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    OpenPayerNPI Medicare & MedicaidThomas Guzzo
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    Thomas Guzzo — Billing Profile & Reimbursement Data

    NPI 1144386533 · Philadelphia, PA · Urology Physician

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    Thomas Guzzo is a urology physician provider located in Philadelphia, Pennsylvania. This profile covers 16 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
    OrganizationThomas Guzzo
    Address3400 Civic Center Blvd
    CityPhiladelphia
    StatePA
    ZIP19104
    TaxonomyUrology Physician
    NPI EnumeratedDecember 29, 2006

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

    Payer SourceTotal Paid
    Medicare$201.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…80$980$75.6K
    50543The provider uses a surgical laparoscopic technique to remove part of a kidney.30$1,220$40.1K
    38571The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…80$280$21K
    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…360$50$17.9K
    50545The provider removes a kidney including surrounding structures such as Gerota's fascia, nearby lymph nodes, adrenal glands, and fatty tissue.10$1,030$13.3K
    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…140$60$8.8K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…130$60$7.3K
    52234The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$200$3.2K
    52204The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder and takes biopsies…30$100$3K
    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…30$110$3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5054311020$1,230$24.5K
    5586612020$910$20K
    520008040070$140$13.9K
    5054511010$1,020$13.3K
    557007721020$260$8.4K
    992131,77722,37070$60$7.7K
    52234122020$370$7.3K
    5220442020$300$6K
    3857112020$270$5.4K
    992045,34510,29030$110$5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Of Penn-medical GroupPAEmergency Medicine Physician$0$21.5M
    University Of Penn-medical GroupPADiagnostic Radiology Physician$0$17.7M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    Bruce SaranPAOphthalmology Physician$2.9M$0
    University Of Penn-medical GroupPAClinical Medical Laboratory$1.2M$1.3M
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Aimee KrauszPADermatology Physician$1.4M$0
    Phoebe MellenPAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Hospital Of PhiladelphiaPAChildren's Hospital$0$286.9M
    Trustees Of The University Of PennsylvaniaPAGeneral Acute Care Hospital$0$84M
    House House Rehabilitation ServicesPACommunity/Behavioral Health Agency$0$32.8M
    Childrens Health Care Associates, IncPAPediatric Emergency Medicine (Emergency Medicine) Physician$0$24.2M
    Presbyterian Medical Center Of The University Of Pennsylvania Health SPAGeneral Acute Care Hospital$0$23.3M
    Horizon House, Inc.PACommunity/Behavioral Health Agency$0$13.9M
    Tricounty Medical Equipment And Supply, LLCPADurable Medical Equipment & Medical Supplies$0$13.1M
    Dunbar Strategic Consulting GroupPACommunity/Behavioral Health Agency$0$10.8M
    Intercultural Family Services, Inc.PAHealth Service Psychologist$0$10.7M
    Aspire Autism Inc.PACommunity/Behavioral Health Agency$0$9.9M

    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. Pennsylvania Distribution
    Thomas Guzzo — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania