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NPI 1942472535 · Brooklyn, NY · Audiologist
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James Pronesti is a audiologist provider located in Brooklyn, New York. This profile covers 7 Medicare and 10 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 | James Pronesti |
| Address | 1 Brookdale Plz |
| City | Brooklyn |
| State | NY |
| ZIP | 11212 |
| Taxonomy | Audiologist |
| NPI Enumerated | March 24, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $28.2K |
| Medicare | $15K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92563 | The provider assesses problems in the transmission of nerve impulses from the ear by computing the difference in time between when a tone is emitted and when it is heard. The test results indicate… | 120 | $30 | $3.5K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 110 | $30 | $3.3K |
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 130 | $20 | $2.5K |
| 92626 | The provider tests the auditory functional status of the patient to include sound perception, listening ability, orienting movements, and balancing. The provider performs this evaluation to determine… | 40 | $70 | $2.5K |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 80 | $20 | $1.4K |
| 92556 | The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders. | 20 | $40 | $980 |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 60 | $20 | $840 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 390 | $30 | $11.7K |
| V5160 | Dispensing fee, binaural | 20 | $270 | $6.5K |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 390 | $10 | $3.5K |
| V5010 | Assessment for hearing aid | 140 | $20 | $2.9K |
| 92583 | The provider screens the hearing in a child as young as three years of age by having him select pictures that correspond with sounds. | 40 | $20 | $860 |
| 92579 | The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys. | 40 | $20 | $780 |
| V5266 | Battery for use in hearing device | 70 | $10 | $770 |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 10 | $30 | $450 |
| 92555 | The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech). | 40 | $10 | $410 |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | 20 | $20 | $380 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 546 | 580 | 770 | $40 | $145.3K |
| V5160 | Dispensing fee, binaural | 16 | 20 | 240 | $190 | $69K |
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 249 | 470 | 430 | $20 | $34.6K |
| 92579 | The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys. | 64 | 80 | 250 | $50 | $33.5K |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 84 | 190 | 270 | $20 | $18K |
| 92555 | The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech). | 37 | 50 | 150 | $40 | $13.8K |
| V5266 | Battery for use in hearing device | 46 | 60 | 440 | $10 | $11.1K |
| V5010 | Assessment for hearing aid | 3 | 10 | 100 | $40 | $11K |
| 92583 | The provider screens the hearing in a child as young as three years of age by having him select pictures that correspond with sounds. | 5 | 10 | 110 | $20 | $6.5K |
| V5267 | Hearing aid or assistive listening device/supplies/accessories, not otherwise specified | 3 | 10 | 20 | $50 | $5.2K |
Other providers in the same ZIP code as James Pronesti, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Brownsville Community Development Corporation | NY | Federally Qualified Health Center (FQHC) | $0 | $21.6M |
| Faisal Ali | NY | Internal Medicine Physician | $1.2M | $3.1K |
| Mujibur Majumder | NY | Pulmonary Disease Physician | $151.6K | $555.7K |
| Titus Okunlola | NY | Child & Adolescent Psychiatry Physician | $101.5K | $179.7K |
| Cameron Manchester | NY | Diagnostic Radiology Physician | $229.5K | $0 |
| Robert Kaylakov | NY | Physical Medicine & Rehabilitation Physician | $175K | $43K |
| Mohammad Zaman | NY | Critical Care Medicine (Internal Medicine) Physician | $118.8K | $89.2K |
| Christopher Bonsignore | NY | Neurological Surgery Physician | $190.3K | $0 |
| Elliott Bondi | NY | Pulmonary Disease Physician | $83.4K | $57K |
| Muhammad Atif Salyana | NY | Anatomic Pathology & Clinical Pathology Physician | $132.5K | $0 |
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