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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Pugliese
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    Matthew Pugliese — Billing Profile & Reimbursement Data

    NPI 1093927113 · Augusta, GA · Surgical Oncology Physician

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    Matthew Pugliese is a surgical oncology physician provider located in Augusta, Georgia. This profile covers 11 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
    OrganizationMatthew Pugliese
    Address818 St Sebastian Way
    CityAugusta
    StateGA
    ZIP30901
    TaxonomySurgical Oncology Physician
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicare$46K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$60$15K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$520$11.4K
    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…80$80$6.7K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…10$250$3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$130$2.2K
    36590The provider removes a tunneled central venous access device along with the subcutaneous port or pump that was previously placed through a central or peripheral insertion.20$150$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$130$2.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…10$160$1.9K
    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…10$90$1.2K
    77001Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…10$10$170

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,07013,640120$80$17.8K
    19301236020$520$11.5K
    992132,45013,36080$60$9.2K
    992152,5623,27030$120$7.7K
    36561739020$320$6.7K
    992051,3971,58030$150$5.4K
    992045,5907,26030$110$5.1K
    992034,5055,35030$70$3.3K
    3659042010$150$2.2K
    7700115918020$20$660

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Piedmont Providers LLCGAInternal Medicine Physician$0$1.6M
    Kunal AgarwalFLSleep Medicine (Family Medicine) Physician$700.7K$0
    Ronald TerryGARadiation Oncology Physician$600.6K$0
    Brion LockGAPulmonary Disease Physician$552.6K$0
    Samer KassarINNeurology Physician$324K$46.7K
    James LibbyGAUrology Physician$340.5K$0
    John SchnarsGAOrthopaedic Surgery Physician$329.5K$0
    Akinwunmi Ojo-caronsVAUrology Physician$328.3K$0
    Wesley LudwigGAUrology Physician$278.9K$0
    G SlagelGADermatology Physician$262.1K$1.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health Services,incGAGeneral Acute Care Hospital$0$2.3M
    Stephen W. Brown And Radiology Associates Of Augusta LLPGADiagnostic Radiology Physician$0$1.6M
    Alice DavidGAHematology & Oncology Physician$1.4M$0
    Brent LimbaughGAHematology & Oncology Physician$1.1M$0
    Felisha LeeGAMental Health Counselor$0$978.1K
    Nephrology Associates, PCGANephrology Physician$0$626.7K
    Janet DavisGAMaternal & Fetal Medicine Physician$0$611.4K
    William TannehillGAVascular & Interventional Radiology Physician$609.6K$0
    Orthopaedic Associates Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$609.6K$0
    Augusta Developmental Specialists, LLCGADevelopmental - Behavioral Pediatrics Physician$0$573.1K

    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. Georgia Distribution
    Matthew Pugliese — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia