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    OpenPayerNPI Medicare & MedicaidJavier Zelaya
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    Javier Zelaya — Billing Profile & Reimbursement Data

    NPI 1760494355 · Brooklyn, NY · Specialist

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    Javier Zelaya is a specialist provider located in Brooklyn, New York. This profile covers 14 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
    OrganizationJavier Zelaya
    Address254 Prospect Park W
    CityBrooklyn
    StateNY
    ZIP11215
    TaxonomySpecialist
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicare$220.2K
    Medicaid$5.3K

    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
    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…1,220$70$88.1K
    99203The provider sees a new 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 provider…310$100$30.3K
    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.560$40$22.9K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.120$160$18.6K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…130$110$13.5K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.170$50$7.9K
    17111The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…60$130$7.6K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.30$290$7.4K
    11901This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…120$60$7.1K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…220$20$5.4K

    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
    170049245040$140$13.7K
    9921340031,44080$70$12.1K
    11102541,27080$80$11.1K
    171103291,28060$90$9.7K
    170005061,300120$40$8.7K
    9504431401,280$1$8.4K
    120329721030$200$7.4K
    171113312040$110$6.7K
    9920310511,36030$90$4.7K
    111037577040$40$4.5K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…70$50$3.8K
    10040The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.20$70$1.1K
    11900This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…20$20$330

    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
    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…13,68419,110360$70$321K
    10040The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.139160470$100$306.3K
    11900This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…184200260$40$83K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Home Care Services Of Brooklyn & Queens, Inc.NYHome Health Agency$0$158.5M
    Novel Home Health Care Services Of New York Corp.NYHome Health Agency$0$79.1M
    New York And Presbyterian HospitalNYGeneral Acute Care Hospital$0$49.5M
    Kings Physician Services, PCNYDiagnostic Radiology Physician$0$47.3M
    New York Dialysis Services, Inc.NYEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$20M
    Racquel VolkowitzNYPhysician Assistant$2M$0
    Vinod PatelNYInterventional Cardiology Physician$1.1M$349.6K
    Zev LatiNYInternal Medicine Physician$854.1K$82.1K
    Shazia AmarNYFoot & Ankle Surgery Podiatrist$144.6K$775.5K
    Robert FeigNYOphthalmology Physician$376.6K$413.5K

    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
    Javier Zelaya — 3 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Javier Zelaya — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York