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NPI 1124049671 · West New York, NJ · Clinical Pathology/Laboratory Medicine Physician
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Raul Rudelli is a clinical pathology/laboratory medicine physician provider located in West New York, New Jersey. This profile covers 26 Medicare and 29 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 | Raul Rudelli |
| Address | 230 60th St |
| City | West New York |
| State | NJ |
| ZIP | 07093 |
| Taxonomy | Clinical Pathology/Laboratory Medicine Physician |
| NPI Enumerated | July 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $1.8M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88120 | The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and… | 1,560 | $580 | $906.4K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 2,450 | $80 | $190.9K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 1,540 | $110 | $170.7K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 2,860 | $60 | $159.9K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 4,520 | $30 | $153.8K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 1,150 | $30 | $39K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 1,890 | $20 | $34K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 450 | $50 | $21.5K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 700 | $30 | $17.5K |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 2,580 | $10 | $15.5K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 15 | 40 | 1,760 | $30 | $284.3K |
| 88120 | 2 | 20 | 200 | $350 | $278K |
| 88121 | 7 | 10 | 180 | $290 | $92.6K |
| 88305 | 199 | 290 | 720 | $40 | $71.8K |
| 87481 | 12 | 50 | 100 | $30 | $60.3K |
| 80053 | 87 | 560 | 90 | $10 | $50.8K |
| 88313 | 11 | 180 | 110 | $50 | $31.2K |
| 87563 | 6 | 10 | 280 | $30 | $29.6K |
| 84153 | 8 | 240 | 90 | $20 | $28.6K |
| 87556 | 2 | 10 | 120 | $40 | $25.8K |
Showing 1–10 of 26
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.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88120 | The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and… | 3,260 | $290 | $935.3K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 8,610 | $40 | $327.1K |
| 88112 | Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in… | 8,600 | $40 | $301.1K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 1,960 | $60 | $119.7K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 600 | $180 | $107.8K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 720 | $50 | $33.1K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 720 | $40 | $28.8K |
| 87556 | The lab analyst performs a test for Mycobacterium tuberculosis using amplified nucleic acid probe technique. Mycobacteria tuberculosis are sometimes called acid fast bacteria because of the special… | 840 | $20 | $20.2K |
| 87653 | The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,… | 840 | $20 | $16.8K |
| 87640 | The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique. | 840 | $20 | $16.7K |
Showing 1–10 of 29
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
29 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 121 | 120 | 900 | $20 | $971.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 116 | 120 | 940 | $20 | $957.4K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 50 | 50 | 400 | $10 | $839.8K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 46 | 90 | 630 | $30 | $806.2K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 15 | 40 | 390 | $20 | $564.3K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 143 | 190 | 7,750 | $10 | $466.9K |
| 87511 | The lab analyst performs a test for Gardnerella vaginalis using amplified nucleic acid probe technique. Gardnerella vaginalis, typically causes bacterial vaginosis, an infection of the vagina that… | 6 | 10 | 180 | $10 | $393.2K |
| 87563 | he lab analyst performs a test on a patient specimen such as blood, for Mycoplasma genitalium antigen detection using amplified nucleic acid probe technique. | 8 | 20 | 220 | $10 | $372.6K |
| 84403 | The lab analyst performs a test to measure total testosterone, typically in patient serum. | 20 | 40 | 450 | $10 | $244.8K |
| 83001 | The lab analyst measures the follicle stimulating hormone level, typically in a serum sample. This hormone, which the pituitary gland produces and excretes into the bloodstream, has a powerful effect… | 15 | 30 | 350 | $10 | $193.1K |
Showing 1–10 of 29
Other providers in the same ZIP code as Raul Rudelli, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Always Home Care Inc | NJ | Home Health Agency | $0 | $178.2M |
| Always Caring Health Care Services, LLC | NJ | Home Health Agency | $0 | $76.4M |
| Armas Home Care LLC | NJ | Home Health Agency | $0 | $18M |
| West New York Board Of Education | NJ | Local Education Agency (LEA) | $0 | $16.6M |
| North Hudson Community Action Corporation | NJ | Federally Qualified Health Center (FQHC) | $0 | $14.7M |
| Senior Care Centers Of America, Inc. | NJ | Adult Day Care Clinic/Center | $0 | $12.5M |
| Armand Fasano | NJ | Ophthalmology Physician | $522.9K | $0 |
| Sonoview Consulting Inc. | NJ | Mobile Radiology Clinic/Center | $231.2K | $79.2K |
| Felix Roque | NJ | Pain Medicine (Anesthesiology) Physician | $233.7K | $1.4K |
| Saras Rustagi | NJ | Corneal and Contact Management Optometrist | $61.2K | $171.5K |
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