Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Patrick Anastasio (NPI 1598731770)

Field	Value
Entity Type	Individual
Organization	Patrick Anastasio
Address	917 Mar Walt Dr
City	Fort Walton Beach
State	FL
ZIP	32547
Taxonomy	Infectious Disease Physician
NPI Enumerated	February 27, 2006

Payer Source	Total Paid
Medicare	$10.3M
Medicaid	$0

Key Findings

This provider’s revenue is effectively single‑payer: lifetime Medicare revenue is $10.3M and there is no Medicaid billing on file. The absence of Medicaid activity means Medicare dominates the provider’s payer mix and any payer‑level analysis or contracting negotiation should treat this as a Medicare‑centered practice.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes account for 91.9% of total Medicare revenue, with Q4217 alone representing $8.9M (86.6% of Medicare revenue). That level of concentration signals dependence on a single high‑revenue procedure line and increases sensitivity of total revenue to utilization or reimbursement changes for those specific codes.

The top codes and ancillary services define the clinical business model: heavy use of Q4217 (Woundfix/biowound products) together with Q4253 (Zenith amniotic membrane) and skin substitute codes 15271 and 15275 indicates a wound‑care/advanced wound product operation, while the presence of many infusion and injectable codes (J2406, J1335, J0121) shows robust outpatient parenteral therapy activity. This mix is consistent with an infectious disease‑oriented practice that also delivers wound‑care products and procedures rather than a pure cognitive consult practice.

Infusion and injectable services are an important revenue stream and a standout statistical feature: 96365 appears with 2.2K claims and $103.5K revenue and ranks #21 of 8873 providers nationally (100th percentile; extreme outlier), while J2406 (oritavancin) has 9K claims and $297K revenue and J1335 (ertapenem) ranks #4 of 292 (99th percentile; extreme outlier). These patterns point to unusually high outpatient infusion volumes and frequent use of parenteral anti‑infective agents.

Competitive standing varies sharply by code. For the dominant code Q4217 the provider ranks #2 of 65 nationally (98th percentile; extreme outlier, far above typical national volume), indicating a nationally prominent position in that specific wound product, whereas Q4253 ranks #66 of 73 (10th percentile) showing low relative volume for that amniotic membrane product. Other therapy codes such as J7336 and 96368 also rank in high percentiles (97th and 98th respectively), reinforcing that the provider is a major high‑volume user for several specific product/administration lines even if not uniformly across all wound products.

The provider maintains a mixed setting footprint: substantial ambulatory office E/M activity is present (99214: 926 claims, $88K revenue, 97th percentile) alongside inpatient/observation visits (99232, 99223) and numerous procedure codes (11042, 15271, 15275). This suggests the practice combines clinic‑based visits with procedure and infusion suites and also participates in hospital care, supporting a vertically integrated wound‑and‑infusion service model.

From a payers’ operational perspective, the combination of extreme concentration (Q4217 $8.9M) and multiple infusion/antibiotic code outliers (96365, J2406, J1335) warrants targeted utilization review and contract attention focused on wound product utilization, outpatient infusion throughput, and bundled pricing opportunities. Given the provider’s Medicare‑only revenue profile, Medicare reimbursement policy and local competitive dynamics for these codes will be primary drivers of financial performance.

The provider has long tenure in national enrollment, with an NPI enumerated on 2006-02-27 (~20 years ago), indicating an established presence and likely stable referral relationships. That longevity, combined with concentrated high volumes on a few specialized codes, suggests entrenched operational processes rather than a recent or transient practice shift.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	8,580	$1,040	$8.9M
J2406	Injection, oritavancin (kimyrsa), 10 mg	9,000	$30	$297K
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	320	$770	$244.8K
J7336	Capsaicin 8% patch, per square centimeter	73,280	$1	$219.9K
J2357	Injection, omalizumab, 5 mg	4,410	$30	$132.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,160	$50	$103.5K
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…	930	$100	$88K
J0121	Injection, omadacycline, 1 mg	17,910	$1	$53.7K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	390	$120	$46.9K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	230	$120	$27.6K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Patrick Anastasio — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	2	20	600	$1,020	$2.2M
Q4253	16	20	1,070	$720	$1.3M
J2406	3	10	4,800	$30	$295.1K
J2357	36	50	6,090	$30	$226K
J0121	3	10	103,600	$1	$216K
J7336	1	10	22,960	$1	$70.3K
99214	2,161	32,760	140	$90	$25K
99233	7,403	9,970	100	$90	$20.1K
99232	3,609	13,090	120	$60	$17.5K
11042	328	1,000	100	$70	$17.4K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sherri Barton	FL	Family Nurse Practitioner	$4.8M	$0
Jeffrey Lin	FL	Infectious Disease Physician	$2.2M	$0
Michael Vincent Tablang	FL	Infectious Disease Physician	$2M	$0
Scott Rojas	FL	Infectious Disease Physician	$806K	$0
Luke Simon Yuhico	FL	Pulmonary Disease Physician	$226.7K	$0
Peter Shih	FL	Critical Care Medicine (Internal Medicine) Physician	$221.7K	$3.3K
Christopher Abrasley	FL	Gastroenterology Physician	$202.4K	$0
Francia Squatrito	FL	Foot & Ankle Surgery Podiatrist	$175.5K	$0
Thomas Fusco	FL	Foot & Ankle Surgery Podiatrist	$148.5K	$0
Twan Phanijphand	FL	Gastroenterology Physician	$132.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizons Of Okaloosa County, Inc.	FL	Developmentally Disabled Services Day Training Agency	$0	$15.2M
White-wilson Medical Center PA	FL	Clinic/Center	$0	$12.7M
Dynamic Pain & Wellness LLC	FL	Anesthesiology Physician	$0	$10.8M
Fort Walton Beach Medical Center, Inc.	FL	General Acute Care Hospital	$0	$10.3M
Renal Care Group Of The Southeast, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.4M
Yunhui Hsiang	FL	Medical Oncology Physician	$3.6M	$1.3K
Leo Chen	FL	Orthopaedic Surgery Physician	$2.6M	$0
James Stevens	FL	Radiation Oncology Physician	$1.4M	$0
Warren Amos	FL	Radiation Oncology Physician	$1.3M	$0
Melissa King	FL	Hematology & Oncology Physician	$1.1M	$0

Patrick Anastasio — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References