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NPI 1831480839 · New York, NY · Pain Medicine Physician
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Matthew Kohler is a pain medicine physician provider located in New York, New York. This profile covers 12 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Matthew Kohler |
| Address | 635 Madison Ave Ste 1301 |
| City | New York |
| State | NY |
| ZIP | 10022 |
| Taxonomy | Pain Medicine Physician |
| NPI Enumerated | April 25, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $86.3K |
| Medicaid | $2.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 6,700 | $1 | $20.1K |
| 62323 | The 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)… | 70 | $230 | $16.8K |
| 99214 | The 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… | 110 | $110 | $11.8K |
| 99213 | The 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… | 120 | $80 | $9.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 20 | $540 | $8.1K |
| 99204 | The 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… | 40 | $140 | $4.9K |
| 64493 | 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 joint, using imaging guidance… | 20 | $210 | $4.2K |
| 99203 | The 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… | 30 | $100 | $3.4K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 40 | $60 | $2.2K |
| 64494 | In 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… | 20 | $120 | $2K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64635 | 216 | 240 | 30 | $430 | $19.9K |
| 99214 | 14,123 | 30,450 | 90 | $100 | $19K |
| 62323 | 135 | 390 | 50 | $190 | $15.4K |
| 64493 | 317 | 370 | 40 | $200 | $13.2K |
| 99213 | 12,019 | 31,440 | 80 | $70 | $12.1K |
| J3300 | 2 | 20 | 310 | $1 | $10.8K |
| 20610 | 1,204 | 1,870 | 60 | $60 | $7K |
| 99204 | 6,090 | 14,170 | 30 | $130 | $6.6K |
| 64494 | 292 | 320 | 40 | $90 | $5K |
| 99203 | 5,541 | 11,360 | 30 | $90 | $4.7K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 80 | $20 | $1.8K |
| 01936 | Deleted effective Jan. 1, 2022 | 30 | $20 | $420 |
| 01992 | The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with… | 30 | $10 | $380 |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 30 | $0 | $0 |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 13,485 | 19,110 | 360 | $70 | $321K |
| 01992 | The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with… | 35 | 40 | 140 | $100 | $77.3K |
| 01936 | Deleted effective Jan. 1, 2022 | 27 | 30 | 70 | $70 | $41.6K |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 67 | 80 | 150 | $1 | $2.1K |
Other providers in the same ZIP code as Matthew Kohler, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| James Klancnik | NY | Specialist | $4.2M | $175.2K |
| K Freund | NY | Ophthalmology Physician | $3.6M | $675.9K |
| Ali Aboufares | NY | Interventional Cardiology Physician | $1.3M | $2.1M |
| Irene Barbazetto | NY | Ophthalmology Physician | $3.2M | $86.9K |
| Michael Engelbert | NY | Ophthalmology Physician | $2.6M | $27.1K |
| Michael Cooney | NY | Ophthalmology Physician | $2.1M | $75K |
| John Sorenson | NY | Ophthalmology Physician | $2M | $0 |
| Richard Spaide | NY | Ophthalmology Physician | $1.9M | $320 |
| Wayne Fuchs | NY | Ophthalmology Physician | $1.7M | $0 |
| Jason Slakter | NY | Ophthalmology Physician | $1.2M | $0 |
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