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    OpenPayerNPI Medicare & MedicaidCecilia Capuano King
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    Cecilia Capuano King — Billing Profile & Reimbursement Data

    NPI 1336232388 · Smithtown, NY · Podiatrist

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    Cecilia Capuano King is a podiatrist provider located in Smithtown, New York. This profile covers 8 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)

    FieldValue
    Entity TypeIndividual
    OrganizationCecilia Capuano King
    Address61 Route 111
    CitySmithtown
    StateNY
    ZIP11787
    TaxonomyPodiatrist
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$143.5K
    Medicaid$800

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.970$70$68.7K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.960$40$37.6K
    11765The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail.140$150$20.1K
    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…100$80$8.2K
    99203The 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…50$100$5.2K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…50$60$2.8K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.20$30$510
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…20$20$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1105635760140$70$18.5K
    117211491,270260$40$16.1K
    1176595030$140$15.4K
    9921313,54331,44080$70$12.1K
    992033,80211,36030$90$4.7K
    993428421030$60$3.9K
    2954015820040$20$2K
    7362037352030$20$1.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$50$800

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…17,29719,110360$70$321K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph RuffoNYPodiatrist$333.9K$0
    Edward KormyloNYFoot & Ankle Surgery Podiatrist$301.1K$0
    Kristina KarlicNYFoot & Ankle Surgery Podiatrist$213.5K$80
    Edward KormyloNYFoot Surgery Podiatrist$144K$4.6K

    Nearby Providers

    Other providers in the same ZIP code as Cecilia Capuano King, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Companions, Inc.NYHome Health Agency$0$100M
    Planned Parenthood Hudson Peconic Inc.NYAmbulatory Family Planning Facility$0$25.1M
    Timothy GrothNYPain Medicine (Anesthesiology) Physician$2.4M$357.5K
    Luna Healing Solution IncNYDiagnostic Ultrasound Physician$1.1M$1.3M
    Noshir DacostaNYHematology & Oncology Physician$2.3M$12.6K
    Mcclain Laboratories LLCNYAnatomic Pathology & Clinical Pathology Physician$1.7M$385.6K
    Donna SerureNYDermatology Physician$1.8M$21.5K
    Hong XuNYRheumatology Physician$1.7M$0
    Armen OvsepianNYSpecialist$1.6M$3.9K
    Luiziana MarinescuNYRheumatology Physician$1.6M$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.

    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. New York Distribution
    Cecilia Capuano King — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Cecilia Capuano King — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York