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    OpenPayerNPI Medicare & MedicaidMichael Plishchuk
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    Michael Plishchuk — Billing Profile & Reimbursement Data

    NPI 1760675789 · Toms River, NJ · Foot & Ankle Surgery Podiatrist

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    Michael Plishchuk is a foot & ankle surgery podiatrist provider located in Toms River, New Jersey. This profile covers 25 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
    OrganizationMichael Plishchuk
    Address54 Bey Lea Rd
    CityToms River
    StateNJ
    ZIP08753
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedAugust 22, 2007

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

    Payer SourceTotal Paid
    Medicare$393K
    Medicaid$0

    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.

    25 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…1,920$60$118.9K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.1,650$70$107.3K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…240$130$31.9K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…1,190$20$26.2K
    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…130$100$12K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…110$90$10K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…280$40$9.7K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…410$20$9.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.260$40$9K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…40$180$7.8K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,60713,640130$90$23.6K
    992331,9924,270110$100$22.5K
    992326,0406,220120$70$18.4K
    11056370550150$70$17.2K
    1104399060$150$16.7K
    11721421750310$40$15.9K
    2958136070$60$13.6K
    992133514,090100$70$13.1K
    11042144080$80$11.6K
    9392515543030$180$10.8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David O'connorNJVascular Surgery Physician$3.6M$0
    Matthew RegulskiNJFoot & Ankle Surgery Podiatrist$336K$0
    Girish NairNJFoot & Ankle Surgery Podiatrist$330.3K$0
    Robin LenzNJFoot & Ankle Surgery Podiatrist$198.4K$0
    James SullivanNJFoot & Ankle Surgery Podiatrist$187K$0
    Megan LubinNJFoot & Ankle Surgery Podiatrist$183.9K$0
    Matthew ModugnoNJFoot & Ankle Surgery Podiatrist$150.4K$0
    Russell PetrantoNJPodiatrist$139.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NJHome Health Agency$0$269.7M
    Easter Seals New JerseyNJCommunity/Behavioral Health Agency$0$46M
    Easter Seals New JerseyNJMental Illness Community Based Residential Treatment Facility$0$38.8M
    Loving Care Agency, IncNJHome Health Agency$0$19.2M
    Pediatric Affiliates PANJPediatrics Physician$0$17M
    Toms River Regional SchoolsNJLocal Education Agency (LEA)$0$14.9M
    Bayada Home Health Care, Inc.NJHome Health Agency$0$13M
    Preferred Home Health Care & Nursing Services, IncNJHome Health Agency$0$11.1M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$9.8M
    Cmg Brentwood, LLCNJAssisted Living Facility$0$9.3M

    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
    Michael Plishchuk — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey