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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWalter Delgaudio
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    Walter Delgaudio — Billing Profile & Reimbursement Data

    NPI 1730270968 · Plains, PA · Urology Physician

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    Walter Delgaudio is a urology physician provider located in Plains, Pennsylvania. This profile covers 30 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
    OrganizationWalter Delgaudio
    Address670 S River St Ste 301
    CityPlains
    StatePA
    ZIP18705
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 26, 2006

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

    Payer SourceTotal Paid
    Medicare$215.7K
    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.

    30 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…860$60$48.7K
    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…370$90$32.6K
    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…200$160$31.8K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.30$430$14.1K
    51705In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.180$70$11.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg80$140$11.3K
    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…110$110$11K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$7.5K
    55700Code deleted December 31, 2025.50$100$4.8K
    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…50$80$4K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64561192030$2,350$75.1K
    J9217107130130$130$21.3K
    5059083020$630$17.1K
    992143,07823,230100$80$14.5K
    520002440070$140$13.9K
    52287466020$330$11.1K
    992155,4517,17040$120$8.6K
    5221441010$660$8.5K
    557002821020$260$8.4K
    52235112020$370$7.8K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Wayne Memorial HospitalPAGeneral Acute Care Hospital$0$9.2M
    Padmaja BojanapallyPAHematology & Oncology Physician$2M$0
    Carl BarsigianPAHematology & Oncology Physician$1.4M$0
    Amber SobutoPAInternal Medicine Physician$1.2M$0
    Samir PancholyPAInterventional Cardiology Physician$485.6K$0
    Donald PreatePAUrology Physician$432.4K$12K
    Haitham AbughniaPAInternal Medicine Physician$439.5K$0
    Kevin MustoPAInternal Medicine Physician$414K$230
    Javid AminiPACardiovascular Disease Physician$338.5K$160

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatria Healthcare, LLCPAMedically Fragile Infants and Children Day Care$0$14M
    Pediatria Healthcare, LLCPAHome Health Agency$0$13.9M
    Maxim Healthcare Services, Inc.PAHome Health Agency$0$5.7M
    City Of Wilkes BarrePALand Ambulance$404.2K$2.9M
    Frank CawleyPAOrthopedic Physical Therapist$1.1M$6.5K
    John EllisPACardiovascular Disease Physician$432.3K$0
    David DalessandroPACardiovascular Disease Physician$422K$0
    Sheehans Pharmacy IncPACommunity/Retail Pharmacy$310.3K$150
    Robert FiorelliPAUrology Physician$205.9K$0
    Eugene KimPAOrthopaedic Surgery Physician$199.3K$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. Pennsylvania Distribution
    Walter Delgaudio — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania