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    OpenPayerNPI Medicare & MedicaidPaul Ciavarelli
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    Paul Ciavarelli — Billing Profile & Reimbursement Data

    NPI 1255344347 · Opelika, AL · Podiatrist

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    Paul Ciavarelli is a podiatrist provider located in Opelika, Alabama. This profile covers 11 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
    OrganizationPaul Ciavarelli
    Address2304 Gateway Dr Ste B
    CityOpelika
    StateAL
    ZIP36801
    TaxonomyPodiatrist
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$81.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.840$30$24.4K
    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…220$70$16.3K
    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…150$110$16.2K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.130$60$7.3K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.130$60$6.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.180$20$3.9K
    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…50$50$2.4K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…20$80$1.4K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.30$30$1.1K
    76881In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…30$40$1.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,3237,330120$80$16.8K
    1172113100290$30$12.1K
    992133,9926,47080$50$7.9K
    110561960100$50$7.1K
    1105762080$60$5.6K
    992041163,75030$100$4.8K
    117205160100$20$4.4K
    11055365050$40$2.9K
    10060204020$80$2.2K
    76881142030$30$1.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Select Physical Therapy Holdings IncAKPhysical Therapy Clinic/Center$0$1.6M
    Select Physical Therapy Holdings IncMEPhysical Therapy Clinic/Center$0$741.5K
    Select Physical Therapy Holdings, Inc.AKPhysical Therapy Clinic/Center$0$467.1K
    Nic SparrowNVPhysical Therapist$311.5K$74.4K
    Dennis WhiteselDEPhysical Therapist$217.4K$0
    Michael O'brienMDPhysical Therapist$211.5K$0
    Robert DawsonMDPhysical Therapist$200.7K$0
    Scott CameronCTPhysical Therapist$164.3K$0
    Jason BaynardCOPhysical Therapist$126.4K$0
    Adam Rapp-diminoSCPhysical Therapist$123.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Clinic LLCALPediatrics Physician$0$24.9M
    The East Alabama Health Care AuthorityALGeneral Acute Care Hospital$0$6.2M
    Pediatric Associates Of AuburnALPediatric Adolescent Medicine Physician$0$4.2M
    East Alabama Ems, LLCALAmbulance$1.1M$2.6M
    Eamc Er PhysiciansALEmergency Medical Services (Emergency Medicine) Physician$0$2.6M
    Gw Stone Capital LLCALOptometrist$0$2.2M
    Lee County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$2M
    Premier Ob/gyn, LLCALObstetrics & Gynecology Physician$0$1.9M
    Eamc Physicians GroupALGeneral Practice Physician$0$1.1M
    East Alabama Ear, Nose, & Throat, PCALOtolaryngology Physician$0$869.3K

    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.

    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. Alabama Distribution
    Paul Ciavarelli — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama