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NPI 1558320945 · Hendersonville, NC · Internal Medicine Physician
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James Caserio is a internal medicine physician provider located in Hendersonville, North Carolina. This profile covers 45 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Caserio |
| Address | 547 N Justice St |
| City | Hendersonville |
| State | NC |
| ZIP | 28739 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | March 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $347.3K |
| Medicaid | $870 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
45 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,270 | $60 | $78.9K |
| 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… | 700 | $90 | $59.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 430 | $120 | $53.3K |
| 87636 | The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic… | 170 | $140 | $23.9K |
| 99232 | The 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… | 310 | $60 | $19K |
| 99212 | The 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,… | 340 | $40 | $13.8K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 140 | $100 | $12.9K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 60 | $150 | $9.3K |
| 99223 | The 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… | 60 | $130 | $7.9K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 120 | $60 | $7.6K |
Showing 1–10 of 45
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
45 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 84443 | 270 | 1,090 | 90 | $20 | $18K |
| 80061 | 274 | 1,180 | 110 | $10 | $17.4K |
| 80053 | 391 | 1,400 | 100 | $10 | $16.5K |
| 99214 | 745 | 18,060 | 110 | $80 | $15.1K |
| 45380 | 494 | 520 | 40 | $180 | $13.7K |
| G0439 | 35 | 4,160 | 60 | $120 | $10.5K |
| 99233 | 1,156 | 4,230 | 70 | $90 | $10.1K |
| 99232 | 661 | 5,690 | 70 | $60 | $8.1K |
| 99215 | 4,083 | 5,720 | 40 | $110 | $7.7K |
| 85025 | 502 | 1,920 | 80 | $10 | $7.4K |
Showing 1–10 of 45
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 320 | $1 | $950 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99199 | Use this code to report other medicine services or procedures for which there is no specific code available. | 2,448 | 2,850 | 10,910 | $10 | $330.3K |
Other providers in the same ZIP code as James Caserio, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Blue Ridge Community Health Services Inc. | NC | Federally Qualified Health Center (FQHC) | $0 | $9.4M |
| Eric Byrd | NC | Internal Medicine Physician | $230.6K | $0 |
| Irene Childress | NC | Nurse Practitioner | $214.1K | $1.7K |
| Aaron Timins | NC | Cardiovascular Disease Physician | $213.8K | $0 |
| Sayyad Zia | NC | Radiation Oncology Physician | $160.1K | $0 |
| Brian Stover | NC | Foot & Ankle Surgery Podiatrist | $127.1K | $0 |
| Kenneth Ellsworth | NC | Physical Therapist | $107.4K | $0 |
| Gary Rodberg | NC | Pulmonary Disease Physician | $98.3K | $0 |
| Jennifer Mcalister | NC | Surgical Oncology Physician | $93.5K | $0 |
| Chris Kiefer | NC | Chiropractor | $82.4K | $310 |
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