Loading...
NPI 1063422087 · Warwick, RI · Diagnostic Radiology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Anthony Bruzzese is a diagnostic radiology physician provider located in Warwick, Rhode Island. This profile covers 67 Medicare and 4 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 | Anthony Bruzzese |
| Address | 300 Toll Gate Rd |
| City | Warwick |
| State | RI |
| ZIP | 02886 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | August 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $330K |
| Medicaid | $8.6K |
The provider’s code mix is characteristic of a broad diagnostic radiology practice: high-volume plain radiography (notably 73562, 73560, 73502, 71046, 73030), cross-sectional CT work (71250, 74177, 74178, 74176, 74170), mammography/tomosynthesis (77067, 77063) and a meaningful ultrasound/vascular component (76770, 76700, 76705, 93880, 93975). This spread suggests the operation delivers a mix of routine outpatient musculoskeletal X‑rays, abdominal and chest CTs, screening mammography services, and targeted ultrasound/duplex studies rather than a narrow subspecialty focus.
Medicare revenue is moderately concentrated: the top 3 Medicare codes by revenue (71250, 74177, 71046) account for 25.5% of this provider’s total Medicare revenue. Those individual contributions are shown in the profile (71250 $25.5K / 9.8%, 74177 $23.2K / 9.0%, 71046 $17.4K / 6.7%), indicating that thoracic CT, abdominal/pelvic CT with contrast, and chest radiographs are the primary drivers within Medicare billing.
Medicaid revenue is highly concentrated: the top 3 Medicaid codes by revenue (93975, 77067, 76700) account for 89.6% of this provider’s total Medicaid revenue, with 93975 alone representing $5.8K or 67.3% of the small Medicaid total. This indicates Medicaid activity is almost entirely focused on a few specific services—chiefly the complete abdominal/retroperitoneal duplex study coded as 93975.
The payer mix is heavily Medicare‑weighted: lifetime Medicare revenue is $330K versus Medicaid revenue of $8.6K, making Medicare the dominant revenue source by a large margin. From an insurer or network perspective this provider should be treated as essentially Medicare-driven in scale and footprint rather than a Medicaid-serving practice.
On national competitive standing for Medicare codes this provider is a major outlier for multiple plain radiography items: 73562 ranks #300 of 26819 providers nationally (99th percentile; extreme outlier, far above typical national volume), 73560 ranks #177 of 20451 (99th percentile; notably above typical national volume), and 71046 ranks #987 of 47284 (98th percentile). These high percentiles indicate unusually large throughput for musculoskeletal and chest X‑ray studies compared with national peers.
By contrast, the provider’s Medicaid standing in‑state is modest to low for its top Medicaid services: 93975 ranks #13 of 19 providers in-state (33rd percentile), 77067 ranks #47 of 54 (11th percentile), and 76700 ranks #17 of 19 (6th percentile). That pattern shows limited market share in Rhode Island Medicaid for the same service lines where Medicare volumes are comparatively larger.
There is a noticeable vascular and screening imaging footprint across payers: Medicare listings include 93880 ($13.7K, 5.3%) and duplex/venous studies 93971/93975, and Medicare also shows low‑dose CT screening 71271 ($14.9K, 5.8%). On Medicaid 93975 is the dominant code. Together these items point to an operational emphasis that includes vascular duplex services and lung‑cancer/diagnostic chest imaging in addition to general diagnostic radiology.
The NPI was enumerated on 2006-08-09 (~20 years ago), indicating long tenure in billing Medicare and Medicaid. Combined with lifetime Medicare revenue of $330K and the code mix concentrated in high-volume plain radiography and routine cross-sectional studies, the profile is consistent with an established imaging practitioner or site with steady outpatient diagnostic volume rather than a recent entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
67 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 250 | $100 | $25.5K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 100 | $240 | $23.2K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 760 | $20 | $17.4K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 130 | $130 | $16.8K |
| 71271 | The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer. | 100 | $150 | $14.9K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 180 | $80 | $14K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 90 | $150 | $13.7K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 50 | $270 | $13.6K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 50 | $220 | $10.6K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 70 | $150 | $10.6K |
Showing 1–10 of 67
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 67 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 30 | $190 | $5.8K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 20 | $60 | $1K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 10 | $70 | $920 |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 50 | $20 | $900 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 47 | 50 | 450 | $70 | $152.4K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 17 | 20 | 110 | $70 | $67.9K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 13 | 20 | 70 | $170 | $66.1K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 100 | 130 | 260 | $30 | $52K |
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.