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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Valone
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    Charles Valone — Billing Profile & Reimbursement Data

    NPI 1538165337 · Fremont, OH · Internal Medicine Physician

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    Charles Valone is a internal medicine physician provider located in Fremont, Ohio. This profile covers 43 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 Valone
    Address1223 Oak Harbor Rd
    CityFremont
    StateOH
    ZIP43420
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicare$280.9K
    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg2,220$20$42.2K
    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…670$60$39.4K
    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…440$80$36.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…170$120$19.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$120$16K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…250$50$13.2K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…450$30$12K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…70$140$9.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…120$70$8.8K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg8,400$1$8.4K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J08971432302,880$20$79.5K
    83880153040$40$32.8K
    993099581,450180$70$21.8K
    80061320480110$10$18K
    993084741,340150$50$15.3K
    93306672800220$60$14.2K
    992141,51920,010100$70$11.7K
    J7328172011,260$1$8.1K
    G04398644,72060$90$7.4K
    9921334320,00070$50$6.6K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shipeng WeiIAInternal Medicine Physician$291.7K$0
    David ColvinWIFamily Medicine Physician$275.6K$0
    Byron HerpichMNInternal Medicine Physician$151.4K$0
    Billy BackOHInternal Medicine Physician$129.6K$0
    Nizar NaderOHPulmonary Disease Physician$128.5K$0
    Franklin MillardOHPhysician Assistant$121.1K$0
    Brian WhymsIAInternal Medicine Physician$107.3K$0
    Svetlana StahlOHAcute Care Nurse Practitioner$103.9K$0
    Desiree DavisOHGerontology Nurse Practitioner$90.2K$0
    Garren DecaroOHInternal Medicine Physician$86.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Enhancement Services Of Ohio, LLCOHCommunity/Behavioral Health Agency$0$18.2M
    In Home Health LLCOHCommunity Based Hospice Care Agency$0$17.1M
    Great Lakes Recovery Center LLCOHSubstance Abuse Rehabilitation Facility$0$16.5M
    Memorial HospitalOHGeneral Acute Care Hospital$0$11.4M
    Community And Rural Health Services, Inc.OHFederally Qualified Health Center (FQHC)$0$8.4M
    Sandusky County Office Of AuditorOHAmbulance$597.3K$1M
    William VanciseOHRadiation Oncology Physician$317.7K$0
    Liberty Portable X-ray Ohio LLCOHPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$41.1K$197.8K
    Susan SmithOHOphthalmology Physician$185.1K$0
    David DefranceOHFamily Medicine Physician$162.1K$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. Ohio Distribution
    Charles Valone — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio