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    OpenPayerNPI Medicare & MedicaidDavid Didomenico
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    David Didomenico — Billing Profile & Reimbursement Data

    NPI 1740297803 · Mattoon, IL · Urology Physician

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    David Didomenico is a urology physician provider located in Mattoon, Illinois. This profile covers 17 Medicare and 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Didomenico
    Address1000 Health Center Dr Ste 305
    CityMattoon
    StateIL
    ZIP61938
    TaxonomyUrology Physician
    NPI EnumeratedAugust 2, 2006

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

    Payer SourceTotal Paid
    Medicare$99.4K
    Medicaid$64.9K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$60$27.8K
    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…250$60$14.2K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.30$450$12.5K
    99205The 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…70$120$8.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$140$7.6K
    99215The 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…50$110$5.5K
    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…110$40$4.6K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…30$120$3.6K
    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…30$100$3K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…30$120$2.9K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    50590154020$620$17.2K
    992142,04218,540110$80$17.1K
    520001131080$160$15.8K
    992232,7036,19050$140$10.4K
    992152,6696,24040$120$10.1K
    52281154030$200$8.9K
    992136,67917,39070$60$8.8K
    557009618020$200$6.5K
    992052742,73030$160$5.7K
    992222,9865,73030$100$5.3K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$60$15K
    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…700$20$14.1K
    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$40$12.2K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…100$80$8.1K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.570$10$6.3K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…40$120$5.2K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…550$1$1.6K
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.70$20$1.4K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…540$1$1.1K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…20$30$640

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,89814,680300$50$48.7K
    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…4,67714,190280$20$38.9K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…44575060$130$26.1K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…20348070$90$24.5K
    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…32030$80$17.3K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…231410860$1$11.3K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.2013070$10$3.7K
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.41020$20$2.4K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…295970150$1$2K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…21020$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarah Bush Lincoln Health CenterILGeneral Acute Care Hospital$0$3.3M
    Musaberk GokselILMedical Oncology Physician$2.1M$67.1K
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Aziz AhmedILDiagnostic Radiology Physician$611.2K$1.1M
    Joshua GarrettILDiagnostic Radiology Physician$275.4K$976.9K
    Matthew JonesILDiagnostic Radiology Physician$314.5K$874.6K
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Nehemiah TanILRheumatology Physician$910.1K$350
    Charly NguyenILOtolaryngology Physician$103K$702K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coles County Mental Health Association, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$17.2M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$7.5M
    Mitchell-jerdan Funeral Home LtdILLand Ambulance$449.5K$3M
    Air Evac Ems, Inc.ILAir Ambulance$879.9K$189.7K
    Naresh NekkantiILFamily Medicine Physician$53.1K$780.4K
    Ragai MitryILInterventional Pain Medicine Physician$157K$571.1K
    Constantine KatsamakisILCardiovascular Disease Physician$242.2K$309.6K
    Louis MendellaILOrthopaedic Surgery Physician$334.1K$199.5K
    Dawn MiesnerILFamily Medicine Physician$43K$437.6K
    Ryan PineILOphthalmology Physician$451.7K$640

    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. Illinois Distribution
    David Didomenico — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    David Didomenico — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois