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

    NPI 1740239235 · Middletown, DE · Family Medicine Physician

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    John Cellucci is a family medicine physician provider located in Middletown, Delaware. This profile covers 14 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 Cellucci
    Address124 Sleepy Hollow Dr
    CityMiddletown
    StateDE
    ZIP19709
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 10, 2006

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

    Payer SourceTotal Paid
    Medicare$60.7K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$120$24.8K
    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…260$100$24.5K
    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…40$70$2.7K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…50$50$2.4K
    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…30$70$2.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.100$20$1.7K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.40$20$590
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$580
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…60$10$410
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.10$30$360

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146491,830150$80$25.5K
    992131,4311,810120$60$13.6K
    992044095030$110$6.5K
    9920340067040$70$5.3K
    87635112070$50$3.6K
    7104610012080$10$2.7K
    9300030034040$10$2.5K
    8780468030$20$810
    90715122010$30$440
    878801411020$20$410

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pennsylvania Urgent Care Centers, PLLCPAUrgent Care Clinic/Center$0$15M
    Glasgow Medical Center LLCDEAmbulatory Surgical Clinic/Center$214.5K$0
    David EstockDEFamily Medicine Physician$156.8K$0
    David WhitePAFamily Medicine Physician$110.9K$0
    Andrea HolzmanMDFamily Nurse Practitioner$90K$0
    Ralph DefrieceDEFamily Medicine Physician$86.6K$0
    Richard SmaydaPAFamily Medicine Physician$60.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Lieske E2e Home Health Care IncDEHome Health Agency$0$9.2M
    Tobola Health Care Services Inc.DEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.3M
    Delaware Smile CenterDEGeneral Practice Dentistry$0$3.1M
    Premier Physical Therapy And Sports Performance Limited PartnershipDEPhysical Therapist$0$2.3M
    Thrive Real Life Independence, LLCDEDevelopmentally Disabled Services Day Training Agency$0$1.2M
    Myeyedr Optometry Of Delaware PADEOptometrist$0$961.5K
    Scy DentalDEDental Clinic/Center$0$776.9K
    Middletown Familycare Associates LLCDEFamily Medicine Physician$0$719K
    Mccormick & Associates Of Middletown, LLCDEPsychiatric/Mental Health Clinical Nurse Specialist$0$590.7K

    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. Delaware Distribution
    John Cellucci — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware