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    OpenPayerNPI Medicare & MedicaidRaymond Bologna
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    Raymond Bologna — Billing Profile & Reimbursement Data

    NPI 1447226337 · Milford, DE · Urology Physician

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    Raymond Bologna is a urology physician provider located in Milford, Delaware. This profile covers 24 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
    OrganizationRaymond Bologna
    Address101 Wellness Way Ste 300
    CityMilford
    StateDE
    ZIP19963
    TaxonomyUrology Physician
    NPI EnumeratedFebruary 28, 2006

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

    Payer SourceTotal Paid
    Medicare$137.2K
    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.

    24 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…260$70$18.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$190$18K
    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…180$90$15.5K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…110$120$13.2K
    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…130$100$12.2K
    J0585Injection, onabotulinumtoxina, 1 unit2,400$10$12K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.10$770$10.1K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$300$6.5K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.110$60$6.4K
    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$6.3K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058514205,800$1$76.2K
    992149941,830150$80$25.5K
    520001830100$160$21.4K
    99232658730120$60$14.2K
    992134861,810120$60$13.6K
    5742531020$790$13.4K
    9921551057040$120$11K
    5228751020$350$8.9K
    9920434595030$110$6.5K
    52332152030$210$6.1K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Jordan DeanerPAOphthalmology Physician$2M$0
    Dong-wouk ParkWARetina Specialist (Ophthalmology) Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banyan Delaware LLCDESubstance Abuse Rehabilitation Facility$0$30.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$28.5M
    Epic Health Services (de), LLCDEHome Health Agency$0$19.3M
    Delaware Pediatric DentistryDEPediatric Dentistry$0$18.1M
    Kent-sussex IndustriesDEDevelopmentally Disabled Services Day Training Agency$0$11.7M
    Nurses 'n Kids Of Milford, Inc.DEMedically Fragile Infants and Children Day Care$0$9.5M
    Prn Staffers IncDEHome Health Agency$0$7.6M
    People's Place Ii, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.9M
    La Red Health Center, Inc.DEFederally Qualified Health Center (FQHC)$0$2.7M
    Lab At SeascapeDEClinical Medical Laboratory$1M$471.9K

    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. Delaware Distribution
    Raymond Bologna — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware