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    OpenPayerNPI Medicare & MedicaidJames Mancuso
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    James Mancuso — Billing Profile & Reimbursement Data

    NPI 1134303035 · Live Oak, TX · Interventional Cardiology Physician

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    James Mancuso is a interventional cardiology physician provider located in Live Oak, Texas. This profile covers 24 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
    OrganizationJames Mancuso
    Address12709 Toepperwein Rd Ste 306
    CityLive Oak
    StateTX
    ZIP78233
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedDecember 27, 2007

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

    Payer SourceTotal Paid
    Medicare$225.8K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,030$90$92K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…380$60$23.5K
    G0166External counterpulsation, per treatment session200$80$15K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$90$14.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$140$13.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…250$50$12.3K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…20$390$7.8K
    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…60$120$7.3K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…40$180$6.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,090$10$6.6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G01662220490$80$48.7K
    933068081,900210$90$23.1K
    992333,4759,320100$90$17.9K
    784526491,18050$220$17.9K
    9921471432,500110$80$17.6K
    992322,12411,790100$60$15.8K
    9292824242020$430$13.3K
    9345831080030$250$10.3K
    992232,1909,99040$130$9.5K
    992154,3328,73040$120$9.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guillermo ReyesTXCardiovascular Disease Physician$518.6K$0
    Jorge AlvarezTXInterventional Cardiology Physician$500.5K$0
    Robert SaadTXCardiovascular Disease Physician$404.9K$0
    David PedersonTXClinical Cardiac Electrophysiology Physician$383.3K$0
    John CanalesTXInterventional Cardiology Physician$362.4K$0
    Oluwaseun AdeolaIAClinical Cardiac Electrophysiology Physician$345K$0
    Hinh NguyenTXInterventional Cardiology Physician$320.6K$0
    Daniel DonovanTXInterventional Cardiology Physician$296.3K$0
    Jean LiuTXInterventional Cardiology Physician$274.2K$0
    Satya RaoTXCardiovascular Disease Physician$213.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Disease Detection LLCTXClinical Medical Laboratory$10.8K$24.8M
    Laboratory Corporation Of AmericaTXClinical Medical Laboratory$11.6K$11.7M
    Jean-denis BoucherTXProcedural Dermatology Physician$2.2M$0
    Pradeep MohanTXPlastic and Reconstructive Surgery Physician$1.9M$0
    Wendall BaumanTXSpecialist$1.6M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Gcsa Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Navneet MittalTXHematology & Oncology Physician$715.4K$0
    Derinbhai PatelTXInternal Medicine Physician$666.3K$0
    Ismael SosaTXHospitalist Physician$422.3K$0

    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. Texas Distribution
    James Mancuso — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas