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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Esposito
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    Michael Esposito — Billing Profile & Reimbursement Data

    NPI 1154390458 · Maywood, NJ · Urology Physician

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    Michael Esposito is a urology physician provider located in Maywood, New Jersey. This profile covers 41 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
    OrganizationMichael Esposito
    Address255 W Spring Valley Ave
    CityMaywood
    StateNJ
    ZIP07607
    TaxonomyUrology Physician
    NPI EnumeratedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicare$376.9K
    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…940$90$87.1K
    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…800$100$78.9K
    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…930$70$65.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg190$140$25.6K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…100$220$21.3K
    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…100$130$12.3K
    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…10$700$9.7K
    0421TN/A20$610$9.1K
    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…30$220$6.7K
    64910In this procedure, the provider uses an artificial tube or passageway or vein from a living or cadaveric source , to fill a nerve gap and repair a nerve.20$300$6.3K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005340856090$10$50.8K
    841534724090$20$28.6K
    85025662750120$10$24.2K
    9921483713,640130$90$23.6K
    844037711050$30$22.1K
    J921731120130$130$22K
    5570681020$630$20.2K
    841548010060$20$16.3K
    5200023229070$190$15.5K
    5228175030$310$14.3K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Medical Of Upper East Side, PLLCNYUrgent Care Clinic/Center$0$641.6M
    Summit Medical Group, IncKYFamily Medicine Physician$0$95.1M
    St. Joseph's Healthcare, Inc.NJInternal Medicine Physician$0$31.7M
    St Josephs Medical Group PCNJInternal Medicine Physician$0$10.1M
    Glen GejermanNJRadiation Oncology Physician$6.5M$0
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Elizabeth FlemingNJAdult Health Nurse Practitioner$2.9M$0
    John SylvesterFLRadiation Oncology Physician$2.5M$0
    Eduard KaganNYRadiation Oncology Physician$2.1M$0
    Elan DiamondNJHematology & Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    My Home Adult Day Care CenterNJAdult Day Care Clinic/Center$0$42.7M
    Demetrios PanagiotouNJCardiovascular Disease Physician$911.1K$1.1K
    Martin GoldsteinNJUrology Physician$378.8K$0
    Andrew SiegelNJUrology Physician$331.6K$0
    Mutahar AhmedNJUrology Physician$320.2K$0
    Gregory LovalloNJUrology Physician$307.9K$0
    Thomas ChristianoNJUrology Physician$277.9K$0
    Vanguard Asc, LLCNJAmbulatory Surgical Clinic/Center$247K$0
    Adam FeintischNJPlastic and Reconstructive Surgery Physician$29K$0
    Janet YuehNJPlastic Surgery Physician$18.6K$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. New Jersey Distribution
    Michael Esposito — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey