Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alan Bienstock (NPI 1811900426)

Key Findings

Field	Value
Entity Type	Individual
Organization	Alan Bienstock
Address	150 Broadway
City	New York
State	NY
ZIP	10038
Taxonomy	Plastic Surgery Physician
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicare	$3.9M
Medicaid	$0

This provider is effectively single-payer: Total Medicare revenue reported is $3.9M while Medicaid billing is listed as none, so the practice’s revenue picture is driven entirely by Medicare reimbursements and has no recorded Medicaid exposure. That payer mix implies this provider’s financial sensitivity and growth opportunities are tied to Medicare policy and referral networks rather than state Medicaid dynamics.

Revenue is highly concentrated in a small set of Medicare codes: precomputed top 3 Medicare codes by revenue account for 87.0% of this provider's total Medicare revenue. Those top three are Q4217 ($2.8M, 72.1% of Medicare revenue; 3K claims), 99349 ($316.5K, 8.2%; 2.8K claims), and 97597 ($256.6K, 6.6%; 2.8K claims), so these three services dominate the practice’s billed activity and income.

The procedure and E/M mix indicates a wound-care–oriented practice model with significant home-based services. High-revenue Q4217 usage (wound-related biologic/skin substitute charge), paired with large volumes of debridement codes such as 97597 and 11043, and frequent home/residence E/M codes (99349, 99344, 99348) point to operations that combine advanced wound products, procedural debridement, and repeated home visits for wound management.

Competitive standing is mixed across codes: for Q4217 the provider ranks #16 of 65 (77th percentile) which is typical to unremarkable within that smaller specialty peer set, but for 99349 the provider ranks #43 of 14284 (100th percentile, extreme outlier) and for 97597 ranks #2 of 6056 (100th percentile, extreme outlier). In plain terms, the provider is an unusually high-volume national outlier for home/residence E/M and for wound debridement while only a modest participant for the skin-substitute add-on code relative to the smaller national cohort of billers for that item.

Multiple other Medicare codes reinforce the wound-care specialization: 11043 ranks in the 97th percentile (notably above typical national volume), 97598 ranks 99th percentile (notably above typical national volume), and 99344 ranks in the 100th percentile (extreme outlier). The consistent appearance of high-percentile and outlier labels across debridement and home-visit E/M codes indicates a focused, high-intensity clinical workflow concentrated on wound treatment.

The concentration of revenue in a few high-volume codes creates operational and reimbursement risk: because Q4217, 99349, and 97597 together account for 87.0% of Medicare revenue, any policy, coverage, or price changes affecting these codes could materially move overall revenue from the current $3.9M base. Analysts should flag exposure to coding edits, product coverage decisions for biologic wound products, and shifts in home-health payment policy as primary risk vectors.

The provider’s NPI tenure—enumerated on 2006-08-14 (~20 years ago)—indicates an established practice presence. That longevity, paired with the high procedural volumes for wound care and home visits, supports the interpretation of an experienced clinician or practice that has built a durable referral footprint for wound-management services.

Because there is no Medicaid billing on file (none), comparisons and competitive assessments against in-state Medicaid peers are not applicable; the absence of Medicaid revenue further concentrates the provider’s payer risk on Medicare and suggests a patient panel and business model that does not engage the Medicaid population at measurable scale.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	2,970	$940	$2.8M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,830	$110	$316.5K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	2,760	$90	$256.6K
11043	The 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…	1,060	$220	$232.1K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	1,980	$40	$85.1K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	410	$120	$48.3K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	240	$140	$33.4K
29581	The 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…	360	$70	$24.9K
11044	The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…	80	$300	$22.4K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	270	$70	$19.1K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Queens Homecare Agency	NY	Home Health Agency	$0	$194.1M
Bobby Buka, M.d., P.C.	NY	Dermatology Physician	$0	$58.7M
New York City Health And Hospital Corporation	NY	Case Management Agency	$0	$45.8M
Robert Buka	NY	Dermatology Physician	$694.9K	$975.9K
Baoen Jiang	NY	Internal Medicine Physician	$107.8K	$1.5M
Herrick Wun	NY	Vascular Surgery Physician	$220K	$1.4M
Neriy Yakubov	NY	Internal Medicine Physician	$883.1K	$41.1K
Chaim Mandelbaum	NY	Public Health & General Preventive Medicine Physician	$770.2K	$15.8K
Gerald Shepps	NY	Glaucoma Specialist (Ophthalmology) Physician	$621.9K	$2.6K
Amnon Beniaminovitz	NY	Cardiovascular Disease Physician	$348.5K	$0

Alan Bienstock — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	2,970	$940	$2.8M
11047	10	10	160	$100	$48K
11044	5	20	40	$240	$37.7K
11043	4	100	50	$170	$29K
99349	8	790	100	$100	$27.3K
11046	9	30	110	$60	$27.3K
99348	186	670	80	$60	$13.9K
15002	5	20	40	$290	$12.8K
29581	5	50	60	$80	$10.1K
15271	4	40	60	$110	$9.9K