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    OpenPayerNPI Medicare & MedicaidRalph Caselnova
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    Ralph Caselnova — Billing Profile & Reimbursement Data

    NPI 1548219835 · Amityville, NY · Specialist

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    Ralph Caselnova is a specialist provider located in Amityville, New York. This profile covers 23 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRalph Caselnova
    Address129 Broadway
    CityAmityville
    StateNY
    ZIP11701
    TaxonomySpecialist
    NPI EnumeratedMay 6, 2006

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

    Payer SourceTotal Paid
    Medicare$403.5K
    Medicaid$570

    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.

    23 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…850$110$96.4K
    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…380$160$61.5K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…110$420$46K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…540$70$39.2K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$560$24K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose220$100$21.4K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…70$230$16.6K
    J2785Injection, regadenoson, 0.1 mg370$40$13.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$160$12.7K
    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…90$130$12K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933064991,990200$110$30.7K
    7845222890060$280$25.8K
    929287725030$510$21.8K
    992141,08930,45090$100$19K
    A9500102380130$90$15.9K
    992334,5108,64080$100$15.8K
    938808851,73050$140$14.5K
    J2785135490220$40$14.1K
    9923291011,85080$70$13.8K
    934589837040$220$12.4K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 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…10$40$520
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.10$1$60

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…15,83416,550220$90$186.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,9952,130340$10$17.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David HochNYClinical Cardiac Electrophysiology Physician$4.6M$41.3K
    Daniel SimonNJVascular & Interventional Radiology Physician$4.2M$0
    Vinod JayamNYCardiovascular Disease Physician$1.9M$82.5K
    Joseph LevineNYClinical Cardiac Electrophysiology Physician$1.8M$36.9K
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Armen OvsepianNYSpecialist$1.6M$3.9K
    David DagateNYSpecialist$1.5M$62K
    William ShinNYClinical Cardiac Electrophysiology Physician$1.5M$27.1K
    Joshua SternNYInternal Medicine Physician$1.4M$107.5K
    Jeffrey NakhjavanNYInternal Medicine Physician$885K$584.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bryan Skilled Home Care IncNYHome Health Agency$0$130.2M
    Mohammud AlamNYInfectious Disease Physician$1.8M$350.2K
    Thomas ChengotNYInterventional Cardiology Physician$1.1M$15K
    James ColasaccoNYSpecialist$708.3K$47.6K
    Vinod GulatiNYInternal Medicine Physician$622.4K$129.4K
    Brijesh GoyalNYInternal Medicine Physician$656K$0
    Faisal RafiqNYPsychiatry Physician$255.6K$370.8K
    Andrew SerpeNYFamily Medicine Physician$511.4K$52.9K
    Mathew ChengotNYCardiovascular Disease Physician$504K$33.1K
    Danita IonescuNYFamily Medicine Physician$508.6K$2.8K

    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. New York Distribution
    Ralph Caselnova — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Ralph Caselnova — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York