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NPI 1265460539 · Morrisville, PA · Family Medicine Physician
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Joseph Pinciotti is a family medicine physician provider located in Morrisville, Pennsylvania. This profile covers 16 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Joseph Pinciotti |
| Address | 301 W Bridge St |
| City | Morrisville |
| State | PA |
| ZIP | 19067 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | June 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $25.6K |
| Medicaid | $270 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99204 | The 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 | $120 | $8.6K |
| 99214 | The 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… | 90 | $80 | $7.7K |
| 99213 | The 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… | 40 | $70 | $2.5K |
| 99203 | The 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… | 30 | $70 | $1.8K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 70 | $20 | $1.1K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 40 | $20 | $780 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 20 | $40 | $620 |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 10 | $40 | $570 |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 20 | $20 | $480 |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 20 | $20 | $350 |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 12,367 | 23,230 | 100 | $80 | $14.5K |
| 99213 | 15,298 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 1,693 | 10,290 | 30 | $110 | $5K |
| 99203 | 4,254 | 7,330 | 30 | $70 | $3.5K |
| 99212 | 3,859 | 4,720 | 30 | $40 | $2.3K |
| 73564 | 796 | 1,070 | 50 | $20 | $1.6K |
| 71046 | 888 | 1,700 | 70 | $10 | $1.6K |
| 87811 | 401 | 520 | 20 | $40 | $1.2K |
| 73630 | 723 | 1,430 | 40 | $20 | $1.2K |
| 73030 | 1,317 | 1,430 | 40 | $20 | $1.1K |
Showing 1–10 of 16
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 10 | $20 | $270 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 912 | 980 | 310 | $50 | $136.6K |
Other providers in the same ZIP code as Joseph Pinciotti, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Goldstar Rehabilitation Inc. | PA | Speech-Language Pathologist | $0 | $19.1M |
| Milestone Behavioral Health LLC | PA | Community/Behavioral Health Agency | $0 | $16.6M |
| Farhan Tahir | PA | Rheumatology Physician | $1M | $0 |
| Carmen Campanelli | PA | MOHS-Micrographic Surgery Physician | $808.7K | $0 |
| Christopher Schulze | PA | Clinical Cardiac Electrophysiology Physician | $625.3K | $0 |
| Joel Berman | PA | Diagnostic Radiology Physician | $614.9K | $0 |
| Adel Haque | PA | Dermatology Physician | $503.3K | $0 |
| Thomas Maclennan | PA | Diagnostic Radiology Physician | $469.2K | $0 |
| Adam Blechman | PA | MOHS-Micrographic Surgery Physician | $450.6K | $0 |
| Paul Grena | PA | Cardiovascular Disease Physician | $433.4K | $0 |
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