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

    NPI 1144212820 · Woodstock, VA · Surgery Physician

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    John Pulizzi is a surgery physician provider located in Woodstock, Virginia. This profile covers 10 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 Pulizzi
    Address759 S Main St Ste 200
    CityWoodstock
    StateVA
    ZIP22664
    TaxonomySurgery Physician
    NPI EnumeratedAugust 18, 2005

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

    Payer SourceTotal Paid
    Medicare$32.2K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…90$140$11.6K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$200$5.6K
    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…50$60$3.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.30$90$3.1K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$180$2.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.6K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$140$1.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$30$730
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.20$30$620
    45381The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous…10$30$290

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538531240070$260$24.7K
    4538028840060$160$12.9K
    4538442040$210$12.2K
    992322,7464,46080$60$11K
    4323930539070$110$9.3K
    G010518624030$240$9.2K
    4537818321020$170$4.5K
    992221,6463,12030$100$4.4K
    45381394020$80$1.9K
    43450244030$50$1.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Shenandoah Memorial Hospital, Inc.VACritical Access Hospital$0$23.5M
    Warren Memorial Hospital, Inc.VAGeneral Acute Care Hospital$0$23.5M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M
    Eric SteuerVARetina Specialist (Ophthalmology) Physician$2.7M$0
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Shaina Rubino LoverdeVARetina Specialist (Ophthalmology) Physician$1.8M$0
    William JonesVAUrology Physician$468.4K$0
    Randy BeckerMDDiagnostic Radiology Physician$462.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ability Home Care, LLCVAHome Health Agency$0$6.6M
    Shenandoah County Board Of SupervisorsVALand Ambulance$878.1K$610.5K
    Richard KentVAFoot & Ankle Surgery Podiatrist$99.8K$59.5K
    Katherine GreyVASpeech-Language Pathologist$26.4K$0
    Jonathan O'nealVAAnesthesiology Physician$8K$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. Virginia Distribution
    John Pulizzi — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia