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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJustin Fox
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    Justin Fox — Billing Profile & Reimbursement Data

    NPI 1629269600 · Hamilton, NJ · Cardiovascular Disease Physician

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    Justin Fox is a cardiovascular disease physician provider located in Hamilton, New Jersey. This profile covers 27 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
    OrganizationJustin Fox
    Address2073 Klockner Rd
    CityHamilton
    StateNJ
    ZIP08690
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 6, 2007

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

    Payer SourceTotal Paid
    Medicare$431.5K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,220$100$120.7K
    78452In 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…140$390$55.2K
    93306The 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…340$140$46.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…680$50$36.2K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.580$40$25.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…610$40$25.5K
    J2785Injection, regadenoson, 0.1 mg450$50$20.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…110$150$15.5K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose150$90$13.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…990$10$11.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306268990220$100$25.8K
    9921427613,640130$90$23.6K
    992333,7834,270110$100$22.5K
    784529365060$240$19.9K
    992323,6366,220120$70$18.4K
    9949048490170$50$16.6K
    J278561300190$40$12.4K
    9292813118020$450$12.1K
    992157803,75040$140$12K
    9945737330160$40$11.9K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mahmoud GhussonNJCardiovascular Disease Physician$586.5K$0
    Ronald RyderNJCardiovascular Disease Physician$566.5K$0
    Alpesh PatelNJCardiovascular Disease Physician$523.7K$0
    John CaplanNJCardiovascular Disease Physician$462.7K$0
    Edward WingfieldNJCardiovascular Disease Physician$423.2K$0
    Christina WjasowNJClinical Cardiac Electrophysiology Physician$409.9K$0
    James BeattieNJCardiovascular Disease Physician$375.7K$0
    Zia RabFLInterventional Cardiology Physician$365.6K$0
    George LogothetisPACardiovascular Disease Physician$355.9K$3.1K
    Joseph PecoraNJInternal Medicine Physician$299.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allies, Inc.NJEmotionally Disturbed Childrens' Residential Treatment Facility$0$362.8M
    Medical Diagnostic Laboratories,llcNJClinical Medical Laboratory$5.6M$81M
    Robert Wood Johnson University Hospital At HamiltonNJGeneral Acute Care Hospital$0$28.2M
    Hamilton Dental AssociatesNJGeneral Practice Dentistry$0$23.1M
    Mind Your MindNJMental Health Clinic/Center (Including Community Mental Health Center)$0$18.7M
    Arc Mercer, IncNJDevelopmentally Disabled Services Day Training Agency$0$14.5M
    Mercer County Special Services School DistrictNJLocal Education Agency (LEA)$0$10.5M
    Campus Eye Group Asc, LLCNJOphthalmologic Surgery Clinic/Center$1.8M$1.6M
    Marc HandlerNJProcedural Dermatology Physician$1.3M$82.3K
    Mukaram GaziNJUrology Physician$902.2K$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
    Justin Fox — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey