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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Arnone
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    Eric Arnone — Billing Profile & Reimbursement Data

    NPI 1447578943 · Jamestown, NY · Urology Physician

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    Eric Arnone is a urology physician provider located in Jamestown, New York. This profile covers 32 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
    OrganizationEric Arnone
    Address117 Foote Ave
    CityJamestown
    StateNY
    ZIP14701
    TaxonomyUrology Physician
    NPI EnumeratedMay 7, 2010

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

    Payer SourceTotal Paid
    Medicare$256.6K
    Medicaid$51.1K

    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.

    32 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…900$90$76.2K
    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…550$60$31.6K
    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…170$170$28.7K
    J0585Injection, onabotulinumtoxina, 1 unit4,900$10$24.5K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$130$14.1K
    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…40$290$12.2K
    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…90$100$9.1K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$330$6.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…30$240$6.3K
    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…20$280$5.1K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05852082809,400$1$63.4K
    9921495730,45090$100$19K
    J921780160110$130$18.1K
    645664050100$100$17K
    5172811717030$310$16K
    520004862060$170$14.3K
    52287145030$330$13.1K
    992132,06531,44080$70$12.1K
    523564414020$450$9.5K
    7687220230030$110$6.9K

    Showing 1–10 of 32

    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
    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…1,100$30$29.6K
    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…1,090$20$18.5K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.1,410$1$2.8K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…340$1$340
    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…10$20$230
    1111FNo Summary found for this code50$0$0
    3017FColorectal cancer screening includes radiologic, endoscopic, and laboratory tests to assess the colon, or lower part of the large intestine, and the rectum for cancer in individuals at age 50 or…130$0$0
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…390$0$0
    G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given10$0$0
    G8421Bmi not documented and no reason is given70$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    12 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…6,43619,110360$70$321K
    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…3,83116,550220$90$186.8K
    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…809090$380$119.6K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.41300190$20$16.8K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…395730450$1$7.6K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…1491,60050$10$1.2K
    1111FNo Summary found for this code11719080$1$630
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications9572,000210$1$90
    G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given21823090$1$30
    G8484Influenza immunization was not administered, reason not given3812070$1$10

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael DuffNYRadiation Oncology Physician$1.2M$3.2K
    Dhiren ShahNYRadiation Oncology Physician$804.8K$1.3K
    Surjeet PoharNYRadiation Oncology Physician$745.5K$0
    Gary ProulxNYRadiation Oncology Physician$562.4K$0
    Ryan WhiteNYUrology Physician$403.8K$40.3K
    Yijun ChengNYHematology & Oncology Physician$375K$3.2K
    Brian RambarranNYUrology Physician$231.8K$56.8K
    Benjamin LuongNYUrology Physician$245.6K$24.2K
    Hong LiuNYHematology & Oncology Physician$221.6K$0
    Jaydutt PatelOHClinical Cardiac Electrophysiology Physician$214.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upmc Chautauqua At WcaNYHospitalist Physician$0$38.7M
    Chautauqua County Dmh Health HomesNYCase Management Agency$0$25.8M
    Wca Services CorporationNYAmbulance$900.2K$5.7M
    Jairus IbabaoNYHematology & Oncology Physician$266.6K$31.2K
    Tanvir DaraNYInternal Medicine Physician$12.6K$204.7K
    Antonio RomanNYCardiovascular Disease Physician$178.2K$30.9K
    George SoNYCardiovascular Disease Physician$163.5K$36.7K
    James CampionNYGastroenterology Physician$157K$6.6K
    Mark HoggeNYDiagnostic Radiology Physician$117.8K$1.3K
    John LamancusoNYInternal Medicine Physician$102.8K$300

    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. New York Distribution
    Eric Arnone — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Eric Arnone — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York