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    OpenPayerNPI Medicare & MedicaidJohn Caruso
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    John Caruso — Billing Profile & Reimbursement Data

    NPI 1285654632 · Hagerstown, MD · Neurological Surgery Physician

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    John Caruso is a neurological surgery physician provider located in Hagerstown, Maryland. This profile covers 15 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
    OrganizationJohn Caruso
    Address17 Western Maryland Pkwy
    CityHagerstown
    StateMD
    ZIP21740
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$107.8K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…30$870$27.1K
    63081The provider excises (removes) part or all of a cervical vertebra via an frontal (anterior) approach and decompresses the spinal cord and/or nerve roots at a single level in the neck.10$1,390$18.1K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…40$320$11.8K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$620$7.5K
    22554The provider performs arthrodesis, also known as spinal fusion, in the neck, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…10$550$7.1K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.40$170$7K
    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…50$120$5.6K
    22585The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging,…20$270$5.6K
    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…50$90$4.2K
    22854The provider inserts a metallic cage or mesh device(s) to cover one or more defects caused by the complete or partial removal (resection) of a vertebral body (corpectomy) and may use screws or…10$270$3.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,04110,270150$90$24.1K
    22614618060$280$20.6K
    6308131020$1,020$18.4K
    630473011020$620$16.8K
    22842738020$500$13.1K
    992138,1379,280100$60$12.5K
    992153,6004,07050$120$10.9K
    992042,3345,38040$120$7.3K
    63048409040$150$7.3K
    2255431020$390$6.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    City Hospital, Inc.WVInternal Medicine Physician$0$1.9M
    Randall J. Hill, M.d., P.L.L.C.WVSpecialist$0$1.9M
    E. Ronald Salvitti, M.d., Inc.PAAmbulatory Surgical Clinic/Center$986.7K$20.9K
    Peter CampbellLANeurological Surgery Physician$839K$0
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    David WeberPASpecialist$292.8K$498.8K
    Matthew OliverioPAOtolaryngology Physician$175.2K$514.5K
    Ehab YoussefMIDiagnostic Radiology Physician$613.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. David M. Vieth 2, P.C.MDGeneral Practice Dentistry$0$77.8M
    Potomac Case Management Services, Inc.MDCase Management Agency$0$28M
    Phoenix Health Center LLCMDMethadone Clinic$507.7K$21.4M
    Awakenings Recovery Center, LLCMDSubstance Abuse Rehabilitation Facility$0$19.8M
    Qualitycare Internet, LLPMDMental Health Counselor$0$19.4M
    Walnut Street Community Health Center, Inc.MDFederally Qualified Health Center (FQHC)$0$19.3M
    Board Of Education Of Washington CountyMDLocal Education Agency (LEA)$0$19.1M
    Center For Pain Management, LLCMDInterventional Pain Medicine Physician$0$18.9M
    Metro Treatment Of Maryland LPMDCommunity/Behavioral Health Agency$361K$16.6M
    The Western Maryland Counseling CenterMDCommunity/Behavioral Health Agency$0$16.5M

    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. Maryland Distribution
    John Caruso — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland