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    OpenPayerNPI Medicare & MedicaidNathan Macaluso
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    Nathan Macaluso — Billing Profile & Reimbursement Data

    NPI 1467980516 · New Orleans, LA · Physical Therapist

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    Nathan Macaluso is a physical therapist provider located in New Orleans, Louisiana. This profile covers 13 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
    OrganizationNathan Macaluso
    Address714 Dublin St
    CityNew Orleans
    StateLA
    ZIP70118
    TaxonomyPhysical Therapist
    NPI EnumeratedJune 1, 2017

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

    Payer SourceTotal Paid
    Medicare$114.1K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…2,250$20$40.5K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1,120$20$25.7K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…920$20$13.8K
    97533In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…230$50$10.2K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…140$70$9.9K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…550$20$8.3K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…100$20$2.1K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…80$20$1.2K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…20$70$1.1K
    95992The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…20$30$740

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971106481,030800$20$19.6K
    9753079660310$20$12K
    9711216660330$20$10.8K
    97533110230$40$10.2K
    97140752830360$20$7.7K
    971165130140$20$3.5K
    97161545030$70$3K
    9775083050$20$2.8K
    9716230039030$70$2.7K
    9898041040$40$1.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James KyleLAOrthopaedic Surgery Physician$304.6K$0
    Lon BaronneLAOrthopaedic Surgery of the Spine Physician$300.2K$0
    Kevin LasseigneLAPhysical Medicine & Rehabilitation Physician$282.8K$0
    Thomas MontgomeryLASports Medicine (Orthopaedic Surgery) Physician$256.1K$0
    Michael DuvalLAOrthopaedic Surgery Physician$246.8K$0
    Benjamin BaronneLAPain Medicine (Physical Medicine & Rehabilitation) Physician$239.7K$0
    Matthew WilliamsLAOrthopaedic Surgery Physician$223.6K$0
    Jerry YarboroughLAPhysical Therapist$221.2K$0
    Bryce FugarinoLAOrthopaedic Hand Surgery Physician$208.7K$0
    Robert LeblancLAOrthopaedic Hand Surgery Physician$190.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalLAChildren's Hospital$0$150.9M
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M
    Childrens Hospital Medical Practice CorporationLAPediatrics Physician$0$33.2M
    Children's HospitalLASpecialist$0$24.4M
    Marillac Community Health CentersLAFederally Qualified Health Center (FQHC)$0$24.2M
    Children's HospitalLASpecialist$0$9.8M
    Acadia Health, LLCLAGeneral Practice Dentistry$0$9.6M
    Jamie YeagerLAStudent in an Organized Health Care Education/Training Program$302.6K$0
    Cary DonohueLAPodiatrist$119.3K$122.4K
    Leslee McnabbLADiagnostic Radiology Physician$195.6K$0

    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. Louisiana Distribution
    Nathan Macaluso — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana