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    OpenPayerNPI Medicare & MedicaidAnthony Sancetta
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    Anthony Sancetta — Billing Profile & Reimbursement Data

    NPI 1043218233 · Ocala, FL · Neuromusculoskeletal Medicine & OMM Physician

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    Anthony Sancetta is a neuromusculoskeletal medicine & omm physician provider located in Ocala, Florida. This profile covers 12 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
    OrganizationAnthony Sancetta
    Address27 Se 11th Ave.
    CityOcala
    StateFL
    ZIP34471
    TaxonomyNeuromusculoskeletal Medicine & OMM Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$293K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg23,730$10$118.6K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…1,000$90$84.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…1,020$50$51.1K
    J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,300$10$9.1K
    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…90$70$5.6K
    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…70$70$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,…60$40$2.5K
    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…30$90$2.3K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.110$20$2.2K
    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…20$120$2.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73205503,550$10$39K
    J7329871202,150$10$27.2K
    9921428,43732,760140$90$25K
    9921314,78630,01080$60$12K
    20610272,83060$50$7K
    9920414,56619,04040$110$7K
    77002658040$80$7K
    992033,28911,72040$70$4.4K
    992122,1806,92040$40$2.9K
    2055242945030$40$1.8K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ana SapijaszkoFLPhysical Therapist$235.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Hospital Ocala IncFLGeneral Acute Care Hospital$0$40.4M
    Marion Community Hospital, Inc.FLGeneral Acute Care Hospital$0$25.5M
    Renal Treatment Centers-southeast, LP.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$20.4M
    Marion County Board Of CommissionerFLAmbulance$5.6M$7.7M
    Childrens Health Of OcalaFLPediatrics Physician$0$8.2M
    Sylvester AjufoFLExclusive Provider Organization$0$7.6M
    Vipul PatelFLMedical Oncology Physician$3.2M$0
    Nikia WilliamsFLNurse Practitioner$2.9M$0
    Central Florida Endoscopy & Surgical Institute Of Ocala LLCFLAmbulatory Surgical Clinic/Center$204.7K$1.9M
    Srisha RaoFLCardiovascular Disease Physician$1.9M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Anthony Sancetta — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida