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    OpenPayerNPI Medicare & MedicaidBenjamin Susco
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    Benjamin Susco — Billing Profile & Reimbursement Data

    NPI 1336329671 · Washington, PA · Cardiovascular Disease Physician

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    Benjamin Susco is a cardiovascular disease physician provider located in Washington, Pennsylvania. This profile covers 24 Medicare and 8 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
    OrganizationBenjamin Susco
    Address125 N Franklin Dr Ste 1
    CityWashington
    StatePA
    ZIP15301
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedNovember 4, 2007

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

    Payer SourceTotal Paid
    Medicare$87.8K
    Medicaid$43.8K

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…320$90$27.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…280$50$13.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…140$90$12.5K
    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…60$90$5.4K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…70$50$3.9K
    93798The provider supervises the patient while the patient exercises and reviews the patient’s diet with him or her. The patient exercises with continuous ECG monitoring.320$10$3.2K
    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…30$120$3K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…300$10$3K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…40$70$2.9K
    93356The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.240$10$1.9K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933064121,130220$70$19.1K
    992143,86223,230100$80$14.5K
    992331,8306,63070$90$12K
    992329,25910,87080$60$9.6K
    7845220773050$130$8.7K
    992045,68310,29030$110$5K
    992221,5597,85030$100$4.3K
    9335112424020$110$3K
    93798110230$10$2.9K
    930101,9932,330140$10$2.4K

    Showing 1–10 of 24

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…550$40$22K
    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$40$8.5K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.700$10$5.6K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…220$20$3.3K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…100$20$2.1K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…100$10$1.4K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$60$970
    3008FNo Summary found for this code150$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4,0398,160210$60$68.4K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…135550160$80$58.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…9813070$150$27.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.3621,290230$10$17.8K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…150410100$20$14.8K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…217060$20$4.2K
    93018The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…248050$20$3.5K
    3008FNo Summary found for this code7611,640130$1$90

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jefferson Regional Medical CenterPAGeneral Acute Care Hospital$0$12.7M
    West Penn Allegheny Health System Inc.PAGeneral Acute Care Hospital$0$8.2M
    Richard KimSCRheumatology Physician$3.6M$0
    Thierry VerstraetenPAOphthalmology Physician$894.3K$45K
    Allegheny ClinicPARadiology Clinic/Center$842K$0
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Carol MayfieldPAFamily Nurse Practitioner$568.5K$0
    Angela StupiPARheumatology Physician$472.5K$27.1K
    Philip McdonaldFLDiagnostic Radiology Physician$444.3K$42.8K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Positive Recovery Solutions, LLCPAGeneral Practice Physician$0$29.2M
    The Care CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$19.5M
    Phoenix-washington, Inc. - Tdba Greenbriar Treatment CenterPASubstance Abuse Rehabilitation Facility$0$17.4M
    Gateway Rehabilitation CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$14.6M
    Trpil Community ServicesPAHome Health Agency$0$12.4M
    Upmc WashingtonPAGeneral Acute Care Hospital$0$11.2M
    Ambulance And Chair Ems, IncPALand Ambulance$904.2K$5.6M
    Abstinent Living At The Turning Point At Washington, IncPAAddiction (Substance Use Disorder) Counselor$0$5.9M
    E. Ronald Salvitti, M.d., Inc.PAAmbulatory Surgical Clinic/Center$986.7K$20.9K
    Guy AvolioPAEmergency Medicine Physician$558.1K$234.2K

    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. Pennsylvania Distribution
    Benjamin Susco — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Benjamin Susco — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania