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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVincent Sammarco
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    Vincent Sammarco — Billing Profile & Reimbursement Data

    NPI 1174593479 · Cincinnati, OH · Sports Medicine (Orthopaedic Surgery) Physician

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    Vincent Sammarco is a sports medicine (orthopaedic surgery) physician provider located in Cincinnati, Ohio. This profile covers 22 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
    OrganizationVincent Sammarco
    Address8099 Cornell Rd.
    CityCincinnati
    StateOH
    ZIP45249
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedJanuary 26, 2006

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

    Payer SourceTotal Paid
    Medicare$108K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…440$60$25.8K
    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…160$90$14.2K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.460$30$11.8K
    J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose20$560$11.2K
    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…50$100$5.3K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.30$170$4.8K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.140$30$3.7K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…60$60$3.7K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$190$3.6K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…40$80$3.5K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7327384040$550$28.6K
    2068081020$560$12.2K
    992146,70120,010100$70$11.7K
    2828572030$380$11.1K
    2061116928060$70$6.8K
    9921389320,00070$50$6.6K
    7372125635040$70$6.2K
    992042,1278,33030$100$4.4K
    992032,0406,38030$60$2.9K
    7371811013020$80$2.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adolph LombardiOHAdult Reconstructive Orthopaedic Surgery Physician$472K$0
    Michael SwankOHOrthopaedic Surgery Physician$343.1K$0
    Aarti SinglaOHPain Medicine (Physical Medicine & Rehabilitation) Physician$341.6K$0
    Michael MorrisOHAdult Reconstructive Orthopaedic Surgery Physician$322.4K$0
    Emily DixonOHSports Medicine (Family Medicine) Physician$303.5K$0
    Robert RolfOHOrthopaedic Surgery Physician$303.1K$0
    Brian BraithwaiteFLPain Medicine (Anesthesiology) Physician$299.9K$0
    Gregory SarkisianOHOrthopaedic Surgery Physician$292.9K$0
    Martin TaylorOHNeurology Physician$290K$0
    Haleem ChaudharyOHOrthopaedic Surgery Physician$288K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitas Healthcare Corporation Of OhioOHCommunity Based Hospice Care Agency$0$44.2M
    Optum Infusion Services 550, LLCOHHome Infusion Therapy Pharmacy$0$6.9M
    Irfan FirdausOHMedical Oncology Physician$880K$0
    Madhukar GuptaOHClinical Cardiac Electrophysiology Physician$329.6K$0
    Matthew LangenderferOHSports Medicine (Orthopaedic Surgery) Physician$266.8K$0
    Atul ChandokeOHPain Medicine (Anesthesiology) Physician$240.6K$0
    Joshua MurphyOHAdult Reconstructive Orthopaedic Surgery Physician$231.6K$0
    Kristine ZitelliOHDermatology Physician$188.3K$0
    Kevin ShawOHSports Medicine (Orthopaedic Surgery) Physician$169.5K$0
    Gururau SudarshanOHPain Medicine (Anesthesiology) Physician$154.2K$730

    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. Ohio Distribution
    Vincent Sammarco — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio