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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Misthos
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    Paul Misthos — Billing Profile & Reimbursement Data

    NPI 1982645610 · Paterson, NJ · Internal Medicine Physician

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    Paul Misthos is a internal medicine physician provider located in Paterson, New Jersey. This profile covers 16 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
    OrganizationPaul Misthos
    Address100 Hamilton Plz
    CityPaterson
    StateNJ
    ZIP07505
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 10, 2006

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

    Payer SourceTotal Paid
    Medicare$52.5K
    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.

    16 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…180$80$13.8K
    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…100$110$11K
    99203The 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…80$90$7.5K
    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…50$140$7.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…170$30$5.6K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.150$20$2.3K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.90$20$1.5K
    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,…30$50$1.5K
    87070The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…90$10$690
    87086Culture, bacterial; quantitative, colony count, urine.40$10$290

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,94513,640130$90$23.6K
    992134,68314,090100$70$13.1K
    8708621339040$10$10.5K
    8718618426030$10$8.5K
    8708820039040$10$6.6K
    8707718926030$10$6.5K
    992042,3727,16040$130$6.5K
    992031,1935,66040$80$4.8K
    870701014030$10$4.8K
    992122,0843,45040$40$3.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David FilsoofCACardiovascular Disease Physician$1.3M$0
    Amit KalraNJCardiovascular Disease Physician$426.5K$0
    Brandon OberweisNJCardiovascular Disease Physician$379.9K$0
    Alan KalischerNJCardiovascular Disease Physician$369K$0
    Dory AltmannNJCardiovascular Disease Physician$288.1K$0
    Marc ScheinerNJClinical Cardiac Electrophysiology Physician$278.6K$440
    Sean KotkinNJCardiovascular Disease Physician$256.9K$2.8K
    Julio DiazNJInternal Medicine Physician$202.9K$0
    Mark RubinettiNJInternal Medicine Physician$184.9K$0
    Stanley ParmanNJInternal Medicine Physician$160.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paterson Public SchoolsNJLocal Education Agency (LEA)$0$62.2M
    Confident Care CorpNJHome Health Agency$0$14.8M
    2nd Home Paterson Operations, LLCNJAdult Day Care Clinic/Center$0$14.1M
    Smile Central Dental PCNJDentist$0$11.5M
    Paterson Counseling Center, Inc.NJMethadone Clinic$55.6K$10.4M
    Batista Pediatrics, LLCNJPrimary Care Clinic/Center$0$7.4M
    City Of PatersonNJLand Ambulance$704.1K$5.5M

    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 Jersey Distribution
    Paul Misthos — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey