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    OpenPayerNPI Medicare & MedicaidVelimir Petkov
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    Velimir Petkov — Billing Profile & Reimbursement Data

    NPI 1932372638 · Clifton, NJ · Foot & Ankle Surgery Podiatrist

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    Velimir Petkov is a foot & ankle surgery podiatrist provider located in Clifton, New Jersey. This profile covers 13 Medicare and 14 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
    OrganizationVelimir Petkov
    Address925 Clifton Ave Ste 108
    CityClifton
    StateNJ
    ZIP07013
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedApril 2, 2008

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

    Payer SourceTotal Paid
    Medicaid$680K
    Medicare$85.2K

    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.

    13 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…270$70$19.7K
    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…140$90$11.9K
    96001The provider uses specially designed technology, including pressure–sensitive pads, and video recordings to evaluate the patient’s movement.130$90$11.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.260$40$9.4K
    96004A physician or other qualified healthcare professional reviews the results of one or more motion analysis tests and writes a formal interpretation. This code represents the professional component of…90$90$8.1K
    11755This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds.  Each one is a separate procedure.80$100$7.5K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…70$110$7K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.60$60$3.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.90$30$2.9K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.20$60$1.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11056395550150$70$17.2K
    11721416750310$40$15.9K
    11102579590120$70$14.2K
    992133,17514,090100$70$13.1K
    96001110130$90$11.3K
    9600411090$90$8.1K
    1105533837070$60$6.7K
    992046,6107,16040$130$6.5K
    992034575,66040$80$4.8K
    939238732030$80$4.8K

    Showing 1–10 of 13

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each1,620$130$214.9K
    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…3,690$40$129.2K
    L3216Orthopedic footwear, ladies shoe, depth inlay, each1,560$80$126.5K
    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…1,660$50$79.6K
    L3221Orthopedic footwear, mens shoe, depth inlay, each430$80$34.3K
    96001The provider uses specially designed technology, including pressure–sensitive pads, and video recordings to evaluate the patient’s movement.1,230$30$31.9K
    96004A physician or other qualified healthcare professional reviews the results of one or more motion analysis tests and writes a formal interpretation. This code represents the professional component of…910$30$22.7K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.1,010$20$15.1K
    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,…360$30$10.8K
    11755This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds.  Each one is a separate procedure.220$40$7.7K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each19110340$200$461.3K
    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…1,0294,450740$40$229.8K
    L4397Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf41030$100$226K
    L3216Orthopedic footwear, ladies shoe, depth inlay, each19501,230$60$208K
    L3221Orthopedic footwear, mens shoe, depth inlay, each2240560$60$166.4K
    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…2031,460150$80$97.8K
    11755This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds.  Each one is a separate procedure.610270$60$89.6K
    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,…6731,520260$40$71.9K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.359660190$30$42.6K
    L3202Orthopedic shoe, oxford with supinator or pronator, child910120$40$39.1K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Med Screen Laboratories IncNJClinical Medical Laboratory$177.8K$29M
    Casa Home Care, IncNJHome Health Agency$0$21.7M
    Clifton Adult Opportunity CenterNJDevelopmentally Disabled Services Day Training Agency$0$21.4M
    Mental Health Clinic Of Passaic IncNJCommunity/Behavioral Health Agency$0$16.7M
    Fares Diarbakerli Md PCNJObstetrics & Gynecology Physician$0$16.5M
    National Vision Administrators, LLCNJEyewear Supplier$0$15.4M
    Charles Haddad, MdNJObstetrics & Gynecology Physician$0$12.6M
    Clifton Board Of EducationNJLocal Education Agency (LEA)$0$11.9M
    Adult Family Health Services LLCNJMental Health Counselor$0$9.7M
    Cassovia Ambulance Limited Liability CompanyNJLand Ambulance$1.4M$100K

    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 Jersey Distribution
    Velimir Petkov — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Velimir Petkov — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey