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    OpenPayerNPI Medicare & MedicaidJames O'dorisio
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    James O'dorisio — Billing Profile & Reimbursement Data

    NPI 1598820219 · Santa Rosa, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    James O'dorisio is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Santa Rosa, California. This profile covers 21 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 O'dorisio
    Address76 Brookwood Ave
    CitySanta Rosa
    StateCA
    ZIP95404
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedDecember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$699.6K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…1,840$120$222.9K
    36482In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…150$1,430$207.3K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…860$120$101.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…300$150$45.7K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…720$40$30.4K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.450$40$18K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…150$100$14.3K
    27603The provider incises and drains an abscess or hematoma in ankle or leg. He performs the procedure to treat an infection and relieve pain.30$400$10K
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…60$150$9K
    37225N/A20$440$7.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    372257110030$4,500$261K
    364821310040$1,520$135.2K
    1104339370120$170$52.1K
    1104630160270$50$24.2K
    9921424,59737,970120$90$23.2K
    15271125170110$110$18.6K
    110421321,030100$80$18.1K
    992151915,36050$130$14.4K
    959238414050$110$13.2K
    36471328050$160$13.1K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Santa Rosa Surgical Services LLCCAAmbulatory Surgical Clinic/Center$3.3M$0
    4th Street Laser & Surgery Center IncCAAmbulatory Surgical Clinic/Center$2.4M$163.6K
    Santa Rosa Ambulatory Surgical Center Medical Group IncCAAmbulatory Surgical Clinic/Center$1.1M$0
    Robert YohaiCAOphthalmology Physician$277.8K$0
    Adam KaplanCAUrology Physician$245K$0
    Stefan ZechowyCAOtolaryngology Physician$218.2K$0
    Robert JamesCAUrology Physician$159.3K$0
    Jose BallesterosCACardiovascular Disease Physician$154.8K$0
    Peter PappasCAOrthopaedic Surgery of the Spine Physician$144.5K$930
    Thomas AxelradCAOrthopaedic Surgery Physician$132.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    James O'dorisio — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California