Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Prezzano (NPI 1538554753)

Field	Value
Entity Type	Individual
Organization	James Prezzano
Address	212 Highbridge St Ste A
City	Fayetteville
State	NY
ZIP	13066
Taxonomy	Dermatology Physician
NPI Enumerated	April 3, 2015

Payer Source	Total Paid
Medicare	$264.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	120	$440	$52.3K
99214	The 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…	400	$80	$30.6K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	240	$110	$26.5K
99213	The 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…	470	$50	$24.2K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	60	$300	$17.6K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	480	$30	$16.3K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	60	$180	$9.8K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	20	$400	$9.2K
99204	The 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…	90	$100	$9.2K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	2,000	$1	$8K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

James Prezzano — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	102	150	200	$520	$136.2K
17312	99	140	140	$360	$65.3K
17313	108	120	80	$510	$50.8K
99214	4,000	30,450	90	$100	$19K
13132	64	150	50	$250	$17.8K
17004	39	450	40	$140	$13.7K
13121	116	160	30	$260	$13.3K
99213	2,693	31,440	80	$70	$12.1K
11102	924	1,270	80	$80	$11.1K
17110	365	1,280	60	$90	$9.7K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dentistry & Interceptive Orthodontics P.C.	NY	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$33M
Agcny East LLC	NY	Ambulatory Surgical Clinic/Center	$260.6K	$123.9K
William Tucker	NY	Ophthalmology Physician	$156K	$104.7K
Brett Greenky	NY	Adult Reconstructive Orthopaedic Surgery Physician	$240K	$290
Justin Iorio	NY	Orthopaedic Surgery of the Spine Physician	$171.2K	$0
Adam Paddock	NY	Physician Assistant	$151.1K	$0
Jessica Bouchard	NY	Medical Physician Assistant	$133K	$0
Amin Fazeli	NY	Dermatology Physician	$126K	$0
Edward Sall	NY	Otolaryngic Allergy Physician	$72.2K	$0
James Mikesell	NY	Clinical Psychologist	$38.2K	$1.1K

James Prezzano — Billing Profile & Reimbursement Data

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James Prezzano — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References