Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidErnest Tsilov
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Ernest Tsilov — Billing Profile & Reimbursement Data

    NPI 1821304080 · Brooklyn, NY · Podiatrist

    Customize your policy alerts

    Sign up for Ernest Tsilov — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ernest Tsilov is a podiatrist provider located in Brooklyn, New York. This profile covers 10 Medicare and 7 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
    OrganizationErnest Tsilov
    Address1120 Brighton Beach Ave
    CityBrooklyn
    StateNY
    ZIP11235
    TaxonomyPodiatrist
    NPI EnumeratedAugust 26, 2010

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

    Payer SourceTotal Paid
    Medicare$478.5K
    Medicaid$170.1K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.3,030$80$239.1K
    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…1,230$80$100.8K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.2,200$30$68.2K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.250$110$27K
    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…180$100$18.2K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.440$40$17.8K
    G0127Trimming of dystrophic nails, any number390$10$4.3K
    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,…40$50$1.9K
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…40$30$970
    29550The provider applies elastic adhesive tape to the toes to hold the joints or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains, dislocations,…20$20$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    110562760140$70$18.5K
    117214351,270260$40$16.1K
    9921339231,44080$70$12.1K
    117206660120$30$7K
    11730842030$100$4.8K
    9920345711,36030$90$4.7K
    G012749220150$10$4.3K
    992123,6347,85030$40$3.6K
    2954010120040$20$2K
    29550366030$20$810

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.6,600$20$112.3K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.4,680$10$32.8K
    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…830$20$18.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.590$10$5.8K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.90$20$2.2K
    G0127Trimming of dystrophic nails, any number270$1$1.1K
    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,…10$20$230

    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

    7 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…7,15119,110360$70$321K
    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,…5,2315,420210$70$154.3K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.5311090$60$30.8K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.338910310$20$17.1K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.6290210$20$15.7K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.4330200$20$15.2K
    G0127Trimming of dystrophic nails, any number3290200$10$3.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert SolomonNYDiagnostic Radiology Physician$7M$1.4M
    Donald WallersonNYCardiovascular Disease Physician$495.3K$3.8M
    Sunil MehraNYPulmonary Disease Physician$393.1K$1.1M
    Yitzchok KlapperNJOptometrist$18.5K$1.2M
    Amer RafiaaNYHematology & Oncology Physician$403.5K$829.3K
    Payman RabieiNYFoot & Ankle Surgery Podiatrist$415.6K$691.3K
    Rishi BajajNYInterventional Cardiology Physician$615.4K$352K
    Mujibur MajumderNYPulmonary Disease Physician$151.6K$555.7K
    Anto VinceticNYPodiatrist$189.9K$474.9K
    Monica JosephNYPodiatrist$181.9K$444K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Family Care, IncNYHome Health Agency$0$841M
    S & A Unified Home Care, Inc.NYHome Health Agency$0$766.2M
    All American Homecare Agency Inc.NYHome Health Agency$0$758.7M
    Attentive Home Care Agency IncNYHome Health Agency$0$537.9M
    Advantage Management Associates Inc.NYHome Health Agency$0$335.9M
    Parkshore Home Health Care LLCNYHome Health Agency$0$300.4M
    Good Care Agency IncNYHome Health Agency$0$264.5M
    Eagle Eye Fv, IncNYHome Health Agency$0$245M
    Friendly Home CareNYHome Health Agency$0$197.1M
    All American Homecare Agency Inc.NYHome Health Agency$0$166M

    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
    Ernest Tsilov — 5 of 10 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Ernest Tsilov — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York