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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Scalia
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    Peter Scalia — Billing Profile & Reimbursement Data

    NPI 1285633321 · Wall, NJ · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Peter Scalia is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Wall, New Jersey. This profile covers 19 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
    OrganizationPeter Scalia
    Address1540 Hwy 138
    CityWall
    StateNJ
    ZIP07719
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedJuly 20, 2005

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

    Payer SourceTotal Paid
    Medicare$218.9K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    32652Using a video–assisted endoscopic approach, the provider strips away the thin membrane layer surrounding the lung, removing adhesions in the pleural space and dividing tissues attaching the lungs to…20$1,410$31K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…280$110$30K
    32663This procedure involves visualizing the chest cavity and the lobe of the lung to remove it.20$1,110$17.7K
    33025The provider creates an opening in the pericardium to facilitate drainage of pericardial fluids.30$640$17.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$70$16.5K
    32656This procedure involves visualizing the chest cavity with an endoscope and performing a parietal pleurectomy, or removing the pleura from the chest cavity.40$420$15.1K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.30$440$13.5K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…310$40$13.1K
    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…160$70$11.9K
    32666This procedure involves visualizing the chest cavity and the lung in order to resect, or remove, a section of the lung where a mass or nodule is located.20$570$10.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3265221020$1,460$32.1K
    992148,94913,640130$90$23.6K
    992322,0196,220120$70$18.4K
    3266341010$890$14.2K
    3265611020$520$13.5K
    992135,01414,090100$70$13.1K
    3266641020$520$12.4K
    33208278020$430$11.9K
    9388075088040$130$10.2K
    3302531020$310$8.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anthony SquillaroNJThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$415.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hubert FrankeNJGeneral Practice Physician$2M$0
    Danielle YeagerNJDermatology Physician$618.9K$0
    Sushil MehandruNJNephrology Physician$441.3K$0
    Michael CosulichNJDermatology Physician$388.6K$0
    Simon SalernoNJNeurological Surgery Physician$305.4K$0
    Harold CotlerNJFamily Medicine Physician$300.1K$0
    Anil SharmaNJSpecialist$274.3K$0
    Franklin FrascoNJVascular Surgery Physician$257.6K$0
    Kim MoralesNJPhysician Assistant$252.2K$0
    Charles DaknisNJSpecialist$231.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Peter Scalia — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey