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

    NPI 1427437763 · Tinton Falls, NJ · Orthopaedic Surgery Physician

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    Benjamin Giliberti is a orthopaedic surgery physician provider located in Tinton Falls, New Jersey. This profile covers 9 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
    OrganizationBenjamin Giliberti
    Address776 Shrewsbury Ave
    CityTinton Falls
    StateNJ
    ZIP07724
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMay 20, 2015

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

    Payer SourceTotal Paid
    Medicare$40.8K
    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.

    9 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…190$70$13K
    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…80$100$7.9K
    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…50$130$6.6K
    72114In this diagnostic service, the provider performs a complete radiological study of the lumbar spine. He performs a minimum of six views that include the bending views of the spine.100$50$5.2K
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…60$40$2.4K
    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…30$80$2.3K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…60$30$2.1K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.20$30$640
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.10$40$570

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,70413,640130$90$23.6K
    992134,32514,090100$70$13.1K
    992042,4177,16040$130$6.5K
    992033,3705,66040$80$4.8K
    7211047256030$40$1.8K
    7210011870030$30$1.1K
    720502430020$40$1.1K
    7211417020$40$920
    7204015330020$30$770

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fordham-lewis Consulting, L.L.C.NJCommunity/Behavioral Health Agency$0$25.6M
    Premier Mental & Behavioral Services, IncNJMental Health Clinic/Center (Including Community Mental Health Center)$0$8.4M
    Pathology Solutions LLCNJClinical Medical Laboratory$2.4M$5.4M
    Advanced Endoscopy & Surgical Center LLCNJAmbulatory Surgical Clinic/Center$1.2M$4.1M
    A2z Diagnostics LLCNJClinical Medical Laboratory$1.1M$3.2M
    Center For Ambulatory And Minimally Invasive Surgery LLCNJAmbulatory Surgical Clinic/Center$1.6M$697K
    Atlantic Surgery Center,llcNJAmbulatory Surgical Clinic/Center$2.3M$0
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Hackensack Meridian Ambulatory Care, Inc.NJHome Infusion Therapy Pharmacy$116.6K$1.5M
    Eran ZacksNJClinical Cardiac Electrophysiology Physician$870.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Benjamin Giliberti — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey