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    Maciej Nowakowski — Billing Profile & Reimbursement Data

    NPI 1952396210 · Binghamton, NY · Sleep Medicine (Internal Medicine) Physician

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    Maciej Nowakowski is a sleep medicine (internal medicine) physician provider located in Binghamton, New York. This profile covers 7 Medicare and 1 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
    OrganizationMaciej Nowakowski
    Address93 Pennsylvania Ave
    CityBinghamton
    StateNY
    ZIP13903
    TaxonomySleep Medicine (Internal Medicine) Physician
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicare$45.6K
    Medicaid$1.6K

    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.

    7 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…440$50$20.3K
    99214The 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…120$70$7.7K
    99204The 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…60$90$6K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation130$30$4.4K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.40$90$3.9K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$90$2.9K
    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,…20$30$420

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921413,18930,45090$100$19K
    958113814030$300$12.4K
    992132,91631,44080$70$12.1K
    958107618030$260$10.5K
    992043,38414,17030$130$6.6K
    992126,3787,85030$40$3.6K
    G039926030$50$1.6K

    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.

    1 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…80$20$1.7K

    Medicaid: Competitive Analysis & Benchmarks

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…13,40119,110360$70$321K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Health Services Hospitals, Inc.NYGeneral Acute Care Hospital$0$163M
    Aurelia Osborn Fox Memorial Hospital SocietyNYGeneral Acute Care Hospital$0$21.8M
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Aqeel HaidarNCAnatomic Pathology & Clinical Pathology Physician$1.6M$0
    Surinder PalNYInternal Medicine Physician$737.2K$259.6K
    Shilpa SambidiNYHematology & Oncology Physician$847.8K$39.4K
    James LimNYDiagnostic Radiology Physician$670.7K$3.5K
    Rizwan AlimohammadNYCardiovascular Disease Physician$538.6K$41.6K
    Khalid SethiNYNeurological Surgery Physician$423.8K$31.6K
    Daniel WelchonsNYUrology Physician$435.9K$5.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alexander FactourovichNYPsychiatry Physician$70.4K$228.5K
    Venkatesh JayaramanNYNephrology Physician$208.3K$28.5K
    Eric SeyboldNYOrthopaedic Surgery Physician$116.8K$0
    Ali MarhabaNYGastroenterology Physician$99.1K$40
    Kimona IssaNYOrthopaedic Surgery of the Spine Physician$74.1K$0
    Nicolas CordobaNYPediatrics Physician$5.5K$55.5K
    David GallagherNYSports Medicine (Orthopaedic Surgery) Physician$51.9K$0
    Amanke OranuNYGastroenterology Physician$51.7K$40
    Toseef JavaidNYGastroenterology Physician$41.4K$10

    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 York Distribution
    Maciej Nowakowski — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Maciej Nowakowski — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York