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NPI 1629144894 · Portsmouth, VA · Cardiovascular Disease Physician
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Joseph Sposato is a cardiovascular disease physician provider located in Portsmouth, Virginia. This profile covers 31 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Joseph Sposato |
| Address | 620 John Paul Jones Cir |
| City | Portsmouth |
| State | VA |
| ZIP | 23708 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | November 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $278.3K |
| Medicaid | $190 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 690 | $100 | $68.9K |
| 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… | 430 | $90 | $38.3K |
| 99232 | The 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… | 500 | $60 | $30.7K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 130 | $220 | $28.2K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 230 | $90 | $21K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 110 | $130 | $13.9K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 150 | $90 | $12.6K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,920 | $10 | $11.5K |
| J2785 | Injection, regadenoson, 0.1 mg | 240 | $50 | $10.9K |
| 99204 | The 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… | 70 | $120 | $7.9K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 33 | 580 | 300 | $80 | $26.2K |
| 99214 | 2,455 | 12,890 | 140 | $80 | $21K |
| 78452 | 96 | 410 | 70 | $180 | $17.2K |
| A9500 | 43 | 100 | 130 | $90 | $15.3K |
| J2785 | 102 | 180 | 290 | $40 | $14.4K |
| 99233 | 634 | 3,290 | 80 | $90 | $13.7K |
| 99232 | 361 | 4,460 | 80 | $60 | $11K |
| 99213 | 11,911 | 12,440 | 90 | $60 | $10K |
| 99215 | 1,713 | 4,030 | 40 | $120 | $9.5K |
| 99223 | 677 | 3,660 | 40 | $130 | $9.2K |
Showing 1–10 of 31
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 40 | $10 | $200 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 212 | 280 | 190 | $1 | $32.3K |
Other providers in the same ZIP code as Joseph Sposato, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Elsio Negron-rubio | VA | Diagnostic Radiology Physician | $185.8K | $0 |
| Yibo Chen | VA | Diagnostic Radiology Physician | $151.7K | $1.3K |
| Alesha Smith | VA | Optometrist | $126.5K | $10K |
| Timothy O'malley | VA | Otolaryngology Physician | $126.4K | $0 |
| Tammy Avila | VA | Medical Physician Assistant | $108.3K | $0 |
| James Mckee | VA | Diagnostic Radiology Physician | $93.7K | $0 |
| Kevin Pinkos | VA | Orthopaedic Surgery Physician | $72.8K | $0 |
| Richard Serianni | VA | Anesthesiology Physician | $34.3K | $0 |
| Tuan Hoang | VA | Surgery Physician | $23.4K | $0 |
| John Weatherwax | VA | Anesthesiology Physician | $21.5K | $0 |
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