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NPI 1912297359 · Staten Island, NY · Orthopaedic Surgery Physician
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Justin Tsai is a orthopaedic surgery physician provider located in Staten Island, New York. This profile covers 8 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 | Justin Tsai |
| Address | 3333 Hyland Blvd |
| City | Staten Island |
| State | NY |
| ZIP | 10306 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | April 18, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $45.8K |
| Medicaid | $350 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $140 | $10.1K |
| 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… | 130 | $80 | $10K |
| 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… | 60 | $110 | $6.8K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 160 | $30 | $5.2K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 140 | $40 | $5K |
| 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… | 40 | $100 | $4.4K |
| 27786 | In this procedure, the provider treats a distal fracture of the fibula, or a break in the end of the fibula bone of the leg, which does not require manipulation. | 10 | $310 | $3.8K |
| 20605 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may… | 10 | $50 | $660 |
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
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 |
|---|---|---|---|---|
| 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… | 10 | $20 | $190 |
| 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… | 10 | $10 | $160 |
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 |
|---|---|---|---|---|---|---|
| 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… | 18,474 | 19,110 | 360 | $70 | $321K |
| 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… | 4,380 | 4,700 | 130 | $100 | $136.6K |
Other providers in the same ZIP code as Justin Tsai, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Stella Orton Home Care Agency, Inc. | NY | Home Health Agency | $0 | $203.1M |
| Gm Family Resources Inc. | NY | Home Health Agency | $0 | $47.5M |
| Happy Island Senior Center,llc | NY | Adult Day Care Clinic/Center | $0 | $20.9M |
| Ramin Mostafavi | NY | Ophthalmology Physician | $910.9K | $659.6K |
| Marc Plawker | NY | Specialist | $871.2K | $600 |
| Peter Gottlieb | NY | Pulmonary Disease Physician | $416.6K | $373.8K |
| Allan Perel | NY | Neurology Physician | $539.7K | $6.5K |
| Vadim Azbel | NY | Psychiatry Physician | $313.9K | $217.9K |
| Daniel Megna | NY | Gastroenterology Physician | $507.7K | $0 |
| Alex Racco | NY | Internal Medicine Physician | $454.1K | $0 |
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