Loading...
NPI 1730164740 · Solon, OH · Pulmonary Disease Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Anthony Dimarco is a pulmonary disease physician provider located in Solon, Ohio. This profile covers 16 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Anthony Dimarco |
| Address | Po Box 391152 |
| City | Solon |
| State | OH |
| ZIP | 44139 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | December 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $150.4K |
| Medicaid | $144.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 390 | $90 | $34.7K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 420 | $80 | $32.9K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 50 | $460 | $24.5K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 100 | $130 | $13K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 240 | $50 | $12.8K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 20 | $610 | $9.7K |
| 99213 | The 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… | 160 | $60 | $9.6K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 70 | $40 | $2.9K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 80 | $30 | $2.1K |
| 99204 | The 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… | 20 | $100 | $2.1K |
Showing 1–10 of 16
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93229 | 17 | 20 | 30 | $600 | $25.2K |
| 99309 | 355 | 1,450 | 180 | $70 | $21.8K |
| 99308 | 491 | 1,340 | 150 | $50 | $15.3K |
| 99214 | 1,907 | 20,010 | 100 | $70 | $11.7K |
| 99306 | 110 | 480 | 50 | $130 | $9.4K |
| 95811 | 48 | 160 | 30 | $160 | $7.2K |
| 99213 | 4,633 | 20,000 | 70 | $50 | $6.6K |
| 99204 | 5,585 | 8,330 | 30 | $100 | $4.4K |
| 95923 | 15 | 20 | 20 | $80 | $2.4K |
| 99342 | 77 | 90 | 30 | $50 | $2.1K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 2,840 | $20 | $42.6K |
| 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… | 1,220 | $30 | $39.1K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 50 | $210 | $11.3K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 150 | $70 | $10.3K |
| E0601 | Continuous positive airway pressure (CPAP) device | 150 | $70 | $10K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 930 | $10 | $9.3K |
| A7035 | Headgear used with positive airway pressure device | 250 | $20 | $5.7K |
| A7037 | Tubing used with positive airway pressure device | 240 | $20 | $4.5K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 10 | $300 | $4K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 130 | $20 | $2.5K |
Showing 1–10 of 19
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
19 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,667 | 4,510 | 500 | $60 | $377.8K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 163 | 170 | 240 | $360 | $217K |
| E0601 | Continuous positive airway pressure (CPAP) device | 168 | 190 | 1,920 | $40 | $195.3K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 93 | 130 | 140 | $320 | $111.5K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 109 | 140 | 710 | $60 | $94K |
| A7030 | Full face mask used with positive airway pressure device, each | 132 | 140 | 810 | $50 | $80.9K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 122 | 150 | 180 | $40 | $70.5K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 159 | 630 | 630 | $20 | $62.5K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 301 | 690 | 610 | $10 | $44.5K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 116 | 120 | 410 | $30 | $39.8K |
Showing 1–10 of 19
Other providers in the same ZIP code as Anthony Dimarco, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| A & A Medical Supply LLC | OH | Durable Medical Equipment & Medical Supplies | $0 | $35.2M |
| City Of Solon | OH | Ambulance | $274.7K | $284.8K |
| Linda Ward | OH | Nurse Practitioner | $148.4K | $0 |
| Gregory Hickey | OH | Pulmonary Disease Physician | $141.5K | $0 |
| Jason Joyner | OH | Physical Therapist | $90.3K | $0 |
| Michael Mancuso | OH | Specialist | $88.2K | $0 |
| David Anstadt | OH | Internal Medicine Physician | $75.8K | $0 |
| Samuel Friedlander | OH | Allergy & Immunology Physician | $44.3K | $0 |
| Heather Gornik | OH | Cardiovascular Disease Physician | $37.1K | $0 |
| Roger Lee | OH | Diagnostic Radiology Physician | $27.6K | $0 |
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.