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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJack Costa
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    Jack Costa — Billing Profile & Reimbursement Data

    NPI 1144393935 · Fairfax, VA · Dermatology Physician

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    Jack Costa is a dermatology physician provider located in Fairfax, Virginia. This profile covers 25 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJack Costa
    Address3650 Joseph Siewick Dr
    CityFairfax
    StateVA
    ZIP22033
    TaxonomyDermatology Physician
    NPI EnumeratedNovember 17, 2006

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

    Payer SourceTotal Paid
    Medicare$253.1K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27323The provider removes a sample of suspicious superficial soft tissue from the thigh or knee. She submits the specimen to a laboratory for analysis to determine its nature.190$240$46.8K
    27613The provider excises a lesion from the skin of the leg or ankle area. He sends the tissue for pathological evaluation. He performs this procedure to diagnose the nature of the skin lesion.190$160$29.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…150$160$23.6K
    21920The provider performs a biopsy of the superficial, or surface level, soft tissue in the back or flank area to obtain a sample of suspicious tissue, such as a small lump immediately under the skin. He…160$140$22.2K
    21550The provider excises a small portion of soft tissue in the neck or chest for analysis and diagnosis of a suspected medical condition, such as cancer or infection.110$190$21.7K
    24065In this procedure, the provider performs a biopsy of a lump present in the upper arm and elbow area to determine whether it is cancerous.120$160$18.5K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.220$80$16.6K
    25065The provider removes a sample of suspicious tissue from the superficial soft tissues of forearm and or wrist. He submits it to a laboratory for analysis to determine its nature.70$170$11.7K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.270$40$9.3K
    27040In this procedure, the provider performs a biopsy of the superficial soft tissue of the pelvis and hip area. He performs this to determine whether a patient's cells are malignant or benign, or in…30$270$8.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27323110190$240$46.7K
    27613110190$160$29.4K
    21920110160$140$22.2K
    21550110110$190$21.6K
    24065110120$160$18.5K
    17110245530120$80$13.7K
    17000255580210$40$12.4K
    2506511070$170$11.7K
    9921311,46012,44090$60$10K
    992155344,03040$120$9.5K

    Showing 1–10 of 25

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$33.5M
    Trusted Doctors LLCVAPediatrics Physician$0$13.6M
    Apollo Home Healthcare LLCVAHome Health Agency$0$12.2M
    Daniel ChongVAHematology & Oncology Physician$1.1M$0
    Northern Virginia Surgery Center LLCVAAmbulatory Surgical Clinic/Center$953.6K$54.4K
    Metropolitan Laboratory Services IncVAClinical Medical Laboratory$878.7K$63.4K
    Jeffrey ScottVAMOHS-Micrographic Surgery Physician$875.4K$0
    Malgorzata GradzkaVARheumatology Physician$764.7K$0
    Bradley BoydVAOrthopaedic Surgery Physician$573.8K$0
    Mitchell StashowerVASpecialist$379.6K$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
    Jack Costa — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia