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    OpenPayerNPI Medicare & MedicaidAnthony De Marco
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    Anthony De Marco — Billing Profile & Reimbursement Data

    NPI 1205142304 · Union, NJ · Clinical Neuropsychologist

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    Anthony De Marco is a clinical neuropsychologist provider located in Union, New Jersey. This profile covers 7 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
    OrganizationAnthony De Marco
    Address1057 Commerce Ave
    CityUnion
    StateNJ
    ZIP07083
    TaxonomyClinical Neuropsychologist
    NPI EnumeratedAugust 26, 2010

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

    Payer SourceTotal Paid
    Medicare$45.3K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96133The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…160$80$13.6K
    96139A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.340$30$11.2K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…90$110$9.9K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…90$80$6.9K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.70$30$2.3K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…30$40$910
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…20$40$610

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    961331350120$80$13K
    9613973070$30$6.6K
    961374950170$30$6K
    961321210040$100$5.3K
    96116157040$70$4.6K
    96138196040$30$1.9K
    96136567030$30$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael LoretiNJSports Medicine (Internal Medicine) Physician$230.6K$0
    Mingi ChoiNJInterventional Pain Medicine Physician$75K$0
    Charles GellidoNJNeurology Physician$73.9K$0
    Mariusz StrusNJNurse Practitioner$5.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Anthony De Marco, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincoln Diagnostics LLCNJClinical Medical Laboratory$3.2M$24.3M
    Lifestation, Inc.NJEmergency Response System Companies$0$15.8M
    Full Circle Health Services LLCNJHome Health Agency$0$14M
    Apollo Clinical Laboratories Inc.NJClinical Medical Laboratory$825.9K$12.4M
    Gracious Home Care LLC.NJHome Health Agency$0$12.2M
    Bio-medical Applications Of New Jersey, Inc.NJEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.3M
    David KimNJRetina Specialist (Ophthalmology) Physician$3.4M$0
    New Jersey Interventional Associates LLCNJAmbulatory Surgical Clinic/Center$2.1M$750.5K
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    Frank TarantiniNJVascular Surgery Physician$1.9M$2.3K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Anthony De Marco — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey