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NPI 1194736470 · Bay Shore, NY · Family Medicine Physician
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Anthony Rizzo is a family medicine physician provider located in Bay Shore, New York. This profile covers 45 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Anthony Rizzo |
| Address | 200 Howells Rd |
| City | Bay Shore |
| State | NY |
| ZIP | 11706 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | August 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $153.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
45 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 3,030 | $100 | $291.1K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 3,040 | $70 | $209.9K |
| 99214 | The 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… | 1,920 | $110 | $205.3K |
| 99213 | The 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… | 1,760 | $70 | $130K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 800 | $110 | $88.9K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 440 | $170 | $73.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 370 | $150 | $55.5K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 340 | $70 | $24.7K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 150 | $160 | $24.3K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 60 | $260 | $15.4K |
Showing 1–10 of 45
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
45 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99308 | 109 | 2,360 | 250 | $60 | $44.9K |
| 99309 | 40 | 2,150 | 220 | $90 | $41.7K |
| 99214 | 104 | 30,450 | 90 | $100 | $19K |
| 99306 | 37 | 1,060 | 60 | $150 | $16.6K |
| 99233 | 152 | 8,640 | 80 | $100 | $15.8K |
| 99291 | 1,683 | 4,680 | 50 | $190 | $15.2K |
| 99213 | 167 | 31,440 | 80 | $70 | $12.1K |
| G0439 | 99 | 6,290 | 50 | $130 | $11.2K |
| 98927 | 30 | 50 | 100 | $50 | $11K |
| 99223 | 717 | 8,650 | 40 | $150 | $9.3K |
Showing 1–10 of 45
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 2,300 | $20 | $52.9K |
| 99214 | The 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… | 1,160 | $30 | $38.2K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 3,550 | $10 | $35.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 4,170 | $10 | $25K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 810 | $1 | $810 |
| G0444 | Annual depression screening, 5 to 15 minutes | 190 | $1 | $560 |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 80 | $10 | $410 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 30 | $1 | $100 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 10 | $1 | $30 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 30 | $1 | $30 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 4,394 | 19,110 | 360 | $70 | $321K |
| 99214 | The 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… | 3,695 | 16,550 | 220 | $90 | $186.8K |
| 99204 | The 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… | 3,176 | 3,820 | 100 | $130 | $99.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,060 | 5,090 | 450 | $10 | $35.9K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 251 | 2,090 | 420 | $10 | $18.7K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 179 | 1,840 | 390 | $10 | $17.1K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 1,881 | 2,420 | 170 | $10 | $11.5K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 476 | 690 | 70 | $30 | $9.2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,215 | 1,450 | 290 | $1 | $8.5K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 1,600 | 1,790 | 180 | $1 | $8K |
Showing 1–10 of 15
Other providers in the same ZIP code as Anthony Rizzo, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| South Shore University Hospital | NY | General Acute Care Hospital | $0 | $47.3M |
| Gerry Rubin | NY | Hematology & Oncology Physician | $730.9K | $113.5K |
| Michael Nett | NY | Orthopaedic Surgery Physician | $718.3K | $3.7K |
| Louis Guida | NY | Specialist | $315.1K | $334.6K |
| Keith Reinhardt | NY | Orthopaedic Surgery Physician | $639.2K | $540 |
| Amit Sharma | NY | Interventional Pain Medicine Physician | $618K | $590 |
| Robert Chow | NY | Infectious Disease Physician | $560.9K | $0 |
| Laura Lennon | NY | Cardiovascular Disease Physician | $502.9K | $34.3K |
| John Muratori | NY | Family Medicine Physician | $495.2K | $10.4K |
| William Frank | NY | Nephrology Physician | $438.2K | $61.4K |
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