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    OpenPayerNPI Medicare & MedicaidAnthony Furey
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    Anthony Furey — Billing Profile & Reimbursement Data

    NPI 1700853603 · Wilmington, DE · Cardiovascular Disease Physician

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    Anthony Furey is a cardiovascular disease physician provider located in Wilmington, Delaware. This profile covers 35 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
    OrganizationAnthony Furey
    Address3105 Limestone Rd
    CityWilmington
    StateDE
    ZIP19808
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMarch 1, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is concentrated in advanced cardiac imaging and stress-agent services: 78431 accounts for $1.1M (51.7% of this provider's total Medicare revenue), A9555 accounts for $338.7K (16.7%), and J2785 accounts for $101K (5.0%). Those three codes together drive the majority of income, and the presence of PET myocardial perfusion (78431), rubidium tracer (A9555), and regadenoson (J2785) indicates a practice organized around PET myocardial imaging with pharmacologic stress.

    Top-line revenue concentration is high: the precomputed top-3 codes account for 76.2% of this provider's total Medicare revenue. This level of concentration suggests operational dependence on a small set of high-revenue services and highlights sensitivity to any changes in reimbursement, referral volume, or access to imaging supplies/agents.

    Payer mix is effectively single-payer: total Medicare revenue is $2M while there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s revenue and payer negotiations will be driven almost entirely by Medicare reimbursement and commercial/other payers not represented in this dataset.

    Competitive standing varies by service. For the leading imaging code 78431 the provider ranks #19 of 1377 nationally (99th percentile; typical, unremarkable volume), and for tracer A9555 the provider ranks #86 of 1266 (93th percentile; typical, unremarkable volume), indicating top-tier national volume in PET myocardial imaging. Simultaneously, the provider shows extreme outlier status on high-volume office E/M activity (99214 ranks #2630 of 479517, 99th percentile; extreme outlier) and on regadenoson use (J2785 ranks #35 of 6388, 99th percentile; extreme outlier), signaling both specialty imaging leadership and unusually high E/M and stress-agent utilization relative to peers.

    Per-claim economics reinforce the imaging focus: 78431 carries a high average payment per claim ($1958 avg paid/claim) and drives the single largest revenue line, while 99214 generates substantial claim volume (1.7K claims) but a much lower average payment ($95 avg paid/claim). This mix—high-value imaging procedures plus high-volume office visits—suggests a business model that couples capital- and supply-intensive diagnostics with frequent outpatient follow-up encounters.

    Coding breadth shows a full-spectrum cardiology practice beyond PET imaging: the provider bills for transthoracic echo 93306 (568 claims, $75K revenue, 3.7% of Medicare revenue; ranks #2549 of 24624, 90th percentile; typical, unremarkable volume), supervised stress testing 93015 (674 claims, $38.4K revenue, 1.9%; ranks #42 of 7716, 99th percentile; extreme outlier), and routine ECGs 93000 (1.6K claims, $17.9K revenue, 0.9%; ranks #346 of 71016, 100th percentile; extreme outlier). The presence of both high-end imaging and high-volume diagnostic testing suggests integrated noninvasive cardiology services supporting the PET program.

    The provider has long tenure in NPI records (enumerated 2006-03-01, ~20 years ago), which aligns with the establishment of a specialized imaging practice and may support durable referral relationships needed to sustain high-volume PET imaging and related services. Long enrollment combined with the concentrated revenue profile indicates an established, specialist operation rather than a new entrant.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…540$1,960$1.1M
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries560$610$338.7K
    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…1,660$100$158.1K
    J2785Injection, regadenoson, 0.1 mg2,400$40$101K
    78434The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…540$150$80.4K
    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…570$130$75K
    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…120$350$41.7K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…670$60$38.4K
    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…180$130$23.4K
    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…180$120$22.1K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7843121080$1,810$437.6K
    A9555210240$610$195.5K
    933062770450$100$51.8K
    784523160120$250$40.3K
    93229153040$670$34.2K
    7843421090$140$33.5K
    J2785230390$40$26.9K
    99214301,830150$80$25.5K
    9923325450080$90$15.4K
    99232271730120$60$14.2K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Christiana Care Health Services IncDENeurology Physician$0$5.1M
    Christiana Care Health Services, IncDEFamily Medicine Physician$0$5.1M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Christiana Care Health Services, IncDEPsychiatry Physician$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$9.2M
    Jp Nacchia & Associates, Inc.DEIn Home Supportive Care Agency$0$8.2M
    Macklyn Home CareDEHome Health Agency$0$6.2M
    Journeys LLCDEMental Health Counselor$0$5M
    Resouces For Human Development, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.3M
    Robert M Collins Dds PADEPediatric Dentistry$0$3.2M
    Regional Orthopaedic Associates PADEOrthopaedic Surgery Physician$0$2.8M
    Rockland Surgery Center, L.P.DEAnesthesiology Physician$2.4M$280K
    Limestone Medical Center, LLCDEAmbulatory Surgical Clinic/Center$2.3M$242.7K
    Pace, Inc.DEAdult Mental Health Clinic/Center$0$2.3M

    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. Delaware Distribution
    Anthony Furey — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware