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    Brian Durkin — Billing Profile & Reimbursement Data

    NPI 1790713162 · Port Jefferson, NY · Pain Medicine (Anesthesiology) Physician

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    Brian Durkin is a pain medicine (anesthesiology) physician provider located in Port Jefferson, New York. This profile covers 42 Medicare and 1 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
    OrganizationBrian Durkin
    Address635 Belle Terre Rd # 209
    CityPort Jefferson
    StateNY
    ZIP11777
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicare$797.8K
    Medicaid$8.9K

    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.

    42 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…2,030$110$229.7K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.80$1,050$85.4K
    62264In this procedure, the provider places a catheter or introduces a chemical substance to an adhesion in the epidural space to remove the adhesion, in a procedure often referred to as a Racz catheter…210$340$68.9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…200$230$46.1K
    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…540$80$42.6K
    99204The provider sees a new 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 provider…260$150$38.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.70$410$29.4K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…230$110$24.1K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…100$220$22.8K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…190$120$22.5K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368582020$5,140$87.4K
    6365032040$1,880$79.1K
    0275T73020$2,170$60.8K
    6462821020$3,010$57.2K
    6226411030$350$22.3K
    994908261,210150$50$21K
    646353624030$430$19.9K
    992148130,45090$100$19K
    6448322041050$220$17.9K
    J732498150100$100$16.6K

    Showing 1–10 of 42

    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.

    1 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…380$20$8.8K

    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

    1 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…6,67816,550220$90$186.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Tony AbrahamNYNuclear Radiology Physician$7.6M$442.6K
    Riem BadrNYHematology (Pathology) Physician$8M$2.2K
    Alexander ZuhoskiNYHematology & Oncology Physician$4.4M$45.7K
    Pejman DalaieNYDiagnostic Radiology Physician$3.6M$172.2K
    Esther CoronelNYDiagnostic Radiology Physician$3.3M$162.2K
    Roy ChenNYHematology & Oncology Physician$3.3M$104.3K
    Dimitri KessarisNYUrology Physician$275.7K$2.8M
    David ChuNYHematology & Oncology Physician$3.1M$44.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John T. Mather Memorial HospitalNYGeneral Acute Care Hospital$0$20.3M
    Ahmad BhattiNYVascular Surgery Physician$1.3M$0
    Anzhelika VaccaroNYOphthalmology Physician$605.1K$102K
    Brian McginleyNYOrthopaedic Surgery Physician$499.4K$0
    Nick PatelNYPulmonary Disease Physician$355.3K$0
    George FaireyNYPsychiatry Physician$347.5K$0
    Michael FracchiaNYOrthopaedic Surgery Physician$321.8K$100
    Matthew BoylanNYSports Medicine (Orthopaedic Surgery) Physician$210.3K$0
    Jessica BlydenburghNYFamily Medicine Physician$183.2K$2K
    Mindy ShaffranNYObstetrics & Gynecology Physician$178.5K$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
    Brian Durkin — 8 of 25 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
    Brian Durkin — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York