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    OpenPayerNPI Medicare & MedicaidLawrence Semel
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    Lawrence Semel — Billing Profile & Reimbursement Data

    NPI 1861561953 · Syracuse, NY · Vascular Surgery Physician

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    Lawrence Semel is a vascular surgery physician provider located in Syracuse, New York. This profile covers 33 Medicare and 6 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
    OrganizationLawrence Semel
    Address104 Union Ave
    CitySyracuse
    StateNY
    ZIP13203
    TaxonomyVascular Surgery Physician
    NPI EnumeratedNovember 6, 2006

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

    Payer SourceTotal Paid
    Medicare$290.1K
    Medicaid$7.9K

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…530$60$33.9K
    35301The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.40$830$30.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…240$120$27.7K
    35656In this procedure, the provider uses a synthetic graft to bypass a blockage in the femoral artery by rerouting the connection around the blockage to the popliteal artery.30$770$19.2K
    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…220$80$17.5K
    36901The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of…110$120$13.9K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…80$170$13.2K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…100$130$13K
    36821The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…30$470$12.8K
    37226N/A30$370$9.3K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    369023411040$970$88.6K
    3565621030$870$28.8K
    3683282020$880$18.5K
    3722131020$930$15.9K
    3722632020$880$15.8K
    938801691,73050$140$14.5K
    3690134020$360$14.4K
    9392531871040$180$13.9K
    3530113020$780$13.3K
    3682153020$640$12.8K

    Showing 1–10 of 33

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$20$5K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…10$90$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,…70$10$850
    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…60$10$780
    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…10$20$290
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications10$0$0

    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

    6 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…10,38619,110360$70$321K
    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…11,79716,550220$90$186.8K
    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,…3,6945,420210$70$154.3K
    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…4,3804,700130$100$136.6K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…293050$40$4K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications1,9562,000210$1$90

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Josephs Hospital Health CenterNYGeneral Acute Care Hospital$0$113M
    Robert DrackerNYPediatrics Physician$1.1M$56.8K
    Alberto Del PilarCAFamily Medicine Physician$485.4K$14.9K
    Thomas BascoVAObstetrics & Gynecology Physician$456.5K$0
    William TuckerNYOphthalmology Physician$156K$104.7K
    David OuyangNYFamily Medicine Physician$232.9K$20.8K
    Aman AliPAGastroenterology Physician$248.1K$0
    Muhammad Abdel MigeedMIClinical Cardiac Electrophysiology Physician$220.8K$400
    Russell SilvermanNYCardiovascular Disease Physician$210.6K$9.1K
    Mark BaeslNYVascular & Interventional Radiology Physician$212.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Helio Health, Inc.NYSubstance Abuse Rehabilitation Facility$149.9K$162.7M
    Liberty Resources Inc.NYMental Health Clinic/Center (Including Community Mental Health Center)$0$53.9M
    Arise Child And Family Service Inc.NYIn Home Supportive Care Agency$0$41M
    J RileyNYVascular Surgery Physician$290.1K$652.7K
    Michael ChangNYDiagnostic Radiology Physician$400K$1.2K
    Muhammad KhanNYVascular Surgery Physician$172.1K$8.4K
    Shashi KumarNYInternal Medicine Physician$172.6K$7.8K
    Juno LeeNYVascular & Interventional Radiology Physician$116.2K$0
    Zhandong ZhouNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$95.6K$0
    Anton CherneyNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$75.6K$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
    Lawrence Semel — 3 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 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Lawrence Semel — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York