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    OpenPayerNPI Medicare & MedicaidTheresa Caruso
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    Theresa Caruso — Billing Profile & Reimbursement Data

    NPI 1609301332 · Williamstown, NJ · Nurse Practitioner

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    Theresa Caruso is a nurse practitioner provider located in Williamstown, New Jersey. This profile covers 11 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
    OrganizationTheresa Caruso
    Address1420 S Black Horse Pike
    CityWilliamstown
    StateNJ
    ZIP08094
    TaxonomyNurse Practitioner
    NPI EnumeratedMay 1, 2017

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

    Payer SourceTotal Paid
    Medicare$49.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…1,470$20$27.9K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…600$10$8.3K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…330$20$5K
    97016In this procedure, the provider applies the vasopneumatic device to an extremity for the purpose of reducing edema, or swelling.280$10$1.7K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…40$40$1.6K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.50$30$1.4K
    97032Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…150$10$1.2K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care180$10$1.1K
    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…10$60$830
    97026The provider, who can be a physician, physical therapist, or massage therapist, among others, applies infrared light therapy to specific body areas to reduce pain, increase joint mobility, promote…130$1$390

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971103,3914,430780$20$20.9K
    971122283,520390$20$13.5K
    9921313,59714,090100$70$13.1K
    971401,2513,500420$20$10.3K
    970322750160$10$3.9K
    205535113030$50$3.3K
    G02836891,180220$10$2.8K
    205524314030$40$1.9K
    7211052256030$40$1.8K
    9701633150160$10$1.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alignmed Partners, PCALGeriatric Medicine (Internal Medicine) Physician$0$16.8M
    Mir AhmadNJSpecialist$1.3M$0
    Vijay PatelNJInternal Medicine Physician$435.9K$164.6K
    Henry YuNJInternal Medicine Physician$471.3K$0
    Harry LarkinNJFamily Medicine Physician$451.3K$0
    James AgrestiNJInternal Medicine Physician$382.1K$2.3K
    John JinesNJFamily Nurse Practitioner$381.3K$0
    Pradip ShahNJGeriatric Medicine (Internal Medicine) Physician$379.3K$1.2K
    Aloysius OnwukaNJInternal Medicine Physician$314.7K$0
    Gary RaabNJFamily Medicine Physician$307.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryville, IncNJSubstance Abuse Rehabilitation Facility$0$33.9M
    Attentive Care IncNJIn Home Supportive Care Agency$0$11.2M
    Monroe Township Public School DistrictNJLocal Education Agency (LEA)$0$9.7M
    Lee Van Houten-sauterNJFamily Medicine Physician$219.2K$0
    Bryan FerroniNJPulmonary Disease Physician$201.5K$0
    David MellishNJOptometrist$95.8K$39.1K
    Joseph HaleyNJFoot & Ankle Surgery Podiatrist$129.6K$0
    Michelle JuckettNJGerontology Nurse Practitioner$85.3K$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
    Theresa Caruso — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey