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    OpenPayerNPI Medicare & MedicaidRichard Falivena
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    Richard Falivena — Billing Profile & Reimbursement Data

    NPI 1154578227 · Cape May Court House, NJ · Surgery Physician

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    Richard Falivena is a surgery physician provider located in Cape May Court House, New Jersey. This profile covers 115 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
    OrganizationRichard Falivena
    Address2 Stone Harbor Blvd
    CityCape May Court House
    StateNJ
    ZIP08210
    TaxonomySurgery Physician
    NPI EnumeratedAugust 20, 2008

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

    Payer SourceTotal Paid
    Medicare$207.2K
    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.

    115 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2,270$10$18.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,480$10$14.8K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.80$170$13.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,340$10$10.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.720$10$9.4K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…310$30$9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…500$20$7.9K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…50$150$7K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…30$180$5.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…70$70$4.8K

    Showing 1–10 of 115

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 115 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    115 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    86480192050$60$110.8K
    U00037080110$70$101.7K
    862352940160$20$95.2K
    83880235070$40$83.4K
    826521010160$40$80.2K
    823063625050$30$79K
    83521133080$20$74K
    8444345380100$20$65.5K
    8006134370130$10$65.4K
    844021420110$20$57.3K

    Showing 1–10 of 115

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert DonnarummaNYEmergency Medicine Physician$181K$0
    Jeffrey HnathNYVascular Surgery Physician$159.9K$0
    Seth CapelloNYUrology Physician$87.6K$0
    Thomas FabianCTThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$77.1K$0
    Peter MoleskiNYEmergency Medicine Physician$66.1K$390
    Steven ClarkNYPhysician Assistant$54.4K$0
    Bradley RiceNYPhysician Assistant$54K$0
    Stephen VerdiniNYEmergency Medical Services (Emergency Medicine) Physician$39.9K$2.3K
    Bethany HawkeNYEmergency Medicine Physician$32.8K$690
    Eugene PellerinNYEmergency Medicine Physician$9.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of Cape May CountyNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$53.8M
    Cooper University Hospital Cape Regional IncNJGeneral Acute Care Hospital$0$39.6M
    Rainbow Pediatrics PCNJPediatrics Physician$0$9.3M
    Ars Of Rio Grande, LLCNJMethadone Clinic$139.7K$8.4M
    Atlanticare Surgery Center Cape May - L.L.C.NJAmbulatory Surgical Clinic/Center$779K$0
    Ankur ShahNJDiagnostic Radiology Physician$502.1K$0
    Subhash MehtaNJInternal Medicine Physician$449.5K$350
    Danielle PonzioNJOrthopaedic Surgery Physician$418.5K$0
    Cape Cataract Center, PCNJAmbulatory Surgical Clinic/Center$412.2K$0
    Domenic PastoreNJSpecialist$412.1K$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
    Richard Falivena — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey