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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Califano
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    John Califano — Billing Profile & Reimbursement Data

    NPI 1720124381 · Bronx, NY · Urology Physician

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    John Califano is a urology physician provider located in Bronx, New York. This profile covers 16 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
    OrganizationJohn Califano
    Address2015 Grand Concourse
    CityBronx
    StateNY
    ZIP10453
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 30, 2007

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

    Payer SourceTotal Paid
    Medicare$110.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$50$26.8K
    52648Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with…40$500$19.6K
    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…270$70$17.8K
    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…170$60$9.5K
    99203The provider sees a new 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 provider…120$60$7K
    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$290$4.9K
    52353The 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…10$330$4.6K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$290$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…50$80$3.5K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$120$3.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64561111030$2,100$81.8K
    5264853020$940$21.5K
    992146,66330,45090$100$19K
    520004862060$170$14.3K
    52287255030$330$13.1K
    992131,80331,44080$70$12.1K
    523566714020$450$9.5K
    52235183020$390$8.6K
    523105613020$280$6.7K
    992044,95614,17030$130$6.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Self Regional HealthcareSCGeneral Acute Care Hospital$0$58.8M
    Essen Medical Urgicare, PLLCNYUrgent Care Clinic/Center$0$41.9M
    Essen Medical Associates, PCNYLegal Medicine$0$37.4M
    Self Medical GroupSCEmergency Medicine Physician$0$6M
    Ananth ShankarNYNuclear Cardiology Physician$358.3K$5.3M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    St Francis Physician Services IncSCFamily Medicine Physician$0$3.3M
    Self Medical GroupSCPediatrics Physician$0$3.3M
    Self Medical GroupSCUrgent Care Clinic/Center$0$2.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    T.c. Ny Homecare, LLCNYHome Health Agency$0$44M
    Morris Heights Health Center, Inc.NYFederally Qualified Health Center (FQHC)$0$38.7M
    Muhammad AhmadNYPulmonary Disease Physician$159.6K$1M
    Soodabeh ZolfaghariNYInternal Medicine Physician$874.2K$108.6K
    Huascar Perez TorresNYInternal Medicine Physician$348K$336K
    Emine CosarNYGeneral Practice Physician$424K$198.5K
    Jacques SainvilNYAdult Health Nurse Practitioner$242.5K$260.8K
    Timothy ChildsNYFamily Nurse Practitioner$384K$84.6K
    John FadelNYGynecology Physician$2.5K$452K
    Sandra Boateng-wilsonNYPsychiatric/Mental Health Nurse Practitioner$236.2K$86.6K

    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 York Distribution
    John Califano — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York