Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Quercetti
    Ask Trek AI about this page

    Nicholas Quercetti — Billing Profile & Reimbursement Data

    NPI 1235384561 · Wilmington, DE · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Nicholas Quercetti — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nicholas Quercetti is a orthopaedic surgery physician provider located in Wilmington, Delaware. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicholas Quercetti
    Address1941 Limestone Rd
    CityWilmington
    StateDE
    ZIP19808
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 1, 2008

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

    Payer SourceTotal Paid
    Medicare$141.2K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…20$960$23K
    G0413Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint…30$770$23K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…20$950$19K
    27506In this procedure, the provider performs an open reduction of the femoral shaft fracture with insertion of intramedullary fixation, with or without external fixation. The main goal of the procedure…20$1,050$17.8K
    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…170$90$15.2K
    99233The 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…100$90$8.5K
    G0414Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes…20$440$7.9K
    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$220$5.1K
    27829In this procedure, the provider surgically repairs the disrupted ligaments of the tibiofibular joint and secures the tibia and the fibula with plates and screws, wires, or pins.10$340$3.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$140$3.5K

    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
    992148561,830150$80$25.5K
    9923322050080$90$15.4K
    2068031020$490$14.2K
    2724562020$700$14.1K
    992131,5841,810120$60$13.6K
    G041311030$450$12.9K
    2723621020$640$11.6K
    9921539457040$120$11K
    2750611020$620$10K
    9920477995030$110$6.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dynamic Therapy Services LLCDEPhysical Therapist$0$12.8M
    Regional Orthopaedic Associates PADEOrthopaedic Surgery Physician$0$2.8M
    Steven DelloseDEOrthopaedic Surgery Physician$1M$0
    Selina XingDEPain Medicine (Physical Medicine & Rehabilitation) Physician$910.2K$300
    James RubanoDEOrthopaedic Surgery Physician$902.4K$0
    Mark EskanderDEOrthopaedic Surgery of the Spine Physician$564K$0
    John RowlandsDEInterventional Pain Medicine Physician$419K$0
    Nick PatelDEOrthopaedic Surgery Physician$345K$0
    Brian GalinatDEOrthopaedic Surgery Physician$268K$0
    Peter TownsendDEOrthopaedic Surgery Physician$250.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$9.2M
    Jp Nacchia & Associates, Inc.DEIn Home Supportive Care Agency$0$8.2M
    Macklyn Home CareDEHome Health Agency$0$6.2M
    Journeys LLCDEMental Health Counselor$0$5M
    Resouces For Human Development, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.3M
    Robert M Collins Dds PADEPediatric Dentistry$0$3.2M
    Rockland Surgery Center, L.P.DEAnesthesiology Physician$2.4M$280K
    Limestone Medical Center, LLCDEAmbulatory Surgical Clinic/Center$2.3M$242.7K
    Pace, Inc.DEAdult Mental Health Clinic/Center$0$2.3M
    Jmk Behavior, LLCDEIntellectual & Developmental Disabilities Psychologist$0$2.2M

    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. Delaware Distribution
    Nicholas Quercetti — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware