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NPI 1992706287 · Smithtown, NY · Podiatrist
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Kenneth Coombs is a podiatrist provider located in Smithtown, New York. This profile covers 17 Medicare and 6 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 | Kenneth Coombs |
| Address | 154 Terry Rd |
| City | Smithtown |
| State | NY |
| ZIP | 11787 |
| Taxonomy | Podiatrist |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $457.6K |
| Medicaid | $28.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 4,140 | $40 | $157.4K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 880 | $70 | $64.4K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 900 | $70 | $64K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 690 | $60 | $43.4K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 630 | $70 | $42.8K |
| 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… | 360 | $80 | $27.9K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 170 | $90 | $15.5K |
| 99212 | The 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,… | 230 | $50 | $11.3K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 80 | $120 | $10.1K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 210 | $40 | $7.2K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 738 | 2,360 | 250 | $60 | $44.9K |
| 11056 | 42 | 760 | 140 | $70 | $18.5K |
| 99305 | 363 | 940 | 60 | $110 | $16.9K |
| 11721 | 3 | 1,270 | 260 | $40 | $16.1K |
| 99348 | 610 | 670 | 80 | $60 | $13.9K |
| 99232 | 9,853 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 3,936 | 31,440 | 80 | $70 | $12.1K |
| 11057 | 134 | 270 | 60 | $80 | $9.1K |
| 99307 | 256 | 1,000 | 80 | $30 | $8K |
| 99304 | 5 | 380 | 50 | $70 | $8K |
Showing 1–10 of 17
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 5,810 | $1 | $17.4K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,310 | $10 | $6.5K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 320 | $10 | $3.6K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 760 | $1 | $1.5K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 500 | $1 | $1.5K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 350 | $1 | $350 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 617 | 2,090 | 420 | $10 | $18.7K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 21 | 910 | 310 | $20 | $17.1K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 116 | 330 | 200 | $20 | $15.2K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 264 | 870 | 130 | $10 | $3.7K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 11 | 100 | 60 | $10 | $3.5K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 30 | 220 | 60 | $10 | $2.3K |
Other providers in the same ZIP code as Kenneth Coombs, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Care Companions, Inc. | NY | Home Health Agency | $0 | $100M |
| Planned Parenthood Hudson Peconic Inc. | NY | Ambulatory Family Planning Facility | $0 | $25.1M |
| Timothy Groth | NY | Pain Medicine (Anesthesiology) Physician | $2.4M | $357.5K |
| Luna Healing Solution Inc | NY | Diagnostic Ultrasound Physician | $1.1M | $1.3M |
| Noshir Dacosta | NY | Hematology & Oncology Physician | $2.3M | $12.6K |
| Mcclain Laboratories LLC | NY | Anatomic Pathology & Clinical Pathology Physician | $1.7M | $385.6K |
| Donna Serure | NY | Dermatology Physician | $1.8M | $21.5K |
| Hong Xu | NY | Rheumatology Physician | $1.7M | $0 |
| Armen Ovsepian | NY | Specialist | $1.6M | $3.9K |
| Luiziana Marinescu | NY | Rheumatology Physician | $1.6M | $0 |
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