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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Pesso
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    Robert Pesso — Billing Profile & Reimbursement Data

    NPI 1730155953 · Toms River, NJ · Gynecology Physician

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    Robert Pesso is a gynecology physician provider located in Toms River, New Jersey. This profile covers 9 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
    OrganizationRobert Pesso
    Address79 Route 37 W
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyGynecology Physician
    NPI EnumeratedFebruary 27, 2006

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

    Payer SourceTotal Paid
    Medicare$152.4K
    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.

    9 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…990$70$68.2K
    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…350$100$35.6K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.260$90$22.9K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination170$40$7K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory130$50$6.2K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…50$90$4.2K
    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…30$120$3.8K
    58100The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.30$80$2.5K
    56605In this procedure, the provider excises suspicious tissue from a single lesion in the vulva or perineum, in the external female genital area. She submits the specimen to a laboratory for analysis and…20$80$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,19113,640130$90$23.6K
    9921330314,090100$70$13.1K
    992043,8887,16040$130$6.5K
    768569239030$70$3.7K
    76830237020$80$2.7K
    G01014072040$40$2.6K
    Q00913049030$50$2.3K
    5810011010$80$1.3K
    5660511020$80$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Barnabas Health Medical Group PCNJSpecialist$0$40M
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Azz Medical Associates PCNJInternal Medicine Physician$0$12.1M
    Anjum TanwirNJCardiovascular Disease Physician$2.5M$1.3K
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Ramzan ZakirNJInterventional Cardiology Physician$1.7M$1.2K
    Jehad SalibaNJPulmonary Disease Physician$1.3M$8.6K
    Isaac EzonNJRetina Specialist (Ophthalmology) Physician$966.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    Mohammedyusuf HajeeNJRetina Specialist (Ophthalmology) Physician$2.6M$0
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$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
    Robert Pesso — 4 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey