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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Marchese
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    Charles Marchese — Billing Profile & Reimbursement Data

    NPI 1417061854 · Manalapan, NJ · Podiatrist

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    Charles Marchese is a podiatrist provider located in Manalapan, New Jersey. This profile covers 30 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
    OrganizationCharles Marchese
    Address145 Route 33
    CityManalapan
    StateNJ
    ZIP07726
    TaxonomyPodiatrist
    NPI EnumeratedAugust 19, 2006

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

    Payer SourceTotal Paid
    Medicare$469.5K
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4259Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)370$770$289.1K
    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…1,130$70$78.9K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.360$40$13.2K
    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…140$90$11.5K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.150$60$8.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$150$8.1K
    64450The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.110$70$7.4K
    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 cm2.60$110$6.5K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…50$120$6.1K
    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,…110$40$4.2K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4259110370$770$289.1K
    9921412,82613,640130$90$23.6K
    992333,7124,270110$100$22.5K
    992325,3496,220120$70$18.4K
    11044162060$210$18.4K
    11043549060$150$16.7K
    11721335750310$40$15.9K
    29581386070$60$13.6K
    9921321914,090100$70$13.1K
    992232,2844,98050$140$11.8K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roel GalopeNJSpecialist$1.9M$0
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Wadie TomaNJRheumatology Physician$1.4M$980
    Kathy LoNJRadiation Oncology Physician$1.2M$0
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Mark DeckerNYDiagnostic Radiology Physician$962K$141.1K
    Rosemarie DesantisNJRheumatology Physician$1.1M$0
    Gary TubmanNYDiagnostic Radiology Physician$617.9K$447.2K
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur MandatoNJCommunity/Behavioral Health Agency$0$33.5M
    Stress Care Of New Jersey, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$14.4M
    Ivy Pediatrics, PANJPediatrics Physician$0$11.7M
    Northern Monmouth Regional Surgery Center LLCNJAmbulatory Surgical Clinic/Center$1.1M$0
    Igor PrivenNJEndocrinology, Diabetes & Metabolism Physician$702.6K$9.6K
    John CovaleskyNJCardiovascular Disease Physician$569.3K$0
    Jatinchandra PatelNJCardiovascular Disease Physician$528.9K$0
    Mark PassNJGeriatric Medicine (Internal Medicine) Physician$496.5K$0
    Yelena BirgerNJInternal Medicine Physician$286.1K$157.6K
    Inessa GrinblatNJSpecialist$411.9K$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 Jersey Distribution
    Charles Marchese — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey