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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnthony Marcucci
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    Anthony Marcucci — Billing Profile & Reimbursement Data

    NPI 1437174851 · Morgantown, WV · Family Medicine Physician

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    Anthony Marcucci is a family medicine physician provider located in Morgantown, West Virginia. This profile covers 12 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
    OrganizationAnthony Marcucci
    Address6000 Memorial Church Drive
    CityMorgantown
    StateWV
    ZIP26501
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$91.7K
    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.

    12 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…720$70$53.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…50$280$15.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$120$11.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…60$70$4.2K
    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…50$40$2.1K
    G0008Administration of influenza virus vaccine60$30$1.8K
    G0009Administration of pneumococcal vaccine50$30$1.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…10$70$950
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…20$30$480
    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$20$240

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214692,740100$70$11.8K
    G043917556060$120$9.3K
    992131,8212,86080$50$7.5K
    90677717020$270$6.5K
    9949710311040$60$5K
    9066213531050$70$4.6K
    G000825056050$30$2K
    7104626330040$10$1.3K
    G0179152020$30$940
    G00091023020$20$570

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monongalia County General Hospital CompanyWVGeneral Acute Care Hospital$0$16.3M
    Monongalia County General Hospital CompanyWVSpecialist$0$6.8M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    Caitlin CorbittWVPsychiatry Physician$18.2K$953.4K
    Adnan AlghadbanWVNeurology Physician$533K$0
    Dino DelaportasWVInfectious Disease Physician$293.1K$220.6K
    Zaid Abed Al-qudahWVClinical Neurophysiology Physician$380.4K$0
    Benjamin YanWVRadiation Oncology Physician$366K$0
    Marc FederNJUrology Physician$263.9K$0
    Suzanne GharibWVRheumatology Physician$249.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountaineer Home Medical, LLCWVOxygen Equipment & Supplies (DME)$0$3M
    Westover Project Associates LLCWVSubstance Abuse Rehabilitation Facility$0$2.9M
    Playworks LLCWVOccupational Therapist$0$1.7M
    Waterfront Urgent Care PLLCWVUrgent Care Clinic/Center$0$1M
    Adam KleinWVOrthopaedic Surgery Physician$155K$0
    William MitchellWVFamily Medicine Physician$123.8K$0
    Samantha JenkinsWVStudent in an Organized Health Care Education/Training Program$104.5K$0
    Brian DixonWVFamily Medicine Physician$85.5K$0
    Larissa CasaburiWVDiagnostic Radiology Physician$60.4K$23.7K
    Brandon ByronWVFamily Medicine Physician$73.9K$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. West Virginia Distribution
    Anthony Marcucci — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia