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NPI 1962441113 · New Hyde Park, NY · Urology Physician
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Elliot Paul is a urology physician provider located in New Hyde Park, New York. This profile covers 42 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Elliot Paul |
| Address | 2001 Marcus Ave Ste N214 |
| City | New Hyde Park |
| State | NY |
| ZIP | 11042 |
| Taxonomy | Urology Physician |
| NPI Enumerated | June 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $687.9K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 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… | 1,740 | $110 | $193.1K |
| J1952 | Leuprolide injectable, camcevi, 1 mg | 1,430 | $70 | $94.2K |
| 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… | 290 | $230 | $68.2K |
| 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… | 610 | $80 | $47.2K |
| 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… | 240 | $150 | $34.8K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 1,450 | $20 | $26K |
| 51728 | In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary… | 70 | $360 | $25K |
| 51798 | Providers perform this ultrasound to measure the volume of residual urine in the bladder. | 2,070 | $10 | $20.6K |
| 50081 | The provider removes one or more stones from the kidney, renal pelvis, or ureter using an antegrade (“downhill”) percutaneous approach. The provider uses imaging guidance and may place a stent and… | 20 | $1,050 | $15.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 1,700 | $10 | $13.6K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
42 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1952 | 4 | 20 | 710 | $70 | $61.3K |
| 50081 | 8 | 10 | 20 | $1,030 | $32.8K |
| 55899 | 19 | 40 | 40 | $260 | $24.9K |
| 99214 | 143 | 30,450 | 90 | $100 | $19K |
| J9217 | 141 | 160 | 110 | $130 | $18.1K |
| 51728 | 35 | 170 | 30 | $310 | $16K |
| 52000 | 10 | 620 | 60 | $170 | $14.3K |
| 99232 | 11,632 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 1,751 | 31,440 | 80 | $70 | $12.1K |
| 52356 | 61 | 140 | 20 | $450 | $9.5K |
Showing 1–10 of 42
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 10 | $0 | $0 |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care… | 1,496 | 1,600 | 50 | $10 | $1.2K |
Other providers in the same ZIP code as Elliot Paul, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Freedom Care LLC | NY | Home Health Agency | $0 | $3B |
| Northwell Health Laboratories | NY | Clinical Medical Laboratory | $48.5M | $198.2M |
| Optum Medical Care Of New Jersey PC | NY | Pediatrics Physician | $0 | $219.4M |
| North Shore University Hospital | NY | Case Management Agency | $0 | $166.6M |
| Prohealth Care Associates LLP | NY | Internal Medicine Physician | $0 | $69.4M |
| Personal Touch Home Care Of New York, Inc. | NY | Early Intervention Provider Agency | $0 | $19.3M |
| Nhpe, LLC | NY | Ambulatory Surgical Clinic/Center | $831.7K | $3M |
| Stuart Weinerman | NY | Endocrinology, Diabetes & Metabolism Physician | $2.3M | $2.3K |
| Jason Karp | NY | Pulmonary Disease Physician | $2.1M | $35.2K |
| Richard Furie | NY | Rheumatology Physician | $2.1M | $19.5K |
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