Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Ruggiero
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    David Ruggiero — Billing Profile & Reimbursement Data

    NPI 1447214291 · Riverside, RI · Foot & Ankle Surgery Podiatrist

    Customize your policy alerts

    Sign up for David Ruggiero — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    David Ruggiero is a foot & ankle surgery podiatrist provider located in Riverside, Rhode Island. This profile covers 16 Medicare and 1 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
    OrganizationDavid Ruggiero
    Address1525 Wampanoag Trl
    CityRiverside
    StateRI
    ZIP02915
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicare$152.3K
    Medicaid$20.2K

    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.

    16 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…530$70$36K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.480$50$26.1K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.350$60$21.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.580$30$19.2K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.500$20$11.9K
    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 cm2.100$90$8.3K
    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…90$80$6.6K
    G0127Trimming of dystrophic nails, any number500$10$5.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…40$90$3.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$3.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    110561560190$60$15.5K
    992141,8761,950100$80$11.7K
    110422450100$70$11.3K
    117211060180$30$10.5K
    171107710090$80$9.2K
    11055350120$50$8.2K
    11720950240$20$7.8K
    99213671,95070$60$7.4K
    97597253070$40$5.8K
    G01271540270$10$5K

    Showing 1–10 of 16

    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.

    1 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…430$50$20.1K

    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

    1 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…8652,050300$50$72.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Corey WesterfeldMAOphthalmology Physician$1.2M$0
    Rhode Island Foot Care, IncRIFoot & Ankle Surgery Podiatrist$0$1M
    Aaron ShemenskiRIFoot & Ankle Surgery Podiatrist$206.8K$3.7K
    David GreenbergRIFoot & Ankle Surgery Podiatrist$180.3K$2.4K
    James AppletonRIFoot & Ankle Surgery Podiatrist$167.4K$3.9K
    Brian PontarelliRIFoot & Ankle Surgery Podiatrist$107.9K$22.2K
    Douglas GlodRIFoot & Ankle Surgery Podiatrist$72.2K$25.6K
    Lawrence CobrinRIFoot & Ankle Surgery Podiatrist$94.5K$0
    Paul AkermanRIGastroenterology Physician$70.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$37.6M
    East Bay Community Action ProgramRIMental Health Clinic/Center (Including Community Mental Health Center)$0$20.5M
    Emma Pendleton Bradley HospitalRIPsychiatric Hospital$0$5M
    Health Care Connections Nursing Services, IncRIHome Health Agency$0$3.6M
    City Of East ProvidenceRILocal Education Agency (LEA)$0$2.2M
    East Bay Community Action ProgramRICommunity/Behavioral Health Agency$0$2.2M
    East Bay Community Action ProgramRICommunity Health Clinic/Center$0$1.5M
    Amerita IncRIHome Infusion Therapy Pharmacy$0$1.1M
    Care Resource, LLCRIHome Health Agency$0$1.1M
    Susie HuRINephrology Physician$30.9K$911.1K

    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
    David Ruggiero — 2 of 16 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 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    David Ruggiero — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island