CAMERON LIND BUDENZ, M.D.
NPI 1679609465, individual, Tarrytown, NY, Otolaryngology, Otology & Neurotology
- Medicaid dollars per patient on code 95004 ($371 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CAMERON LIND BUDENZ, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | February 26, 2007, last updated May 18, 2022 |
| Practice location | 200 WHITE PLAINS RD STE 201, Tarrytown, NY 10591-5804, 914-631-3053 |
| Mailing address | 660 WHITE PLAINS RD STE 400, Tarrytown, NY 10591-5107 |
| Specialties | Otolaryngology (207Y00000X, license 249251 NY) Otolaryngology, Otology & Neurotology (207YX0901X, primary, license 249251 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | $3.5M | 31% | $1K | $187 (top 5% from $1K) | 93rd percentile | |
| 31231 | Diagnostic exam of nasal passages using an endoscope | $2.4M | 21% | $244 | $122 (top 5% from $236) | 94th percentile | |
| 95004 | Test for allergy using allergenic extract | $1.5M | 13% | $371 | $136 (top 5% from $315) | 97th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.2M | 11% | $101 | $44 (top 5% from $110) | 93rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $881K | 8% | $129 | $67 (top 5% from $121) | 96th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $809K | 7% | $143 | $60 (top 5% from $133) | 96th percentile | |
| 95117 | Professional service for multiple injections of allergen | $300K | 3% | $23 | $17 (top 5% from $39) | 68th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $201K | 2% | $192 | $95 (top 5% from $171) | 97th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 683 | 458 | $55K | $217 | $109 | 2.0x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 227 | 180 | $26K | $251 | $151 | 1.7x | 2.3x (90th percentile 3.8x) |
| 92504 | Exam of ear using a microscope | 469 | 260 | $13K | $68 | $35 | 2.0x | 3.0x (90th percentile 6.5x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 102 | 102 | $10K | $222 | $135 | 1.7x | 2.4x (90th percentile 3.9x) |
| 69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 33 | 29 | $7K | $1K | $270 | 4.1x | 2.7x (90th percentile 4.6x) |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 38 | 35 | $6K | $766 | $222 | 3.4x | 2.9x (90th percentile 5.7x) |
| 92540 | Evaluation and testing for balance with recording | 77 | 77 | $5K | $235 | $88 | 2.7x | 2.5x (90th percentile 4.4x) |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 91 | 86 | $4K | $109 | $63 | 1.7x | 2.4x (90th percentile 4.0x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
13 providers in Westchester County, NY carry an indicator in the public record, with $38.1M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HEALING THERAPEUTICS PHYSICAL THERAPY PLLC Port Chester, NY, ranked 356 | $3K |
|
| 3 | PREFERRED CERTIFIED, LLC Mount Vernon, NY, ranked 3864 | $0 |
|
| 4 | MARY DIDIE Valhalla, NY, ranked 7343 | $29.2M |
|
| 4 | CHRISTINA RAWLS-DOLIN Mount Vernon, NY, ranked 7513 | $37K |
|
| 4 | DANIEL KUSHNER White Plains, NY, ranked 8577 | $2.9M |
|
| 4 | ROBERT SAMANIEGO Rye, NY, ranked 9337 | $317K |
|
| 4 | SURINDER PAL Ardsley, NY, ranked 9477 | $192K |
|
| 5 | MUHAMMAD NAEEM Yonkers, NY, ranked 10315 | $393K |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.