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    OpenPayerNPI Medicare & MedicaidGerald Marsocci
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    Gerald Marsocci — Billing Profile & Reimbursement Data

    NPI 1386649523 · Cranston, RI · Surgery Physician

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    Gerald Marsocci is a surgery physician provider located in Cranston, Rhode Island. This profile covers 5 Medicare and 2 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
    OrganizationGerald Marsocci
    Address725 Reservoir Ave
    CityCranston
    StateRI
    ZIP02910
    TaxonomySurgery Physician
    NPI EnumeratedJune 15, 2005

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

    Payer SourceTotal Paid
    Medicaid$67K
    Medicare$12.6K

    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.

    5 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…90$50$4.7K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.50$70$3.6K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…100$30$2.7K
    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…10$60$730
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.20$30$660

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992137831,95070$60$7.4K
    97597103070$40$5.8K
    1527111050$70$3.6K
    9920353758030$70$3.6K
    1725041070$40$2.6K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…160$430$66.6K
    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…30$10$360

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    2 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…1,7822,050300$50$72.3K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…710210$110$45.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    St. Joseph Health Services Of RiRIGeneral Acute Care Hospital$0$5.9M
    Thomas DefantiCTAddiction Medicine (Psychiatry & Neurology) Physician$0$3.6M
    Matthew DowneyRIPediatric Dentistry$0$2.8M
    Chelsy CarenRIObstetrics & Gynecology Physician$0$2.3M
    John KiangRIPediatric Dentistry$0$1.3M
    Daniel KaneRIPediatric Dentistry$0$1.2M
    Stephanie AvilaRIAdvanced Practice Midwife$0$1.1M
    Yvonne WolnyRIPublic Health Dentistry$0$1M
    William GordonRIOrthodontics and Dentofacial Orthopedics Dentistry$0$1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joy Home Care Inc.RIHome Health Agency$0$75.4M
    Hope Nursing Home Care, LLCRIHome Health Agency$0$70.6M
    Codac IncRISubstance Use Disorder Rehabilitation Clinic/Center$0$54.3M
    Spurwink RiRIDevelopmentally Disabled Services Day Training Agency$0$39.1M
    Alee Behavioral HealthcareRIBehavior Analyst$0$22M
    Homecare Advantage Inc.RINursing Care Agency$0$12.9M
    Ocean State Dental Group IncRIDentist$0$7.9M
    Home Care Networks, LLCRIHome Health Aide$0$5.7M
    Park Avenue Senior Care, IncRIAdult Day Care Clinic/Center$0$3M
    Cranston Public SchoolsRILocal Education Agency (LEA)$0$2.7M

    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. Rhode Island Distribution
    Gerald Marsocci — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Gerald Marsocci — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island