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    OpenPayerNPI Medicare & MedicaidJames Pugliano
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    James Pugliano — Billing Profile & Reimbursement Data

    NPI 1346251030 · Moline, IL · Clinical Social Worker

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    James Pugliano is a clinical social worker provider located in Moline, Illinois. This profile covers 1 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
    OrganizationJames Pugliano
    Address2100 52nd Ave
    CityMoline
    StateIL
    ZIP61265
    TaxonomyClinical Social Worker
    NPI EnumeratedAugust 10, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6K
    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90839In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…20$80$1.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9083931020$80$2.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$12.8M
    The Robert Young Center For Community Mental HealthILSubstance Use Disorder Rehabilitation Clinic/Center$0$9.5M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$7.1M
    Trinity Medical CenterIAGeneral Acute Care Hospital$0$5.2M
    Hammond Henry Dist HospitalILRural Health Clinic/Center$0$4.4M
    Stanley MathewIAPhysical Medicine & Rehabilitation Physician$1.7M$31.9K
    Sora ReddyILInterventional Cardiology Physician$1.3M$81K
    Aswartha PothulaILInterventional Cardiology Physician$870.4K$121.2K
    Mazen Abdel-hadiILPulmonary Disease Physician$481.8K$461.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ji MaILDentist$0$7.1M
    City Of MolineILAmbulance$421K$4.8M
    Bethany For Children & FamiliesILMental Health Clinic/Center (Including Community Mental Health Center)$0$5M
    Unitypoint At HomeILHome Health Agency$0$3.5M
    Community Health Care, Inc.ILFederally Qualified Health Center (FQHC)$0$3.3M
    May YazejiILSpecialist$18.8K$1.6M
    Pamela Papas-cordenILAnatomic Pathology & Clinical Pathology Physician$442.5K$923.7K
    Rsc Illinois LLCILAmbulatory Surgical Clinic/Center$822.5K$407.9K
    Sanjeev PuriILInterventional Cardiology Physician$847.7K$91.6K
    Param SinghILInterventional Cardiology Physician$806.3K$72.8K

    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. Illinois Distribution
    James Pugliano — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois