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NPI 1932143518 · New City, NY · Hematology & Oncology Physician
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Seth Benkel is a hematology & oncology physician provider located in New City, New York. This profile covers 36 Medicare and 16 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 | Seth Benkel |
| Address | 10 Esquire Rd |
| City | New City |
| State | NY |
| ZIP | 10956 |
| Taxonomy | Hematology & Oncology Physician |
| NPI Enumerated | June 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $562.5K |
| Medicaid | $71.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 1,550 | $80 | $118K |
| 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… | 1,010 | $110 | $112.8K |
| Q5106 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units | 6,010 | $10 | $30.1K |
| 82784 | The lab analyst performs the technical lab test to analyze the concentration of a particular gamma globulin in the specimen. The analyst may test for immunoglobulin A, immunoglobulin D,… | 2,650 | $10 | $23.9K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 2,870 | $10 | $23K |
| 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… | 160 | $150 | $22.6K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 360 | $60 | $22.3K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 1,670 | $10 | $21.6K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 1,390 | $20 | $20.8K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 1,380 | $10 | $19.4K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0885 | 5 | 50 | 2,530 | $10 | $26.1K |
| Q5106 | 5 | 30 | 3,320 | $10 | $23.1K |
| 99214 | 725 | 30,450 | 90 | $100 | $19K |
| 99213 | 213 | 31,440 | 80 | $70 | $12.1K |
| 82306 | 830 | 1,030 | 60 | $30 | $10.9K |
| 99215 | 3,304 | 8,280 | 40 | $140 | $10.1K |
| 82784 | 6 | 170 | 340 | $10 | $8.4K |
| 84443 | 341 | 1,510 | 90 | $20 | $7.9K |
| 96365 | 48 | 610 | 80 | $60 | $7.7K |
| 83090 | 18 | 50 | 120 | $20 | $7.4K |
Showing 1–10 of 36
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 2,340 | $20 | $53.7K |
| 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… | 620 | $30 | $16.8K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 40 | $1 | $140 |
| 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 | $10 | $140 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,670 | $0 | $0 |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 1,160 | $0 | $0 |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 80 | $0 | $0 |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 800 | $0 | $0 |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 910 | $0 | $0 |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 800 | $0 | $0 |
Showing 1–10 of 16
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
16 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… | 4,355 | 19,110 | 360 | $70 | $321K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 296 | 590 | 1,160 | $20 | $277.2K |
| 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… | 5,338 | 16,550 | 220 | $90 | $186.8K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 305 | 380 | 1,130 | $20 | $179K |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 187 | 350 | 1,020 | $10 | $54.3K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 334 | 850 | 960 | $1 | $36.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,418 | 5,090 | 450 | $10 | $35.9K |
| 82746 | The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac… | 131 | 290 | 590 | $10 | $34.9K |
| 82728 | The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute… | 180 | 390 | 730 | $10 | $34.6K |
| 82784 | The lab analyst performs the technical lab test to analyze the concentration of a particular gamma globulin in the specimen. The analyst may test for immunoglobulin A, immunoglobulin D,… | 114 | 130 | 640 | $10 | $24K |
Showing 1–10 of 16
Other providers in the same ZIP code as Seth Benkel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rockland Independent Living Center, Inc. | NY | In Home Supportive Care Agency | $0 | $63.7M |
| Louis Maisel | NY | Specialist | $865.2K | $1.1M |
| Scott Sanders | NY | Dermatopathology Physician | $1.3M | $0 |
| Samy Saker | NY | Hospice and Palliative Medicine (Surgery) Physician | $931K | $136.2K |
| Neville Glajchen | NY | Diagnostic Radiology Physician | $837.5K | $0 |
| Elena Maydan | NY | Dermatology Physician | $655.9K | $0 |
| Yanina Kotlyar | NY | Internal Medicine Physician | $302.4K | $255.7K |
| Daria Setlik | NY | Diagnostic Radiology Physician | $540.2K | $1.5K |
| Marc Tarle | NY | Psychiatry Physician | $394.2K | $59K |
| Richard Serrano | NY | Physical Therapist | $410.1K | $390 |
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