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    OpenPayerNPI Medicare & MedicaidAntonio Diaz
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    Antonio Diaz — Billing Profile & Reimbursement Data

    NPI 1902879281 · Bronx, NY · Internal Medicine Physician

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    Antonio Diaz is a internal medicine physician provider located in Bronx, New York. This profile covers 8 Medicare and 12 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
    OrganizationAntonio Diaz
    Address1250 Waters Pl
    CityBronx
    StateNY
    ZIP10461
    TaxonomyInternal Medicine Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicare$80K
    Medicaid$60.1K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$100$49.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$150$17.3K
    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…60$80$5K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.710$1$2.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…40$70$2.8K
    G0008Administration of influenza virus vaccine40$40$1.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.40$10$350
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$200

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,07530,45090$100$19K
    9921317,78131,44080$70$12.1K
    G04391,4286,29050$130$11.2K
    906621,8974,00040$70$4.1K
    G00083,6647,14050$30$2.8K
    364155,7008,110100$10$2.3K
    930005,2846,62060$10$2.2K
    96127466040$1$390

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,390$40$49.9K
    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…140$40$5.3K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.950$1$2.8K
    99442N/A30$30$800
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…40$1$40
    3074FNo Summary found for this code80$0$0
    3078FNo Summary found for this code150$0$0
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.50$0$0
    G0008Administration of influenza virus vaccine50$0$0
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$0$0

    Showing 1–10 of 12

    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

    12 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…12,09519,110360$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…3,28516,550220$90$186.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,0805,090450$10$35.9K
    99442N/A1,9492,60080$50$35.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit47250080$30$12.5K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.3971,790180$1$8K
    G8510Screening for depression is documented as negative, a follow-up plan is not required4801,530270$1$5.3K
    G0008Administration of influenza virus vaccine6031,09060$10$2.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…16731050$10$1.9K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…4941,60050$10$1.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rami SartawiNYVascular & Interventional Radiology Physician$3.7M$4.9M
    Sachin Kumar Amruthlal JainNYCardiovascular Disease Physician$773K$663.1K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K
    Matthew ComitoNYDiagnostic Radiology Physician$642.6K$67K
    Venise CameronNYFamily Medicine Physician$593.3K$0
    Sandeep GuptaNYRheumatology Physician$538.2K$8.1K
    William GotsisNYInterventional Cardiology Physician$397.9K$41K
    Seth LessnerNYClinical Cardiac Electrophysiology Physician$398.9K$30.8K
    Arup BhadraNYOrthopaedic Surgery Physician$412.9K$2.7K
    Mayank PatelNYSurgery Physician$350.3K$46.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York City Health And Hospitals CorporationNYGeneral Acute Care Hospital$0$217.6M
    Cupid Homecare AgencyNYIn Home Supportive Care Agency$0$114.1M
    Citywide Mobile Response CorpNYAmbulance$1.7M$30.5M
    Ability Builders For Children, LLCNYEarly Intervention Provider Agency$0$22.5M
    New York Gi Center LLCNYEndoscopy Clinic/Center$518.6K$5.4M
    Rajesh BhatnagarNYNeurology Physician$479.2K$982.2K
    Gary TubmanNYDiagnostic Radiology Physician$617.9K$447.2K
    Eric WolfNYOphthalmology Physician$819.6K$0
    Nabil ElhadidyNYInternal Medicine Physician$222.3K$470K
    Luciano TulucaNYPain Medicine (Physical Medicine & Rehabilitation) Physician$280.8K$383.8K

    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
    Antonio Diaz — 1 of 8 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
    Antonio Diaz — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York