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 Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

John Pellegrino (NPI 1730254053)

Field	Value
Entity Type	Individual
Organization	John Pellegrino
Address	459 Jack Martin Blvd
City	Brick
State	NJ
ZIP	08724
Taxonomy	Surgical Oncology Physician
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicare	$91.6K
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
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…	270	$140	$36.8K
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…	100	$190	$19.1K
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…	260	$70	$17.9K
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	20	$550	$11K
19125	The provider excises a single lesion previously identified by a preoperative radiological marker through an open incision.	10	$390	$5.1K
12034	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.	20	$90	$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 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

John Pellegrino — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
19301	36	70	20	$610	$15.9K
99213	3,310	14,090	100	$70	$13.1K
99215	240	3,750	40	$140	$12K
19125	7	10	20	$420	$8.5K
99205	100	1,970	30	$170	$6.5K
12034	2	10	20	$190	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Menack	NJ	Specialist	$88.8K	$0
Tushar Tripathi	NJ	Vascular Surgery Physician	$78.3K	$0
Amit Kharod	NJ	Surgery Physician	$62.1K	$0
Lisa Rivera	SC	Family Nurse Practitioner	$20.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White Glove Community Care, Inc.	NJ	Home Health Agency	$0	$540.7M
Ocean Partnership For Children, Inc.	NJ	Case Manager/Care Coordinator	$0	$66.5M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$50M
Summit Home Health Care, Inc	NJ	Home Health Agency	$0	$14.6M
Brick Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.2M
White Glove Community Care, Inc.	NJ	Home Health Agency	$0	$9.4M
Monmouth Healthcare Services	NJ	Methadone Clinic	$111K	$4.9M
Seashore Surgical Institute, LLC	NJ	Ambulatory Surgical Clinic/Center	$3.6M	$6.4K
Mutahir Abidi	NJ	Rheumatology Physician	$1.6M	$0
Aditya Mehra	NJ	Cardiovascular Disease Physician	$1.2M	$0

John Pellegrino — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References