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NPI 1841365822 · Bay Shore, NY · Critical Care Medicine (Internal Medicine) Physician
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Laurence Engelberg is a critical care medicine (internal medicine) physician provider located in Bay Shore, New York. This profile covers 14 Medicare and 2 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 | Laurence Engelberg |
| Address | 370 East Main Street |
| City | Bay Shore |
| State | NY |
| ZIP | 11706 |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| NPI Enumerated | November 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $115.6K |
| Medicaid | $5.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 610 | $110 | $67.5K |
| 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… | 120 | $140 | $16.8K |
| G0400 | Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | 110 | $50 | $5.5K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 80 | $50 | $4K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 150 | $20 | $3.7K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 80 | $40 | $3K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 30 | $110 | $2.9K |
| 99233 | The 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… | 30 | $110 | $2.8K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $160 | $2.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 10 | $160 | $2.1K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,042 | 30,450 | 90 | $100 | $19K |
| 99233 | 7,339 | 8,640 | 80 | $100 | $15.8K |
| 95811 | 102 | 140 | 30 | $300 | $12.4K |
| 99213 | 25,728 | 31,440 | 80 | $70 | $12.1K |
| 95810 | 88 | 180 | 30 | $260 | $10.5K |
| 99215 | 7,620 | 8,280 | 40 | $140 | $10.1K |
| 99223 | 7,147 | 8,650 | 40 | $150 | $9.3K |
| 95800 | 71 | 90 | 40 | $100 | $7K |
| 99204 | 1,136 | 14,170 | 30 | $130 | $6.6K |
| 94729 | 299 | 680 | 70 | $40 | $4.8K |
Showing 1–10 of 14
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 240 | $20 | $5.5K |
| 99233 | The 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… | 10 | $10 | $130 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 8,070 | 16,550 | 220 | $90 | $186.8K |
| 99233 | The 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… | 2,583 | 2,620 | 100 | $50 | $25.1K |
Other providers in the same ZIP code as Laurence Engelberg, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| South Shore University Hospital | NY | General Acute Care Hospital | $0 | $47.3M |
| Anthony Rizzo | NY | Family Medicine Physician | $1.3M | $153.9K |
| Gerry Rubin | NY | Hematology & Oncology Physician | $730.9K | $113.5K |
| Michael Nett | NY | Orthopaedic Surgery Physician | $718.3K | $3.7K |
| Louis Guida | NY | Specialist | $315.1K | $334.6K |
| Keith Reinhardt | NY | Orthopaedic Surgery Physician | $639.2K | $540 |
| Amit Sharma | NY | Interventional Pain Medicine Physician | $618K | $590 |
| Robert Chow | NY | Infectious Disease Physician | $560.9K | $0 |
| Laura Lennon | NY | Cardiovascular Disease Physician | $502.9K | $34.3K |
| John Muratori | NY | Family Medicine Physician | $495.2K | $10.4K |
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