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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Halpern
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    David Halpern — Billing Profile & Reimbursement Data

    NPI 1982604898 · Mineola, NY · Surgery Physician

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    David Halpern is a surgery physician provider located in Mineola, New York. This profile covers 11 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
    OrganizationDavid Halpern
    Address300 Old Country Rd
    CityMineola
    StateNY
    ZIP11501
    TaxonomySurgery Physician
    NPI EnumeratedJuly 21, 2005

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

    Payer SourceTotal Paid
    Medicare$144.8K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49650The provider performs laparoscopic repair of an initial inguinal hernia.80$550$45.1K
    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…230$140$31.4K
    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…260$80$19.4K
    49593The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside…20$590$9.4K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.10$680$8.9K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$580$8.7K
    49595The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of greater than 10 cm. The hernias are reducible, or able to be pushed back…10$690$8.3K
    49591The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…30$230$6.7K
    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…50$110$5.4K
    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$50$1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420,91530,45090$100$19K
    992135,88531,44080$70$12.1K
    49505285020$520$11.4K
    49650212020$440$10K
    4959321010$530$9.1K
    47562448010$530$8.5K
    4959541020$410$8.1K
    9920419514,17030$130$6.6K
    4959111010$310$4.9K
    992125,3947,85030$40$3.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ricardo MonserrateNYCardiovascular Disease Physician$643.7K$8.3K
    Michael SorrentinoNYCardiovascular Disease Physician$406.7K$490
    Jayanthi LoganathanNYCardiovascular Disease Physician$301.8K$21.6K
    Bassiema IbrahimNYClinical Cardiac Electrophysiology Physician$301.8K$10.4K
    Glenn TeplitzNYOrthopaedic Hand Surgery Physician$210.3K$0
    Adam WilsonNYOrthopaedic Hand Surgery Physician$188.5K$0
    Michael KhalifeNYSurgery Physician$165.5K$0
    Mangalore Amith ShenoyNYPulmonary Disease Physician$134.7K$0
    Felix CheungNYUrology Physician$114.3K$7K
    Priya AgarwalaNYPulmonary Disease Physician$85.8K$410

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nyu Langone HospitalsNYGeneral Acute Care Hospital$0$69.8M
    Statcare Urgent & Walk In Medical Care PLLCNYUrgent Care Clinic/Center$0$27.1M
    County Of Nassau County ComptrollerNYLand Ambulance$4.9M$12.7M
    Harry StaszewskiNYHematology & Oncology Physician$1.2M$18.3K
    Martin FletcherNYOphthalmology Physician$1M$0
    Marilyn ChengotNYCardiovascular Disease Physician$909.9K$15.1K
    Michael ScomaNYInfectious Disease Physician$741.5K$6.2K
    Joseph GermanoNYClinical Cardiac Electrophysiology Physician$656.3K$56.9K
    Saba AbolahrariNYGeriatric Medicine (Internal Medicine) Physician$658.5K$16.6K
    Jonathan HaasNYRadiation Oncology Physician$591.4K$330

    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
    David Halpern — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York