Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Mancuso
    Ask Trek AI about this page

    Nicholas Mancuso — Billing Profile & Reimbursement Data

    NPI 1073927984 · Iowa City, IA · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Nicholas Mancuso — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nicholas Mancuso is a internal medicine physician provider located in Iowa City, Iowa. This profile covers 28 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Mancuso
    Address2460 Towncrest Dr
    CityIowa City
    StateIA
    ZIP52240
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 18, 2014

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

    Payer SourceTotal Paid
    Medicare$177.9K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit300$120$34.9K
    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…440$80$33.4K
    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…480$50$25.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…430$50$19.4K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.280$40$9.8K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$8.2K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.60$130$7.8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…90$70$6.3K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$200$6.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.610$10$4.9K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9132232658080$140$15.2K
    992145984,690100$70$14.4K
    G0439481,15080$120$12.1K
    9949023330130$40$9K
    9067719272020$280$8K
    992132364,740100$50$8K
    9048047682090$40$5.8K
    9066223395050$70$4.8K
    994962611020$190$4.4K
    G00085151,42060$30$3.7K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$12.8M
    The Robert Young Center For Community Mental HealthILSubstance Use Disorder Rehabilitation Clinic/Center$0$9.5M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$7.1M
    St. Luke's Methodist HospitalIACardiovascular Disease Physician$0$3.9M
    Chad LaurichSDVascular Surgery Physician$3.2M$0
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$1.8M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$1.6M
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$1.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Systems Unlimited, Inc.IADevelopmentally Disabled Services Day Training Agency$0$244.7M
    Reach For Your Potential, IncIADevelopmentally Disabled Services Day Training Agency$0$63.8M
    Iowa City Community SchoolsIALocal Education Agency (LEA)$0$25.7M
    Systems Unlimited, Inc.IADevelopmentally Disabled Services Day Training Agency$0$14.3M
    Caring Hands & More LLCIAHome Health Agency$0$13.9M
    County Of JohnsonIALand Ambulance$1.1M$10.8M
    University Of Iowa Community Medical Services, LLCIADurable Medical Equipment & Medical Supplies$0$7.3M
    Unlimited AbilitiesIACommunity/Behavioral Health Agency$0$6.6M
    The Arc Of Johnson CountyIARespite Care$0$6.3M
    Prelude Behavioral ServicesIASubstance Abuse Rehabilitation Facility$0$4.3M

    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. Iowa Distribution
    Nicholas Mancuso — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa