Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnthony Polcari
    Ask Trek AI about this page

    Anthony Polcari — Billing Profile & Reimbursement Data

    NPI 1629241062 · Woodbury, MN · Urology Physician

    Customize your policy alerts

    Sign up for Anthony Polcari — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Anthony Polcari is a urology physician provider located in Woodbury, Minnesota. This profile covers 37 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Polcari
    Address6025 Lake Rd
    CityWoodbury
    StateMN
    ZIP55125
    TaxonomyUrology Physician
    NPI EnumeratedApril 7, 2008

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

    Payer SourceTotal Paid
    Medicare$119.2K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…120$180$21.4K
    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…160$100$14.7K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…20$540$11.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg90$130$11K
    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…120$60$7.3K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$320$6.4K
    55700Code deleted December 31, 2025.40$170$6K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…120$40$5.1K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.40$110$4.2K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…230$20$4.1K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5586672020$750$17.9K
    J9217358080$130$17.1K
    520002115050$150$10.6K
    52356115020$470$9K
    992142,03710,10070$80$8.1K
    84403194030$30$6.4K
    992153,0654,06030$120$5.9K
    3857151020$210$4.6K
    55700136020$160$4.4K
    992131,4859,12050$50$4K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Joseph's Medical CenterMNGeneral Acute Care Hospital$0$41.5M
    St Joseph's Medical CenterMNGeneral Practice Physician$0$7.3M
    Jinha ParkCADiagnostic Radiology Physician$907.1K$0
    Duncan DicksonMNRadiation Oncology Physician$391.3K$0
    Sumi PatelMNRheumatology Physician$364.5K$0
    Akinwunmi Ojo-caronsVAUrology Physician$328.3K$0
    Mevan WijetungaNDClinical Cardiac Electrophysiology Physician$311K$0
    Todd BrandtMNUrology Physician$302.2K$0
    Deepak ReddyMIEmergency Medicine Physician$75.8K$169.6K
    Spencer HartMNUrology Physician$239.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valhalla Place, LLCMNCommunity/Behavioral Health Agency$581K$22.1M
    St. Croix Psychiatric, LLCMNPsychiatry Physician$0$19.9M
    Kubei Holding Group IncMNCommunity/Behavioral Health Agency$0$15.5M
    Holistic Home Care LLCMNHome Health Agency$0$14.7M
    Redeemer Services, Inc.MNCase Management Agency$0$14.3M
    Greatercare Facilities, LLCMNHome Health Agency$0$10.4M
    B Tek, LLCMNClinical Medical Laboratory$0$10.2M
    Summit Orthopedics, LtdMNOrthopaedic Surgery Physician$0$6.7M
    Healtheast Woodwinds HospitalMNGeneral Acute Care Hospital$0$6.2M
    Allina Health SystemMNFamily Medicine Physician$0$5.5M

    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. Minnesota Distribution
    Anthony Polcari — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota