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    OpenPayerNPI Medicare & MedicaidJoseph Degregorio
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    Joseph Degregorio — Billing Profile & Reimbursement Data

    NPI 1023086691 · Glen Ridge, NJ · Cardiovascular Disease Physician

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    Joseph Degregorio is a cardiovascular disease physician provider located in Glen Ridge, New Jersey. This profile covers 25 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
    OrganizationJoseph Degregorio
    Address946 Bloomfield Avenue
    CityGlen Ridge
    StateNJ
    ZIP07028
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMarch 9, 2006

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    JOSEPH DEGREGORIO’s Medicare billing history totals $2.7M in lifetime Medicare revenue, with no Medicaid billing on file; this makes his practice effectively single-payer (Medicare) in the available data and suggests the payer mix is concentrated entirely on Medicare revenue streams. The absence of any Medicaid claims means in-state Medicaid market presence is nil based on reported billing.

    Revenue concentration is high: the precomputation shows the top three Medicare codes by revenue account for 72.9% of the provider’s total Medicare revenue, indicating that a small set of complex interventional procedures dominate earnings rather than a broad mix of outpatient E/M visits. That concentration implies the business/service line is focused on high-revenue procedural care rather than general cardiology follow-up or primary care encounters.

    The code 37227 accounts for $1.1M and 39.9% of Medicare revenue and the provider ranks #9 of 363 nationally for that code (98th percentile). This placement and revenue share indicate a major national-level presence for that particular endovascular procedure relative to peers, consistent with a high-volume operator for 37227.

    Both 37229 ($449.5K, 16.7% of Medicare revenue) and 37231 ($442.3K, 16.4% of Medicare revenue) are also large contributors to revenue and together with 37227 form the top three codes driving 72.9% of Medicare revenue. These codes reflect endovascular/interventional vascular services and suggest the practice’s service-line is centered on peripheral vascular interventions and stent/angioplasty-type procedures.

    Several individual CPT/HCPCS codes show statistically notable national volumes: 37252 (96th percentile), 36247 (98th percentile), 37253 (95th percentile), 75716 (99th percentile), 75625 (99th percentile), and 76937 (99th percentile). These labels—described in the source as “notably above typical” or “extreme outlier”—reinforce that the provider conducts a high volume of vascular imaging, intravascular ultrasound, angiography, and ultrasound-guided vascular access relative to national peers.

    Procedural mix indicates a hybrid role performing both diagnostic imaging/supervision (e.g., radiological supervision and interpretation codes 75716, 75625, 93454) and hands-on interventional therapy (e.g., 37227, 37229, 37231, 92928, 33362). This combination underscores an interventional cardiovascular specialty practice that performs image-guided peripheral and coronary procedures and documents both the therapeutic and imaging supervision components.

    The provider’s NPI was enumerated on 2006-03-09 (approximately 20 years ago), indicating long tenure in Medicare billing. That duration, combined with concentrated high-volume procedural billing on a small set of codes, suggests an established interventional practice rather than a recent entrant.

    Although many lower-revenue codes (e.g., E/M hospital visits 99232/99238, diagnostic ultrasound codes 93925/93922) appear in the top-25 listing, their revenue shares are small individually; this pattern reinforces that inpatient E/M and noninvasive diagnostic tests are adjunctive to a primary interventional vascular/cardiac service line.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37227N/A110$9,960$1.1M
    37229N/A60$7,250$449.5K
    37231N/A40$11,340$442.3K
    37225N/A30$6,940$215.1K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…200$920$179.3K
    36247Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…190$670$126.1K
    37253In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…420$160$66.5K
    75716Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…150$150$22.6K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…100$230$22.6K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$500$21.8K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722732020$9,660$425.1K
    3723121040$11,080$376.8K
    3722983030$6,870$370.7K
    37225143030$5,350$176.7K
    3725245050$830$59.6K
    3725334080$150$21.8K
    992323,7246,220120$70$18.4K
    3624714020$570$13.8K
    3336221020$690$13.2K
    929281918020$450$12.1K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Associates Of Englewood, PCNJInternal Medicine Physician$0$36.9M
    Jersey Irish MedicalNJUrgent Care Clinic/Center$0$25.9M
    Ananth ShankarNYNuclear Cardiology Physician$358.3K$5.3M
    Sarika SharmaNJSpecialist$740.1K$90.7K
    Gitendra RajiyahNJCardiovascular Disease Physician$681.8K$0
    Mariem AbedullahNJFamily Nurse Practitioner$672.2K$0
    Asit ShahNJOrthopaedic Surgery Physician$495.7K$0
    Mena YacoubNYClinical Cardiac Electrophysiology Physician$480.5K$0
    Ramadevi EnugalaNJInternal Medicine Physician$462K$0
    Asad CheemaNJClinical Cardiac Electrophysiology Physician$451.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark ChaseNJOrthopaedic Surgery Physician$511.9K$0
    Konstantin WalmsleyNJUrology Physician$487.1K$0
    Shereen DahabNJInternal Medicine Physician$446.8K$0
    Domenic MarianoNJCardiovascular Disease Physician$328.5K$0
    Carlos AlfonsoNJCardiovascular Disease Physician$305.9K$0
    Michael MolinaroNJInternal Medicine Physician$247K$0
    James SaidiNJUrology Physician$217.2K$0
    Ankitkumar PatelNJInterventional Cardiology Physician$203.8K$0
    Michele NittiNJFamily Medicine Physician$169.7K$0
    Sangbaek OhNJGastroenterology Physician$130.3K$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. New Jersey Distribution
    Joseph Degregorio — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey