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    OpenPayerNPI Medicare & MedicaidNicholas Maruniak
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    Nicholas Maruniak — Billing Profile & Reimbursement Data

    NPI 1235190356 · Oxford, FL · Anatomic Pathology & Clinical Pathology Physician

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    Nicholas Maruniak is a anatomic pathology & clinical pathology physician provider located in Oxford, Florida. This profile covers 61 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
    OrganizationNicholas Maruniak
    Address12109 County Road 103
    CityOxford
    StateFL
    ZIP34484
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMarch 29, 2006

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

    Payer SourceTotal Paid
    Medicare$5.5M
    Medicaid$0

    Key Findings

    This provider’s payment footprint is effectively single‑payer: lifetime Medicare revenue is $5.5M while there is no Medicaid billing on file, so all documented public-payer activity is Medicare-driven and any Medicaid exposure is nil in the recorded data. That imbalance implies the operational and contracting focus shown here is concentrated on Medicare beneficiaries and Medicare fee schedules.

    Revenue is strongly concentrated in a small set of laboratory/pathology services: the precomputed top 3 Medicare codes account for 51.6% of total Medicare revenue, driven by 87798 ($1.4M, 26.8% of Medicare revenue), 88120 ($878K, 16.7%), and 84153 ($424.2K, 8.1%). Those three codes alone make up over half of the provider’s Medicare receipts, which indicates a narrow set of services producing the bulk of income.

    The code mix indicates a lab‑ and pathology‑centric operation with a heavy emphasis on molecular diagnostics and prostate-related testing. High-revenue codes include amplified nucleic acid probe procedures (87798) and anatomic/cytopathology procedures such as 88120 and G0416, while PSA testing (84153) and free PSA (84154) further point to substantial urology/prostate specimen volume.

    The provider is a high-volume NAAT (nucleic acid amplification test) operator: multiple amplified probe codes appear in the top list with substantial claim counts and revenue, for example 87481 (7.6K claims, $259.3K), 87556 (3.2K claims, $132.6K), and 87651 (3.2K claims, $109.8K). This pattern — repeated listing of organism-specific NAAT codes — supports that molecular infectious-disease testing is a core service line rather than an occasional add-on.

    On competitive standing the provider is a national outlier for several pathology services: 84153 ranks #28 of 8151 providers (100th percentile; labeled an "extreme outlier"), 88112 ranks #7 of 4868 (100th percentile; "extreme outlier"), and G0416 ranks #4 of 2465 (100th percentile; "extreme outlier"). At the same time 88120 ranks #6 of 232 (98th percentile; "notably above typical"), indicating dominant national positioning in multiple, high-value pathology niches.

    The profile is heterogeneous across codes: some high-revenue items are flagged as "extreme outlier" or "notably above typical" while others are characterized as "typical, unremarkable" at similar percentiles (for example 87798 is #46 of 1319, 97th percentile; labeled "typical, unremarkable"), suggesting the provider is exceptional in specific specialty assays but more typical on broader lab services.

    Operationally the practice combines very high throughput, low-unit‑price testing with lower-frequency, higher‑unit‑price procedures. For example, 84153 shows 23.6K claims at $18 avg paid/claim (total $424.2K), whereas 88120 is 1.9K claims at $454 avg paid/claim (total $878K); that mix is consistent with a lab that runs mass screening panels alongside specialized cytogenetic/cytopathology work.

    The provider’s NPI was enumerated 2006-03-29 (~20 years ago), indicating long tenure in the Medicare program that aligns with sustained total Medicare revenue of $5.5M. Coupled with the absence of Medicaid billing on file, this longevity supports a stable, Medicare-focused practice footprint rather than recent or transient billing activity.

    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.

    61 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…41,330$30$1.4M
    88120The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…1,930$450$878K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…23,570$20$424.2K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…7,440$50$372.1K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method1,270$280$351.1K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.7,630$30$259.3K
    87086Culture, bacterial; quantitative, colony count, urine.22,550$10$180.4K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.5,330$30$133.3K
    87556The lab analyst performs a test for Mycobacterium tuberculosis using amplified nucleic acid probe technique. Mycobacteria tuberculosis are sometimes called acid fast bacteria because of the special…3,240$40$132.6K
    84154The lab analyst performs a test to evaluate the level of free prostate specific antigen, called free PSA, in a patient specimen such as serum.6,690$20$120.4K

    Showing 1–10 of 61

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    61 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877983110590$30$218.6K
    88305200980570$40$83.5K
    8812012070$350$78K
    87481480340$30$72.8K
    87511210220$30$60.4K
    87640370210$30$30.9K
    87653470180$30$30.8K
    87500770190$30$29.6K
    8755611040$40$27.9K
    87563430180$30$22.9K

    Showing 1–10 of 61

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicolas ZouainFLRadiation Oncology Physician$2.4M$0
    Michael ChancellorFLRadiation Oncology Physician$2.3M$0
    Paul JoFLSpecialist$1.3M$0
    Hasan MurshedFLRadiation Oncology Physician$1.2M$0
    Andrew SherFLUrology Physician$604.4K$0
    David HarrisFLUrology Physician$582.9K$0
    Denis HealeyFLUrology Physician$559K$0
    Mitchell KlavansFLUrology Physician$546.3K$0
    Dinesh RaoFLUrology Physician$492.4K$0
    Chad HubsherFLUrology Physician$474K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Surgery Center Of OxfordFLAmbulatory Surgical Clinic/Center$3.1M$0
    Nalini YelamanchiFLInternal Medicine Physician$576.2K$0
    Saumilkumar KaravadiaFLUrology Physician$467K$0
    Richard RoachFLUrology Physician$307.2K$0
    Carole GordonFLUrology Physician$249.1K$0
    Jennifer MontgomeryFLOccupational Therapist$148.3K$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. Florida Distribution
    Nicholas Maruniak — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida