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    OpenPayerNPI Medicare & MedicaidAlec Platt
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    Alec Platt — Billing Profile & Reimbursement Data

    NPI 1871656363 · Schenectody, NY · Pulmonary Disease Physician

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    Alec Platt is a pulmonary disease physician provider located in Schenectody, New York. This profile covers 15 Medicare and 1 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
    OrganizationAlec Platt
    Address124 Rosa Rd.
    CitySchenectody
    StateNY
    ZIP12308
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedDecember 18, 2006

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

    Payer SourceTotal Paid
    Medicare$121.1K
    Medicaid$30

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…450$90$40.6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…160$160$25.9K
    99223The 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…150$130$18.3K
    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…210$60$12.7K
    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…120$90$10.2K
    99205The provider sees a new 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 provider…20$140$2.4K
    95810Polysomnography 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$90$2.2K
    94729In 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.70$30$2K
    99204The 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…20$100$1.6K
    94727The 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…50$30$1.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921413,34030,45090$100$19K
    992335768,64080$100$15.8K
    992916164,68050$190$15.2K
    9581111714030$300$12.4K
    992137,49831,44080$70$12.1K
    958109818030$260$10.5K
    992237898,65040$150$9.3K
    9920411,10014,17030$130$6.6K
    992052,9684,26030$180$6.4K
    9472932368070$40$4.8K

    Showing 1–10 of 15

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…10$1$30

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…558600120$1$4.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sajjad ShahPAPulmonary Disease Physician$194.8K$0
    Pratap ReddyPASleep Medicine (Internal Medicine) Physician$171.4K$3.4K
    James KimPAPulmonary Disease Physician$138.4K$0
    John ShapiroPAPulmonary Disease Physician$115.6K$2.8K
    Daron KahnPAPulmonary Disease Physician$55.6K$0
    Susan O'brienPAFamily Nurse Practitioner$41.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ellis HospitalNYGeneral Acute Care Hospital$0$82.3M
    Maykol AlarconNYFamily Nurse Practitioner$196.6K$28.6K
    Christopher DolinskyNYRadiation Oncology Physician$102.2K$0
    Biao LeiNYAnesthesiology Physician$87.8K$0
    Franklin LongoNYOphthalmology Physician$79.1K$4.2K
    Penny KnichelNYFamily Nurse Practitioner$64.6K$0
    John DiniusNYAnesthesiology Physician$38.7K$0
    Sean MorrisNYFamily Nurse Practitioner$22.8K$0
    Sue CiarmielloNYPsychiatric/Mental Health Nurse Practitioner$16.8K$0
    Xi BeshaNYClinical Neuropsychologist$13.9K$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
    Alec Platt — 1 of 15 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 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Alec Platt — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York