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    OpenPayerNPI Medicare & MedicaidAnthony Deluise
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    Anthony Deluise — Billing Profile & Reimbursement Data

    NPI 1588605992 · Providence, RI · Orthopaedic Hand Surgery Physician

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    Anthony Deluise is a orthopaedic hand surgery physician provider located in Providence, Rhode Island. This profile covers 13 Medicare and 7 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
    OrganizationAnthony Deluise
    Address285 Promenade St
    CityProvidence
    StateRI
    ZIP02908
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$68.6K
    Medicaid$11.4K

    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.

    13 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…290$90$26.5K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$900$9.9K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.20$370$7.4K
    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…100$70$6.8K
    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…70$80$5.4K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.80$30$2.5K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.70$40$2.5K
    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…40$50$2.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.70$30$2K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.40$40$1.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2347281020$900$19K
    2984841030$420$12.7K
    992142691,950100$80$11.7K
    992137361,95070$60$7.4K
    206106711060$50$4.6K
    9920311058030$70$3.6K
    2060481030$60$2K
    20550205030$40$1.8K
    730304117040$20$1.1K
    73130239040$20$1K

    Showing 1–10 of 13

    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.

    7 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…270$40$9.3K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…20$70$990
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…10$60$750
    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…10$30$350
    J2001Injection, lidocaine hcl for intravenous infusion, 10 mg10$1$40
    J2250Injection, midazolam hydrochloride, per 1 mg10$1$10
    J2405Injection, ondansetron hydrochloride, per 1 mg10$1$10

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2405Injection, ondansetron hydrochloride, per 1 mg15201,080$180$470.2K
    J2250Injection, midazolam hydrochloride, per 1 mg1410460$220$271.6K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…8311070$70$157.8K
    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…7891,730220$70$75.2K
    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…31835080$90$40.5K
    J2001Injection, lidocaine hcl for intravenous infusion, 10 mg91060$90$34K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…768090$60$26.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Day Kimball Medical Group IncCTFamily Medicine Physician$0$11.9M
    Orthopedics Rhode Island, IncRIOrthopaedic Surgery Physician$0$2.5M
    Concord Hospital, Inc.NHEmergency Medicine Physician$0$2.5M
    Orthopedics Rhode Island, IncRIOrthopaedic Surgery Physician$0$812.4K
    Thomas RoccoRISurgery Physician$92.7K$558.4K
    Orthopedics Rhode Island, Inc.RIAmbulatory Surgical Clinic/Center$565.9K$0
    Eric WalshRIOrthopaedic Hand Surgery Physician$67.9K$336.2K
    William BrennanRIOrthopaedic Surgery Physician$99.4K$301.4K
    Jason TartaglioneRIOrthopaedic Foot and Ankle Surgery Physician$61K$320.6K
    Keith MonchikRISports Medicine (Orthopaedic Surgery) Physician$70K$249.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Experience Nursing Services, Inc.RIHome Health Agency$0$78.5M
    Prospect Chartercare Rwmc, LLCRIGeneral Acute Care Hospital$0$57.1M
    Caregiver Homes Of Rhode Island Inc.RICase Management Agency$0$43.4M
    Roger Williams Medical CenterRISurgical Oncology Physician$0$5.4M
    John RicciRIDentist$0$4.3M
    Meals On Wheels Of Ri, Inc.RICase Manager/Care Coordinator$0$4.1M
    Professional Ambulance LLCRIAmbulance$1.7M$1.4M
    University Pathologists, LLCRIAnatomic Pathology Physician$0$2.9M
    Prospect Chartercare Rwmc, LLCRIInternal Medicine Physician$0$2.4M
    Antonio BarajasRIEmergency Medical Services (Emergency Medicine) Physician$0$2.1M

    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. Rhode Island Distribution
    Anthony Deluise — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Anthony Deluise — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island