mg118,880$10$594.4K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)16,990$30$560.5K
    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…2,820$100$278.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg8,310$30$216.1K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.2,380$70$157.1K
    J1602Injection, golimumab, 1 mg, for intravenous use14,200$10$156.2K
    J3111Injection, romosozumab-aqqg, 1 mg17,640$10$141.1K
    J9312Injection, rituximab, 10 mg1,950$60$120.9K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01296407,600$30$297K
    J93123103,960$60$242.7K
    J326212033,800$1$227.5K
    J071736042,300$1$219.5K
    J1602164012,580$10$165.7K
    J17453303,670$30$131.9K
    J311183012,600$10$107.3K
    Q51043103,190$30$99.4K
    J089723803,060$20$87.8K
    9641310230190$110$26.6K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanne PareNJRheumatology Physician$1.4M$0
    Stephen BigelsenNJAllergy & Immunology (Internal Medicine) Physician$152.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NJHome Health Agency$0$11.8M
    Zufall Health Center, IncNJFederally Qualified Health Center (FQHC)$0$10.6M
    City Medical Transport CorporationNJNon-emergency Medical Transport (VAN)$1.1M$70.8K
    Eric MannNJOphthalmology Physician$858.5K$46.4K
    Vincent Gengaro IiiNJPhysical Therapist$382.2K$0
    Joel SpielmanNJOrthopaedic Surgery Physician$147.3K$0
    Bivin ThomasNJInternal Medicine Physician$65.7K$0
    Roger WarnNJRegistered Dietitian$11.9K$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 Jersey Distribution
    Steven Golombek — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey