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

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

Giuseppe De Caro — Billing Profile & Reimbursement Data

NPI 1861451163 · Brooklyn, NY · Infectious Disease Physician

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Giuseppe De Caro is a infectious disease physician provider located in Brooklyn, New York. This profile covers 15 Medicare and 2 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)

Field	Value
Entity Type	Individual
Organization	Giuseppe De Caro
Address	474 Ovington Ave
City	Brooklyn
State	NY
ZIP	11209
Taxonomy	Infectious Disease Physician
NPI Enumerated	March 23, 2006

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

Payer Source	Total Paid
Medicare	$8.7K
Medicaid	$420

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	30	$100	$3.3K
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…	30	$70	$2.2K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	20	$30	$740
82626	The lab analyst performs an analysis of dehydroepiandrosterone, known as an unconjugated form of DHEA. It is a major precursor of 17–ketosteroids, which the body forms when it breaks down certain…	20	$30	$380
86301	The lab analyst performs a quantitative test to evaluate the patient’s serum or body fluid for the cancer tumor antigen CA 19 9, a tumor marker for pancreatic cancer.	10	$20	$280
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$230
82530	The lab analyst measures the amount of free cortisol in a patient specimen. Cortisol is a steroid hormone generated from the adrenal glands.	10	$20	$220
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	10	$20	$220
82746	The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…	10	$10	$200
84480	The lab analyst performs a test to measure total T3 in patient blood.	10	$10	$200

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Giuseppe De Caro — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	23,826	30,450	90	$100	$19K
99213	23,531	31,440	80	$70	$12.1K
99307	819	1,000	80	$30	$8K
84443	1,431	1,510	90	$20	$7.9K
84480	126	130	130	$10	$7K
82746	567	640	40	$10	$5.2K
82607	997	1,070	50	$10	$5.2K
82728	726	770	50	$10	$4.6K
83525	50	50	150	$10	$4.2K
82626	12	10	120	$20	$3.6K

Showing 1–10 of 15

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The 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…	50	$10	$330
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Giuseppe De Caro — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,678	4,120	130	$30	$26.7K
99222	The 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…	735	1,410	50	$60	$18.6K

Nearby Providers

Other providers in the same ZIP code as Giuseppe De Caro, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angel's Touch Home Care	NY	Home Health Agency	$0	$54.3M
Changping Jia	NY	Nuclear Imaging & Therapy Physician	$2.2M	$58.7K
Jeffrey Frieling	NY	Ophthalmology Physician	$352K	$1.6M
Anthony Saleh	NY	Pulmonary Disease Physician	$674.9K	$626.8K
Thao Ngo	NY	Cardiovascular Disease Physician	$651.2K	$585.1K
Amer Rafiaa	NY	Hematology & Oncology Physician	$403.5K	$829.3K
Vladimir Krichevsky	NY	Urology Physician	$858.7K	$230.9K
Mehrdad Hedayatnia	NY	Pain Medicine (Anesthesiology) Physician	$237.5K	$807.1K
David Schreiber	NY	Radiation Oncology Physician	$1M	$0
Stella Douros	NY	Ophthalmology Physician	$965.9K	$43.8K

Giuseppe De Caro — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References