Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Vincent Macaluso (NPI 1700996758)

Field	Value
Entity Type	Individual
Organization	Vincent Macaluso
Address	1575 Hillside Ave
City	New Hyde Park
State	NY
ZIP	11040
Taxonomy	Neurology Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2323	Injection, natalizumab, 1 mg	67,200	$20	$1.3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	220	$60	$13.5K
99215	The 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…	40	$160	$7.1K
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…	60	$110	$6.2K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	80	$30	$2.2K
99205	The provider sees a new 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 provider…	10	$160	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Vincent Macaluso — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2323	1	10	33,000	$20	$632.8K
99214	19,263	30,450	90	$100	$19K
99215	3,623	8,280	40	$140	$10.1K
96365	108	610	80	$60	$7.7K
99205	3,636	4,260	30	$180	$6.4K
G2212	76	400	30	$30	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Long Island Jewish Medical Center	NY	General Acute Care Hospital	$0	$370.9M
Truetox Laboratories LLC	NY	Clinical Medical Laboratory	$647.5K	$56.4M
Advanced Dermatology PC	NY	Dermatology Physician	$0	$43.9M
United Seating And Mobility LLC	NY	Durable Medical Equipment & Medical Supplies	$0	$21M
Allen Rothpearl	NY	Diagnostic Radiology Physician	$433.2K	$12.2M
United Sleep Diagnostics Inc	NY	Sleep Disorder Diagnostic Clinic/Center	$828.3K	$4.4M
Edward Rutkovsky	NY	Internal Medicine Physician	$2.1M	$10.3K
Nimish Dharia	NY	Cardiovascular Disease Physician	$1.4M	$37.4K
Sajid Khan	NY	Internal Medicine Physician	$623K	$373.8K
Sarat Bhumi	NY	Cardiovascular Disease Physician	$569K	$367.9K

Vincent Macaluso — Billing Profile & Reimbursement Data

Sign up for Vincent Macaluso — Billing Profile & Reimbursement Data policy alerts

Vincent Macaluso — Billing Profile & Reimbursement Data

Sign up for Vincent Macaluso — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References