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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn-paul Arena
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    John-paul Arena — Billing Profile & Reimbursement Data

    NPI 1487983169 · Weymouth, MA · Clinical Social Worker

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    John-paul Arena is a clinical social worker provider located in Weymouth, Massachusetts. This profile covers 3 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
    OrganizationJohn-paul Arena
    Address169 Libbey Industrial Pkwy
    CityWeymouth
    StateMA
    ZIP02189
    TaxonomyClinical Social Worker
    NPI EnumeratedDecember 9, 2009

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

    Payer SourceTotal Paid
    Medicare$16.2K
    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…140$90$12.8K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…50$60$2.9K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.70$10$590

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837448620210$90$23.8K
    90834763830180$60$14.7K
    9078582060$10$1.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with John-paul Arena, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nancy MadiganMAClinical Neuropsychologist$42K$0
    Colin SchaferMAClinical Psychologist$31.5K$0
    Sumi DolbenMAAdult Psychiatric/Mental Health Clinical Nurse Specialist$14.7K$0
    Gretchen SchoenfieldMEClinical Neuropsychologist$9.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Shore Support ServicesMAHome Health Agency$0$26.8M
    Active Ma, Inc.MAAdult Day Care Clinic/Center$0$9.3M
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Mark DaceyMAOphthalmology Physician$2.1M$0
    James StefaterMAOphthalmology Physician$1.6M$0
    Heidi Anderson-dockterMADermatology Physician$806.3K$0
    Ramy RizkallaMAOphthalmology Physician$627.4K$1K
    Anita ShuklaMAOphthalmology Physician$604.9K$560
    Mary Lisa MchamMAOphthalmology Physician$571.6K$0
    Teresa DegiacomoMADermatology Physician$537K$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. Massachusetts Distribution
    John-paul Arena — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts