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.

Andrea Raucci (NPI 1851591747)

Field	Value
Entity Type	Individual
Organization	Andrea Raucci
Address	67 Higbee Ave
City	Somers Point
State	NJ
ZIP	08244
Taxonomy	Occupational Therapist
NPI Enumerated	July 19, 2007

Payer Source	Total Paid
Medicare	$91.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,630	$30	$42.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,350	$20	$25.6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	300	$20	$5.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	250	$20	$5.1K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	70	$60	$4.3K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	50	$80	$3.9K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	130	$20	$3K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	$80	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Andrea Raucci — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	1,250	4,430	780	$20	$20.9K
97530	281	3,560	470	$30	$19.1K
97112	2,956	3,520	390	$20	$13.5K
97140	2,162	3,500	420	$20	$10.3K
97535	312	1,550	60	$20	$4.1K
97166	40	430	30	$80	$2.4K
97168	8	90	30	$60	$2.2K
97167	37	50	20	$80	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Scordo	NJ	Physical Therapist	$849K	$0
John Bernal	NJ	Physical Therapist	$230.8K	$0
Malgorzata Kaczmarski	NJ	Occupational Therapist	$135.8K	$0
Jennifer Pierpoint	NJ	Occupational Therapist	$54.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shore Memorial Hospital	NJ	General Acute Care Hospital	$0	$52.4M
Golden Heart Adult Day Care, Inc	NJ	Adult Day Care Clinic/Center	$0	$9M
Shore Ambulatory Surgical Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$1.2M	$40.3K
Stephen Zabinski	NJ	Adult Reconstructive Orthopaedic Surgery Physician	$1M	$0
Ajay Viswambharan	NJ	Diagnostic Radiology Physician	$462.7K	$0
Christopher Lucasti	NJ	Infectious Disease Physician	$441.3K	$0
James Mesham	NJ	Diagnostic Radiology Physician	$414.6K	$0
Jeffrey Gosin	NJ	Surgery Physician	$369K	$0
Thomas Barrett	NJ	Orthopaedic Surgery Physician	$362.8K	$0
Gene Braga	NJ	Urology Physician	$357.4K	$0

Andrea Raucci — Billing Profile & Reimbursement Data

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Andrea Raucci — 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