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    OpenPayerNPI Medicare & MedicaidVincent Arloro
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    Vincent Arloro — Billing Profile & Reimbursement Data

    NPI 1609859677 · Bayonne, NJ · Podiatrist

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    Vincent Arloro is a podiatrist provider located in Bayonne, New Jersey. This profile covers 13 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
    OrganizationVincent Arloro
    Address138 W 56th St
    CityBayonne
    StateNJ
    ZIP07002
    TaxonomyPodiatrist
    NPI EnumeratedNovember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    Medicare is the sole payer of scale for this NPI: lifetime Medicare revenue is $5.7M and there is no Medicaid billing on file, so the provider operates effectively as a single-payer (Medicare) practice at scale. This concentration makes Medicare reimbursement policy and coverage rules the dominant financial driver for the practice.

    Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 97.4% of total Medicare revenue, indicating the practice’s income is heavily dependent on a very small set of services. In particular, Q4236 alone generates $5.4M (94.8% of Medicare revenue), so any change in coverage or utilization for that code would materially affect total revenue.

    Q4236 is the dominant service line and defines the business model: the provider reported 5.1K claims for Q4236 with an $1045 avg paid/claim and $5.4M revenue, reflecting a high-volume, high-dollar reliance on Carepatch (per square centimeter) add-on wound-care supplies. This payment profile suggests the practice is largely driven by advanced wound-care product billing rather than by routine office visits or minor procedures.

    Secondary procedure and office-visit codes contribute only marginally to dollars despite notable utilization patterns. Both 11056 (1K claims, $73 avg paid/claim, $73.9K revenue) and 99214 (758 claims, $97 avg paid/claim, $73.5K revenue) each account for about 1.3% of Medicare revenue; together with Q4236 they form the precomputed top-3 share of 97.4%, but individually these codes are small dollar contributors relative to the Carepatch revenue.

    Competitive standing is mixed by code: for Q4236 the provider ranks #9 of 79 providers nationally (90th percentile) and the dataset describes that volume as typical/unremarkable for that code despite the top-10 rank among 79 peers, indicating the provider is a visible participant but not necessarily an outlier on Carepatch usage. In contrast, 11056 ranks #186 of 8266 providers (98th percentile) and 99214 ranks #22118 of 479517 providers (95th percentile), both labeled as notably above typical national volume, which shows unusually high relative activity on those specific procedure and E/M codes even though they represent small shares of revenue.

    Service mix extends beyond office-based care: the claims roster includes hospital inpatient subsequent care (99232: 583 claims, $40.2K revenue), home visits (99348: 237 claims, $15.2K revenue), and nursing facility visits (99308: 156 claims, $10.3K revenue; 99305: 33 claims, $3.8K revenue). This spread of place-of-service codes indicates operational capacity for outreach and facility-based care in addition to office procedures and supply-driven wound care.

    Operational tenure supports an established practice footprint: the NPI was enumerated on 2005-11-23 (~21 years ago), which aligns with a long-running Medicare billing history and could explain the development of a specialized wound-care revenue stream over time. The longevity plus the concentration in Q4236 suggests this provider has built a sustained supply-driven niche within podiatry.

    Risk profile from a payer perspective: because $5.4M (94.8% of Medicare revenue) is tied to a single add-on supply code (Q4236) and the top 3 codes together make up 97.4% of Medicare revenue, payers should view this provider as highly sensitive to any policy, coverage, or audit activity affecting advanced wound-care supplies. At the same time, the presence of codes described as "notably above typical national volume" for 11056 and 99214 flags areas of unusually high utilization that may merit comparative review even though they are small contributors to total dollars.

    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
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)5,140$1,050$5.4M
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.1,010$70$73.9K
    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…760$100$73.5K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,150$40$43.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…580$70$40.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…240$60$15.2K
    99204The provider sees a new 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 provider…90$140$12K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…160$70$10.3K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…60$120$7.3K
    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 cm2.80$70$5.2K

    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
    Q42361103,040$1,030$3.1M
    993088541,430230$60$29.5K
    9921494813,640130$90$23.6K
    992327866,220120$70$18.4K
    1105618550150$70$17.2K
    1172156750310$40$15.9K
    29581306070$60$13.6K
    992139,42414,090100$70$13.1K
    1104223144080$80$11.6K
    9930549275060$100$10.6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Jersey Medical And Health Associates,llcNJInternal Medicine Physician$0$7.6M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Ajay AgarwalaNYCardiovascular Disease Physician$1.1M$288.1K
    Mohammad ZubairNJPulmonary Disease Physician$478.4K$114.7K
    Vladimir RukshinNJCardiovascular Disease Physician$516.6K$0
    Simon BadinNJHematology & Oncology Physician$467.2K$0
    Mark KrellNJCardiovascular Disease Physician$448.6K$0
    Rakesh PassiNJCardiovascular Disease Physician$410.8K$0
    Khanh NguyenMDEmergency Medicine Physician$357.3K$0
    Isaac GeorgeNYThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$355.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fast Track Services LLCNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$47.3M
    Alay Home CareNJCommunity/Behavioral Health Agency$0$36.3M
    Perfect Home CareNJHome Health Agency$0$22.6M
    Adult Medical Day Care Corp. Of BayonneNJAdult Day Care Clinic/Center$0$19.6M
    Ijkg Opco LLCNJGeneral Acute Care Hospital$0$17.5M
    Garden State Healthcare Associates, LLCNJEmergency Medicine Physician$0$13.3M
    Bayonne Board Of EducationNJLocal Education Agency (LEA)$0$13.2M
    Kessler Institute For Rehabilitation IncNJPhysical Therapy Clinic/Center$0$13.1M
    Windmill Alliance Inc.NJDevelopmentally Disabled Services Day Training Agency$0$10M
    United Cerebral Palsy Of Hudson CountyNJDevelopmentally Disabled Services Day Training Agency$0$8.9M

    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
    Vincent Arloro — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey