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    OpenPayerNPI Medicare & MedicaidGerald Falasca
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    Gerald Falasca — Billing Profile & Reimbursement Data

    NPI 1891888434 · Johnson City, TN · Rheumatology Physician

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    Gerald Falasca is a rheumatology physician provider located in Johnson City, Tennessee. This profile covers 24 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
    OrganizationGerald Falasca
    Address303 Med Tech Pkwy
    CityJohnson City
    StateTN
    ZIP37604
    TaxonomyRheumatology Physician
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$233.6K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1602Injection, golimumab, 1 mg, for intravenous use10,550$10$116K
    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…740$80$62K
    J0897Injection, denosumab, 1 mg1,020$20$18.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…110$90$10.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…150$50$6.9K
    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…70$60$3.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.80$40$3.4K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.110$30$3.3K
    20600In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…80$30$2.1K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…50$40$1.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1602253019,810$10$220.2K
    J08972292402,940$20$85K
    96413140240150$90$18.9K
    9921453011,370120$80$16.6K
    992152,3192,71040$110$8.3K
    992136,02011,03080$50$8K
    206102871,00070$40$5.5K
    9636514028080$40$5.1K
    906621,7431,83050$70$4.9K
    800539831,600160$10$4.3K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cmc Department Of Medicine Group PANJSpecialist$0$77.4M
    Cooper Surgical Associates, PANJSurgery Physician$0$34.7M
    Medical Education Assistance CorporationTNInternal Medicine Physician$0$31.1M
    Medical Education Assistance CorporationTNClinical Medical Laboratory$114.7K$2M
    Joseph ShanahanNCRheumatology Physician$1.9M$0
    Mutahir AbidiNJRheumatology Physician$1.6M$0
    Jason MarquartMDMOHS-Micrographic Surgery Physician$1.5M$0
    Wamiq SultanPANephrology Physician$978.6K$143.8K
    Theodore PlushNJPulmonary Disease Physician$482.8K$0
    Naomi LawrenceNJProcedural Dermatology Physician$457.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cura Partners, LLCTNIn Home Supportive Care Agency$0$49.3M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$31.3M
    Tri-cities Regional Emergency Physicians, PCTNEmergency Medicine Physician$0$24.7M
    Catalyst Health Solutions,llcTNSubstance Use Disorder Rehabilitation Clinic/Center$0$18.7M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$8.1M
    Juhn And Stark LLCTNPediatric Dentistry$0$8.1M
    First Tennessee Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$4.7M
    Mountain Empire Radiology Inc PCTNDiagnostic Radiology Physician$0$4.5M
    Tri-city Pediactric Cardiology P CTNPediatric Cardiology Physician$0$4.5M
    Brit E. Bowers, Dds, P. C.TNDental Clinic/Center$0$4.4M

    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. Tennessee Distribution
    Gerald Falasca — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee