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NPI 1952328718 · Brooklyn, NY · Urology Physician
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Alfred Shtainer is a urology physician provider located in Brooklyn, New York. This profile covers 37 Medicare and 37 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 | Alfred Shtainer |
| Address | 2148 Ocean Ave Ste 6a |
| City | Brooklyn |
| State | NY |
| ZIP | 11229 |
| Taxonomy | Urology Physician |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $427.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
37 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 450 | $120 | $52.1K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 130 | $370 | $46K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 410 | $100 | $42.5K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 510 | $70 | $36.4K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 230 | $130 | $30.2K |
| 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… | 380 | $80 | $29.9K |
| 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… | 180 | $150 | $26.9K |
| 51797 | Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine. | 120 | $180 | $22.8K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 100 | $230 | $22.8K |
| 52214 | The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,… | 20 | $720 | $13.6K |
Showing 1–10 of 37
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
37 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 52214 | 9 | 20 | 20 | $670 | $19.4K |
| 99214 | 3,434 | 30,450 | 90 | $100 | $19K |
| 51729 | 7 | 80 | 30 | $330 | $16.8K |
| 52000 | 186 | 620 | 60 | $170 | $14.3K |
| 99213 | 3,581 | 31,440 | 80 | $70 | $12.1K |
| 84481 | 38 | 150 | 50 | $20 | $10.7K |
| 83970 | 63 | 300 | 40 | $40 | $10.1K |
| 82308 | 2 | 10 | 80 | $30 | $8.5K |
| 84410 | 3 | 10 | 150 | $50 | $8K |
| 76872 | 14 | 300 | 30 | $110 | $6.9K |
Showing 1–10 of 37
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.
37 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… | 2,610 | $150 | $378.3K |
| 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… | 4,260 | $60 | $251.4K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 3,760 | $50 | $199.4K |
| 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… | 1,770 | $80 | $138K |
| 51792 | This procedure measures the electrical activity in the anal or urethral sphincter muscles. | 610 | $230 | $137.8K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 1,850 | $70 | $127.4K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 1,420 | $80 | $109.2K |
| 76870 | The provider performs an ultrasound of the scrotal pouch that contains the male testicles to assess disorders of testes, the organs that produce sperm in males. | 1,490 | $60 | $83.2K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 300 | $210 | $61.3K |
| 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… | 270 | $100 | $27.3K |
Showing 1–10 of 37
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
37 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… | 2,953 | 19,110 | 360 | $70 | $321K |
| 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… | 2,702 | 16,550 | 220 | $90 | $186.8K |
| 76856 | A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal… | 63 | 770 | 340 | $130 | $154.1K |
| 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… | 1,814 | 4,700 | 130 | $100 | $136.6K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 58 | 90 | 90 | $380 | $119.6K |
| 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… | 187 | 3,820 | 100 | $130 | $99.7K |
| 51792 | This procedure measures the electrical activity in the anal or urethral sphincter muscles. | 8 | 30 | 180 | $140 | $95.4K |
| 51729 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive… | 9 | 40 | 50 | $180 | $87K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 299 | 410 | 1,970 | $10 | $81.9K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 46 | 500 | 130 | $100 | $74.4K |
Showing 1–10 of 37
Other providers in the same ZIP code as Alfred Shtainer, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Five Star Home Health Care Agency | NY | Home Health Agency | $0 | $739.1M |
| Interborough Developmental And Consultation Center, Inc. | NY | Case Management Agency | $0 | $183.9M |
| All Heart Homecare Agency | NY | Home Health Agency | $0 | $169.6M |
| Carepro Of Ny Inc | NY | Home Health Agency | $0 | $158.2M |
| Five Star Home Health Care Agency | NY | Home Health Agency | $0 | $91.9M |
| Big Heart | NY | In Home Supportive Care Agency | $0 | $86.6M |
| Incare Home Health Care Group LLC | NY | Home Health Agency | $0 | $81M |
| Carepro Of Big Apple, LLC | NY | Home Health Agency | $0 | $78.5M |
| Big Heart Home Care | NY | Home Health Agency | $0 | $72.7M |
| Scharome Cares, Inc. | NY | Home Health Agency | $0 | $72.6M |
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