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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLawrence Elgarresta
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    Lawrence Elgarresta — Billing Profile & Reimbursement Data

    NPI 1942282017 · Miami, FL · Diagnostic Radiology Physician

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    Lawrence Elgarresta is a diagnostic radiology physician provider located in Miami, Florida. This profile covers 51 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLawrence Elgarresta
    Address8900 N Kendall Dr
    CityMiami
    StateFL
    ZIP33176
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedNovember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$408K
    Medicaid$0

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…430$450$193.6K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries140$400$54.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.340$80$26K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.280$80$22K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…40$460$19.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.300$60$16.7K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…180$70$13.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,160$10$8.1K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.180$30$6.2K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…120$50$6.2K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788154137070$740$121.8K
    A95526425070$390$56.4K
    788166012040$660$42.3K
    784529001,33070$250$25.3K
    78608303020$870$24.2K
    741771821,480100$100$14.4K
    74176421,51080$80$8.6K
    704506951,380190$30$8.6K
    712501551,51080$60$8.3K
    78830195020$180$7.3K

    Showing 1–10 of 51

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mori Bean And Brooks IncFLDiagnostic Radiology Physician$0$10.5M
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Hyun BangMDVascular & Interventional Radiology Physician$1.5M$840
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Daniel RudenskyFLDiagnostic Radiology Physician$1.3M$0
    Marilin Espino-mayaFLDiagnostic Radiology Physician$1.2M$0
    Chad EngelFLVascular & Interventional Radiology Physician$1.1M$0
    Jonathan WienerFLDiagnostic Radiology Physician$1.1M$0
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Steven HakeCODiagnostic Radiology Physician$982.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nova Rehabilitation Inc.FLHome Health Agency$0$44.9M
    Baptist Hospital Of Miami IncFLGeneral Acute Care Hospital$0$31.8M
    Advantis Home Care, Inc.FLHome Health Agency$0$11.1M
    Pediatric Gastroenterology Associates PLLCFLPediatric Gastroenterology Physician$0$10.1M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.6M
    Andrew SchimelFLOphthalmology Physician$1.8M$0
    Baptist Health Surgery Center LLCFLAmbulatory Surgical Clinic/Center$1.5M$6.9K
    Pedro LopezFLOphthalmology Physician$1.1M$0
    Randy EdwardsFLAcute Care Nurse Practitioner$787.4K$0
    Thomas LangeFLPhysical Therapist$625.7K$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. Florida Distribution
    Lawrence Elgarresta — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida