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    OpenPayerNPI Medicare & MedicaidThomas Dipetrillo
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    Thomas Dipetrillo — Billing Profile & Reimbursement Data

    NPI 1881651941 · Providence, RI · Radiation Oncology Physician

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    Thomas Dipetrillo is a radiation oncology physician provider located in Providence, Rhode Island. This profile covers 22 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
    OrganizationThomas Dipetrillo
    Address593 Eddy St
    CityProvidence
    StateRI
    ZIP02903
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 1, 2006

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

    Payer SourceTotal Paid
    Medicare$350.1K
    Medicaid$0

    Key Findings

    Practice profile and service mix: THOMAS DIPETRILLO’s billing pattern is consistent with an active radiation oncology practice that emphasizes external beam and advanced conformal therapies — the highest-revenue codes are G6015, 77301, and 77427, which correspond to intensity-modulated treatment delivery, IMRT planning/delivery, and general radiation therapy delivery respectively. The dominance of these treatment-delivery and planning CPT/HCPCS codes indicates the operation is primarily procedure-driven rather than visit/E&M–driven, with clinical management codes (99205/99213/99214) representing only small shares of Medicare revenue.

    Revenue concentration: The provider’s top three Medicare codes account for 48.1% of total Medicare revenue, highlighting a concentrated revenue base. In particular, G6015 generates $95K (27.1% of Medicare revenue), 77301 contributes $42.2K (12.1%), and 77427 contributes $31.2K (8.9%), so changes in reimbursement or utilization of these specific procedures would materially affect overall Medicare revenue.

    Payer mix / single-payer exposure: This profile is effectively single-payer at scale — lifetime Medicare revenue is $350.1K while there is no Medicaid billing on file. The absence of Medicaid revenue indicates reliance on Medicare reimbursement and suggests limited exposure to Medicaid patient volume or state-plan contracts.

    Operational throughput signal: Several high-claim technical codes signal routine, high-throughput treatment activity rather than episodic consults — examples include G6015 with 320 claims, 77014 with 352 claims, 77300 with 308 claims, and 77334 with 232 claims. These claim counts align with a workflow that is centered on repeated treatment sessions, simulation, and dosimetry tasks rather than predominantly one-off procedures.

    Competitive standing (national): Across the top codes the provider’s national ranks are mostly around typical middle ranges, indicating a modest national footprint rather than market dominance — G6015 ranks #930 of 1429 (35th percentile; typical, unremarkable volume for this code), 77301 ranks #1596 of 3815 (57th percentile; typical, unremarkable volume for this code), and 77427 ranks #1681 of 4720 (64th percentile; typical, unremarkable volume for this code). A few technical design/planning codes show relatively higher placement (e.g., 77338 at the 71th percentile; typical, unremarkable volume for this code), while certain stereotactic fractions are low by rank (e.g., 77373 at the 9th percentile; typical, unremarkable volume for this code and 77435 at the 6th percentile; typical, unremarkable volume for this code), underscoring that strength is concentrated in conventional/IMRT delivery rather than in higher-volume stereotactic programs.

    Tenure and stability: The provider’s NPI was enumerated on 2006-05-01 (~20 years ago), indicating long-standing participation in the Medicare program. That tenure supports the interpretation of the observed code mix as a stable practice pattern rather than a brief or transient reporting artifact.

    Revenue composition — technical versus evaluation services: The bulk of reported Medicare revenue and claims are for technical treatment delivery and planning codes (G6015, 77301, 77427, 77334, G6002), while professional E/M codes (99205, 99213, 99214) together contribute a small portion of revenue. This composition suggests the clinic’s economic model is driven by procedural throughput and technical radiation services rather than office-based E/M visits.

    Concentration risk implication: With 48.1% of Medicare revenue coming from the top three codes and total Medicare lifetime revenue of $350.1K, the practice has concentrated exposure to reimbursement or utilization shifts affecting IMRT and radiation-delivery codes. Given there is no Medicaid revenue to diversify payor exposure, payer-negotiated changes or clinical guideline shifts that affect those high-share codes could disproportionately influence overall revenue.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session320$300$95K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…40$1,030$42.2K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…200$160$31.2K
    77014N/A350$60$21.8K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…20$830$17.5K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…60$290$17.1K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev90$190$16.7K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.230$70$15.8K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…310$40$12K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy320$40$12K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015510300$290$125.9K
    77014910410$80$39.6K
    7730121030$990$29.7K
    7737321040$760$28K
    77427120150$160$21.3K
    G601261090$190$20.3K
    992141,3991,950100$80$11.7K
    7733821030$280$9.6K
    7733671090$70$7.9K
    7733422090$70$7.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rhode Island HospitalRIGeneral Acute Care Hospital$0$380.8M
    Tufts Medical Center, Inc.MAGeneral Acute Care Hospital$0$164.6M
    Rhode Island HospitalRIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.2M
    Edward MedeirosRINephrology Physician$87.2K$6.8M
    Lifespan Physician Group, Inc.RIUrgent Care Clinic/Center$0$6.5M
    Lifespan Physician Group, Inc.RIGeneral Practice Physician$0$5.6M
    Rhode Island HospitalRIPediatrics Physician$0$5.3M
    Lifespan Physician Group, Inc.RIPsychiatry Physician$0$4.4M
    Rhode Island HospitalRIMulti-Specialty Clinic/Center$0$4M
    Richard LimRIInternal Medicine Physician$52.2K$3.4M

    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. Rhode Island Distribution
    Thomas Dipetrillo — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island