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    OpenPayerNPI Medicare & MedicaidJoseph Sciarrino
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    Joseph Sciarrino — Billing Profile & Reimbursement Data

    NPI 1225262777 · Cumming, GA · Otolaryngology Physician

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    Joseph Sciarrino is a otolaryngology physician provider located in Cumming, Georgia. This profile covers 20 Medicare and 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Sciarrino
    Address4150 Deputy Bill Cantrell Memorial Rd
    CityCumming
    StateGA
    ZIP30040
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 13, 2009

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

    Payer SourceTotal Paid
    Medicare$185.3K
    Medicaid$10.6K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.5,090$10$50.9K
    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…590$60$36.6K
    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…360$90$31.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.130$130$16.4K
    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…70$110$7.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.800$10$6.4K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$80$6.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.190$30$5.7K
    99203The provider sees a new 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 provider…70$70$4.7K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.40$90$3.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,55113,640120$80$17.8K
    95165580880$10$15.1K
    312313023050$130$9.3K
    9921360713,36080$60$9.2K
    971121,7271,790300$20$9.2K
    992041,4197,26030$110$5.1K
    315756328050$90$4.9K
    95004651101,230$1$4.5K
    9511718130330$10$3.4K
    992031,1225,35030$70$3.3K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$100$4.2K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.10$260$3.4K
    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…30$70$2K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.110$10$890
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.20$10$190

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Georgia median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…774920370$60$360.6K
    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…658820390$70$245K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.1520110$200$105.6K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.4040230$30$47K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2530530$20$26.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Carolina Ent Allergy & Sleep Medicine PASCOtolaryngology Physician$0$16.7M
    Orville DyceSCOtolaryngology Physician$311.1K$52.5K
    Brian BooneSCOtolaryngology Physician$282K$14.5K
    Robert PuchalskiSCSleep Medicine (Otolaryngology) Physician$254.7K$20.6K
    Janaki EmaniSCOtolaryngology Physician$196.8K$17.1K
    David VidrineGAOtolaryngology Physician$163K$41.2K
    Ira UretzkySCOtolaryngology Physician$195.5K$0
    Liuba SoldatovaSCOtolaryngology Physician$167.7K$0
    Andrew BattiataSCOtolaryngology Physician$146.5K$0
    Natalie SciarrinoGAOtolaryngology Physician$107.4K$1000

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children And Teen Dental GroupGAGeneral Practice Dentistry$0$7.3M
    Renee L Waters, Md PCGAPediatrics Physician$0$1.7M
    Jagindra MangruGARheumatology Physician$1.6M$0
    Madhavi RayapudiGAInfectious Disease Physician$1.2M$0
    Vikram KhetpalGACardiovascular Disease Physician$912.2K$0
    Scott BeachGACardiovascular Disease Physician$842K$0
    Mehul BhattGAInterventional Cardiology Physician$718.2K$0
    Aman KakkarGACardiovascular Disease Physician$716.3K$0
    Omar KhanGARheumatology Physician$624.3K$0
    Nathan CleaverGADermatology Physician$594.3K$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. Georgia Distribution
    Joseph Sciarrino — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Joseph Sciarrino — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia