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    OpenPayerNPI Medicare & MedicaidDavid Zaboli
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    David Zaboli — Billing Profile & Reimbursement Data

    NPI 1457588071 · Fort Pierce, FL · Otolaryngology Physician

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    David Zaboli is a otolaryngology physician provider located in Fort Pierce, Florida. This profile covers 23 Medicare and 7 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 Zaboli
    Address1700 S 23rd St
    CityFort Pierce
    StateFL
    ZIP34950
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 22, 2009

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

    Payer SourceTotal Paid
    Medicare$285.8K
    Medicaid$52.5K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.530$150$78.6K
    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…1,160$70$77.9K
    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…290$90$25.8K
    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…170$110$18.3K
    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…230$80$18.2K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.340$30$9.9K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.550$10$6.6K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.70$100$6.5K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…60$100$6K
    92584In this procedure, the provider stimulates sound waves in the inner ear and measures electrical signals, or evoked potentials, generated by the nervous system. He uses the results to identify inner…60$90$5.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,90032,760140$90$25K
    312313152090$140$24.5K
    95165186250860$10$18.4K
    9921365730,01080$60$12K
    3157526157060$90$8.6K
    950043243401,450$1$7.5K
    992041,21419,04040$110$7K
    9920336611,72040$70$4.4K
    692101311,07040$30$4.3K
    69420152020$160$4.1K

    Showing 1–10 of 23

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$70$17K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.50$190$10K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.80$110$8K
    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…200$30$5.6K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…60$90$5.5K
    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…120$40$5K
    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…30$40$1.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.3760100$710$379K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.5280230$400$331.4K
    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…3,7375,930460$40$169.3K
    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…5,6696,380430$50$139.3K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…96150150$110$107.6K
    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…5601,85090$110$71.5K
    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…7451,67090$80$69.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    William KnopfGACardiovascular Disease Physician$1.1M$0
    Robert NunezFLFacial Plastic Surgery Physician$773.4K$0
    Edwin HerdHIPediatrics Physician$0$640.5K
    Cheau WilliamsGAUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$392.3K$0
    Michael MonahanGAUrology Physician$386.4K$0
    Michael MullinsGAPulmonary Disease Physician$363.9K$0
    Kuldeep TalwarTXClinical Cardiac Electrophysiology Physician$342.6K$0
    Ansermo ArthurSCInterventional Cardiology Physician$337.4K$0
    William MclaughlinALGastroenterology Physician$327.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lawnwood Medical Center IncFLRehabilitation Hospital Unit$0$24.3M
    Suncoast Mental Health Center, Inc.FLCommunity/Behavioral Health Agency$0$8.6M
    Fivemile Creek Emergency Physicians, LLCFLEmergency Medicine Physician$0$7.4M
    Prasad ChalasaniFLCardiovascular Disease Physician$1.4M$0
    Satyesh RanaFLOphthalmology Physician$905.4K$0
    Ian BoykinFLInternal Medicine Physician$826.5K$0
    Kamalakar RaoFLCardiovascular Disease Physician$723K$0
    Sapir Karli MichaFLOphthalmology Physician$463.1K$0
    Pramod JosephFLGastroenterology Physician$282.9K$0
    Peter AldanaFLNeurology Physician$196.4K$180

    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. Florida Distribution
    David Zaboli — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    David Zaboli — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida