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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Falconio
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    John Falconio — Billing Profile & Reimbursement Data

    NPI 1457353526 · Philadelphia, PA · Podiatrist

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    John Falconio is a podiatrist provider located in Philadelphia, Pennsylvania. This profile covers 11 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.

    (source: NPPES NPI Registry)

    Table of contents

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJohn Falconio
    Address7975 Langdon St
    CityPhiladelphia
    StatePA
    ZIP19111
    TaxonomyPodiatrist
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$69.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…200$80$15.4K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.140$90$13.4K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…100$100$9.3K
    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…70$90$6.3K
    10120The provider removes a foreign body such as a thorn, piece of wood, sliver of glass or fishook, from the lower layer of skin.50$120$5.6K
    11420The provider excises a noncancerous lesion, excluding a skin tag, of 0.5 cm or less in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.50$100$5.4K
    10160The provider inserts a needle into a fluid deposit area on the skin and aspirates fluid or pus to obtain a culture.50$110$5.1K
    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,…60$50$2.9K
    11765The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail.20$120$2.1K
    10140The provider makes an incision into the hematoma, seroma, or other collection of fluid and bluntly penetrates it to allow fluid evacuation.20$140$2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    10140162030$130$12.7K
    1176541020$120$9.9K
    1711043183070$70$9.2K
    1142051060$90$7K
    1012031020$100$6.5K
    975973635060$60$5.4K
    117303430030$80$5.3K
    1016052020$100$4.8K
    100601117020$90$3.2K
    992121,2274,72030$40$2.3K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fox Chase Home Care, Inc.PAHome Health Agency$0$16.7M
    Temple University Hospital, IncPAGeneral Acute Care Hospital$0$13.6M
    Anant Pranam LLCPAIn Home Supportive Care Agency$0$6.7M
    Path (people Acting To Help), IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    Clifford PerlisPAProcedural Dermatology Physician$622K$0
    Manju AmbelilPAAnatomic Pathology & Clinical Pathology Physician$374.9K$20.8K
    Linna LiPARadiation Oncology Physician$356.2K$0
    Walter DearolfPAOrthopaedic Surgery Physician$317.3K$840
    John BeightPAOrthopaedic Surgery Physician$279.5K$1.2K
    Alex MepariPAInternal Medicine Physician$242.1K$22K

    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. Pennsylvania Distribution
    John Falconio — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania