Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrank Colarusso
    Ask Trek AI about this page

    Frank Colarusso — Billing Profile & Reimbursement Data

    NPI 1558314047 · Hamilton, NJ · Sports Medicine (Physical Medicine & Rehabilitation) Physician

    Customize your policy alerts

    Sign up for Frank Colarusso — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Frank Colarusso is a sports medicine (physical medicine & rehabilitation) physician provider located in Hamilton, New Jersey. This profile covers 22 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrank Colarusso
    Address2501 Kuser Rd Ste 3
    CityHamilton
    StateNJ
    ZIP08691
    TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$100.3K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…490$70$33.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…170$60$9.9K
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.170$50$8K
    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…100$80$7.8K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…40$150$5.8K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…70$70$5.2K
    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,…120$40$5.1K
    98926The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.120$40$4.1K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.90$40$3.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…110$30$3.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131,37814,090100$70$13.1K
    2061125334070$90$10K
    206103311,11080$60$10K
    9588613128060$80$8.6K
    9591113415030$180$7.8K
    959102311030$150$5.3K
    9892763060$50$5.3K
    9892662040$40$5.1K
    992039015,66040$80$4.8K
    992125983,45040$40$3.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Fabio OrozcoNJOrthopaedic Surgery Physician$608.6K$0
    Khashayar SalartashNJVascular Surgery Physician$443.2K$0
    Robert ChapdelaineNJPain Medicine Physician$389.3K$0
    Orlee HamerNJPhysical Medicine & Rehabilitation Physician$341.7K$0
    Carl SpivakNJNeurological Surgery Physician$339.1K$0
    Philip CerauloNJPhysical Medicine & Rehabilitation Physician$276.9K$0
    Samyadev DattaNJPain Medicine (Anesthesiology) Physician$249.8K$0
    Ketan HiraparaNJPain Medicine Physician$235.3K$0
    Seth SteinNJDiagnostic Radiology Physician$197.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Jersey Division Of Developmental DisabilitiesNJDevelopmentally Disabled Services Day Training Agency$0$334.1M
    Serv Achievement Centers IncNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$103.5M
    Loving Care Agency, IncNJHome Health Agency$0$22.9M
    Thomas ReillyNJDiagnostic Radiology Physician$618.2K$50
    Richard ScafidiNJDiagnostic Radiology Physician$349.9K$0
    Robert MignoneNJOtolaryngology/Facial Plastic Surgery Physician$289.1K$0
    Christopher KirkpatrickNJDiagnostic Radiology Physician$248.8K$20
    Jeffrey MathewsNJDiagnostic Radiology Physician$235.4K$0
    Jeffrey SteinigNJDiagnostic Radiology Physician$221.3K$130
    Michael DutkaNJDiagnostic Radiology Physician$202.9K$2.1K

    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 Jersey Distribution
    Frank Colarusso — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey