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    OpenPayerNPI Medicare & MedicaidPaul Caruso
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    Paul Caruso — Billing Profile & Reimbursement Data

    NPI 1619968658 · Phoenix, AZ · Pediatric Radiology Physician

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    Paul Caruso is a pediatric radiology physician provider located in Phoenix, Arizona. This profile covers 5 Medicare and 1 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
    OrganizationPaul Caruso
    Address1919 E Thomas Rd
    CityPhoenix
    StateAZ
    ZIP85016
    TaxonomyPediatric Radiology Physician
    NPI EnumeratedOctober 31, 2005

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

    Payer SourceTotal Paid
    Medicare$14.7K
    Medicaid$110

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…60$130$7.6K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.30$90$2.4K
    70480The provider uses computed tomography, or CT, to examine the eye’s orbit, the sella or posterior fossa of the skull, or the outer, middle, or inner ear. The provider does not administer contrast for…30$80$2.2K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.50$40$2K
    A9575Injection, gadoterate meglumine, 0.1 ml5,160$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7055317422050$140$14.3K
    7055129623060$80$8.4K
    70450495340180$30$8.1K
    7048083020$100$2.2K
    A95751001408,610$1$2.2K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…20$10$110

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arizona median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…113130260$30$33.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Children's HospitalAZChildren's Hospital$0$555.8M
    Phoenix Children's HospitalAZPediatrics Physician$0$162.4M
    Lawrence ProanoRIEmergency Medicine Physician$48.4K$2.3M
    Margo MoskosMADiagnostic Radiology Physician$717.3K$137.9K
    Evangelos GeraniotisMAUrology Physician$758.4K$0
    Leslie PadrnosAZHematology & Oncology Physician$670.9K$0
    John KalinMACardiovascular Disease Physician$617.9K$0
    Michael MecleyMACardiovascular Disease Physician$479.3K$0
    James ChrzanMAFoot & Ankle Surgery Podiatrist$340.2K$0
    Abrar QureshiRIDermatology Physician$186.5K$134.9K

    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. Arizona Distribution
    Paul Caruso — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Paul Caruso — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona