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    OpenPayerNPI Medicare & MedicaidVictor Petrella
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    Victor Petrella — Billing Profile & Reimbursement Data

    NPI 1437217221 · Great Barrington, MA · Adult Psychiatric/Mental Health Clinical Nurse Specialist

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    Victor Petrella is a adult psychiatric/mental health clinical nurse specialist provider located in Great Barrington, Massachusetts. This profile covers 6 Medicare and 12 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
    OrganizationVictor Petrella
    AddressFairview Commons
    CityGreat Barrington
    StateMA
    ZIP01230
    TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
    NPI EnumeratedDecember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$75.3K
    Medicaid$23.1K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…170$130$22.6K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…300$70$20.2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…440$50$19.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…130$80$10.3K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…10$130$1.5K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…50$30$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309418840300$80$37.8K
    99308197750170$50$20.5K
    9934910029060$80$12K
    99345748030$140$5.2K
    907921136020$130$5K
    9930712324050$30$3.8K

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,260$20$20.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…140$20$2.3K
    1100FNo Summary found for this code50$0$0
    3288FNo Summary found for this code50$0$0
    G8420Bmi is documented within normal parameters and no follow-up plan is required100$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications2,060$0$0
    G8431Screening for depression is documented as being positive and a follow-up plan is documented70$0$0
    G8482Influenza immunization administered or previously received50$0$0
    G8510Screening for depression is documented as negative, a follow-up plan is not required80$0$0
    G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required70$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…162230930$20$99.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…97240930$10$55.5K
    G8510Screening for depression is documented as negative, a follow-up plan is not required3460200$1$140
    G8420Bmi is documented within normal parameters and no follow-up plan is required1720440$1$70
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications38220400$1$60
    G9903Patient screened for tobacco use and identified as a tobacco non-user2250170$1$50
    G8431Screening for depression is documented as being positive and a follow-up plan is documented122070$1$40
    3288FNo Summary found for this code1830110$1$20
    1100FNo Summary found for this code1320120$1$10
    G8482Influenza immunization administered or previously received3950120$1$10

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Berkshire Medical Center, IncMAGeneral Acute Care Hospital$0$150M
    Berkshire Medical Center, IncMASubstance Abuse Rehabilitation Facility$0$15.4M
    Berkshire Faculty Services IncMAMulti-Specialty Clinic/Center$0$13.1M
    David JonesMAAnatomic Pathology & Clinical Pathology Physician$217.3K$0
    Kalpana ChilukuriMAInternal Medicine Physician$212.6K$0
    Hani ErianMANephrology Physician$205.2K$0
    Gregory MalanoskiMAInfectious Disease Physician$196.8K$7.4K
    Seetha MuthavarapuLAHospitalist Physician$200.9K$0
    Maxim BitunovMAInternal Medicine Physician$184.9K$3.9K
    Suzanne HomanMAHematology (Pathology) Physician$174.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Programs, Inc.MAFederally Qualified Health Center (FQHC)$0$24.9M
    Fairview HospitalMACritical Access Hospital$0$17.7M
    Southern Berkshire Volunteer Ambulance Squad IncMALand Ambulance$540K$756.4K
    Scott GoffinMADermatology Physician$463.3K$0
    Cvs Pharmacy IncMAPharmacy$285K$0
    Von VittoMANurse Practitioner$66.1K$0
    Erin FleigMAHand Occupational Therapist$57.6K$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. Massachusetts Distribution
    Victor Petrella — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Victor Petrella — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts