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

    NPI 1982660643 · Philadelphia, PA · Obstetrics & Gynecology Physician

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    Paul Nyirjesy is a obstetrics & gynecology physician provider located in Philadelphia, Pennsylvania. This profile covers 7 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 Nyirjesy
    Address216 N Broad St
    CityPhiladelphia
    StatePA
    ZIP19102
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedApril 21, 2006

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

    Payer SourceTotal Paid
    Medicare$40.5K
    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.

    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…220$70$14.8K
    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…140$90$12.8K
    Q0111Wet mounts, including preparations of vaginal, cervical or skin specimens330$20$5.5K
    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…40$130$5.5K
    83986The analyst performs the technical lab test to measure the pH, meaning the acidity or alkalinity, of a body fluid not represented by another code. The analyst may use methods such as a pH meter,…370$1$1.5K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination10$40$550
    87210The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide.40$10$250

    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
    992149,58923,230100$80$14.5K
    992133,76822,37070$60$7.7K
    992043,54110,29030$110$5K
    G01019271,03030$40$2K
    Q011111080$20$1.6K
    8398612080$1$390
    8721052020$10$340

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anton KolomeyerNJOphthalmology Physician$1.8M$910
    James LewisPAOphthalmology Physician$530.8K$0
    Joshua GreenePARetina Specialist (Ophthalmology) Physician$509.7K$3K
    Jun HouPAAnatomic Pathology & Clinical Pathology Physician$429.3K$4.7K
    Hugo LinaresPARetina Specialist (Ophthalmology) Physician$422.8K$2.3K
    Jeremy PeckWAMOHS-Micrographic Surgery Physician$385K$0
    Elizabeth DalePAOphthalmology Physician$380.8K$0
    Joseph OrtizPAOphthalmology Physician$177.9K$85.2K
    Kakarla ChalamCAOphthalmology Physician$255.9K$0
    Lorenzo GalindoPAAnatomic Pathology & Clinical Pathology Physician$210.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moravia Health Network, LLCPAIn Home Supportive Care Agency$0$55.6M
    Philadelphia Health Management CorpPACase Manager/Care Coordinator$0$28.5M
    Philadelphia Health Management CorporationPACase Management Agency$0$28.1M
    Public Health Management CorporationPACommunity/Behavioral Health Agency$0$6.1M
    Brian BiancoPAVascular & Interventional Radiology Physician$561.2K$0
    Angad SinghPAInternal Medicine Physician$416K$0
    Mark AbdelmalekPAMOHS-Micrographic Surgery Physician$402.4K$0
    Neel ParikhPAInternal Medicine Physician$335.7K$0
    William WhitmirePAInternal Medicine Physician$265.3K$6K
    Stephen HessPADermatology Physician$203.6K$0

    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. Pennsylvania Distribution
    Paul Nyirjesy — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania