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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Sanfilippo
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    James Sanfilippo — Billing Profile & Reimbursement Data

    NPI 1568596328 · Moorestown, NJ · Orthopaedic Surgery of the Spine Physician

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    James Sanfilippo is a orthopaedic surgery of the spine physician provider located in Moorestown, 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Sanfilippo
    Address300 W Route 38 Ste A
    CityMoorestown
    StateNJ
    ZIP08057
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMarch 15, 2007

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

    Payer SourceTotal Paid
    Medicare$130.2K
    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…330$70$24.3K
    22630The provider performs an arthrodesis, also known as spinal fusion, in the lumbar spine, or lower back, to permanently join two vertebrae, the interlocking bones of the spine. He excises the lamina…10$1,360$19K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$1,410$15.5K
    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…90$110$9.3K
    22845The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$620$8.1K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$650$7.8K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…30$220$7K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose60$100$5.9K
    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…60$90$5.7K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.120$40$5.4K

    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
    992148,37913,640130$90$23.6K
    2263011010$1,350$19K
    J7324134170110$100$14.3K
    22551152010$880$13.2K
    992132,43414,090100$70$13.1K
    206106161,11080$60$10K
    22842325020$430$6.9K
    992043,7987,16040$130$6.5K
    2284581010$390$5.8K
    992031,7755,66040$80$4.8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virtua Medical Group, PANJFamily Medicine Physician$0$48M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Summit Surgical Center LLCNJAmbulatory Surgical Clinic/Center$484.7K$3.6M
    Steven BromleyNJNeurology Physician$2.9M$0
    Judith LightfootNJInfectious Disease Physician$647.5K$0
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K
    Jason PalermoNJCardiovascular Disease Physician$536.8K$0
    Darius SholevarNJClinical Cardiac Electrophysiology Physician$482.5K$0
    Ralph RussoNJNuclear Cardiology Physician$458K$0
    Heath SaltzmanNJClinical Cardiac Electrophysiology Physician$389.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael ColuccielloNJOphthalmology Physician$2.7M$0
    Vantage Surgical Associates, LLCNJAmbulatory Surgical Clinic/Center$1.6M$14.1K
    South Jersey Eye Physicians, LLCNJAmbulatory Surgical Clinic/Center$992.4K$0
    Sander CohenNJOphthalmology Physician$598.5K$0
    Seth BerkNJHematology & Oncology Physician$336.3K$0
    Nishith GamiNJInternal Medicine Physician$111.4K$162.7K
    Kathryn StoedterNJFoot & Ankle Surgery Podiatrist$233K$0
    Patricia ZahnerNJUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$177.2K$0
    Qiujie JiangNJDermatology Physician$137K$19.7K
    Thomas PlutNJSports Medicine (Family Medicine) Physician$118.6K$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. New Jersey Distribution
    James Sanfilippo — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey