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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Blanco
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    John Blanco — Billing Profile & Reimbursement Data

    NPI 1134165285 · Martinsburg, WV · Diagnostic Radiology Physician

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    John Blanco is a diagnostic radiology physician provider located in Martinsburg, West Virginia. This profile covers 48 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
    OrganizationJohn Blanco
    Address300 Foxcroft Ave
    CityMartinsburg
    StateWV
    ZIP25401
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$89.9K
    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The 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…410$40$14.2K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…410$30$11.4K
    74177The 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.140$70$9.4K
    74176The 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.110$60$6.7K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.160$40$6.1K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.110$50$5.1K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…80$50$3.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.50$80$3.6K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.80$40$3.2K
    74178The 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…40$70$2.6K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7706714120160$40$10.1K
    7417773130150$60$10K
    7417670130110$60$7.5K
    7706314110160$30$6.5K
    71045105140750$10$4.8K
    9388012113030$50$4.8K
    7125031130100$40$4.7K
    712605112070$40$3K
    7664122030$50$2K
    7372154030$50$1.9K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Healthcare Physicians, Inc.WVFamily Medicine Physician$0$17.5M
    David WarrowMDOphthalmology Physician$15.1M$8.3K
    Waqas IlyasVAOphthalmology Physician$3M$0
    Martinsburg Radiology Assoc IncWVDiagnostic Radiology Physician$0$1.4M
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    John MinarcikVARetina Specialist (Ophthalmology) Physician$913.4K$0
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    David WeberPASpecialist$292.8K$498.8K
    Walter OsiasCADiagnostic Radiology Physician$759.8K$0
    Matthew OliverioPAOtolaryngology Physician$175.2K$514.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shenandoah Valley Medical System, Inc.WVFederally Qualified Health Center (FQHC)$0$61M
    City Hospital, IncWVGeneral Acute Care Hospital$0$41.1M
    Eastern Panhandle Mental Health Center (waiver)WVCommunity/Behavioral Health Agency$0$28.8M
    Stepping Stones Cottages, LLCWVCounseling Psychologist$0$26.6M
    American Family Matters LLCWVCommunity/Behavioral Health Agency$0$16.9M
    Berkeley County Emergency Ambulance AuthorityWVLand Ambulance$864.6K$5.6M
    Eastern Panhandle Mental Health (rehab)WVCommunity/Behavioral Health Agency$0$5.7M
    City Of MartinsburgWVLand Ambulance$222.2K$2.7M
    Lance PittmanWVOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M
    Wv Pediatric Dentistry PLLCWVPediatric Dentistry$0$2M

    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. West Virginia Distribution
    John Blanco — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia