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    OpenPayerNPI Medicare & MedicaidCharles Anzalone
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    Charles Anzalone — Billing Profile & Reimbursement Data

    NPI 1477932861 · Lafayette, LA · Otolaryngology Physician

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    Charles Anzalone is a otolaryngology physician provider located in Lafayette, Louisiana. This profile covers 12 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
    OrganizationCharles Anzalone
    Address1000 W Pinhook Rd Ste 201
    CityLafayette
    StateLA
    ZIP70503
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 19, 2015

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

    Payer SourceTotal Paid
    Medicare$74.1K
    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.

    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…290$90$26.1K
    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…210$110$24.1K
    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…110$60$6.1K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.130$30$4.4K
    86003The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…850$10$4.3K
    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.20$140$2.6K
    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.30$90$2.5K
    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…30$80$2.2K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…40$20$740
    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,…10$40$500

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,4656,670110$80$16.5K
    992132,2806,06070$50$8.1K
    31231679030$120$7.5K
    8600312201,250$10$7.4K
    99204383,19030$110$4.8K
    315759215040$80$3.6K
    3641571480090$10$3.2K
    992031,0332,10030$70$3K
    692104122060$30$2.3K
    992129931,16030$30$2.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arkansas Childrens HospitalARChildren's Hospital$0$154.7M
    University Of Arkansas For Medical SciencesARGeneral Practice Physician$0$55M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Angel One Arkansas Children's HospitalARAmbulance$0$20.1M
    Abbeville General HospitalLARural Acute Care Hospital$0$18.9M
    Abbeville General HospitalLARural Health Clinic/Center$0$15.5M
    Arkansas Childrens HospitalARPediatrics Physician$0$6.9M
    Abbeville General HospitalLARural Health Clinic/Center$0$6.9M
    Noha MohamedARRheumatology Physician$3.8M$0
    Kevin BroughKSMOHS-Micrographic Surgery Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$37.7M
    Lafayette General Medical Center IncLAGeneral Acute Care Hospital$0$31.1M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$28.5M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$13.1M
    Coolidge Emergency Group LLCLAEmergency Medicine Physician$0$11.1M
    Pediatrust Acadiana, LLCLAMedically Fragile Infants and Children Day Care$0$8.6M
    Critical Care Newborn ServicesLANeonatal-Perinatal Medicine Physician$0$7.6M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$6.9M
    A Blessing Personal Home CareLAIn Home Supportive Care Agency$0$6.4M
    Priority Medical Care Inc.LAHome Health Agency$0$6.2M

    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
    Charles Anzalone — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana