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    OpenPayerNPI Medicare & MedicaidRichard Proia
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    Richard Proia — Billing Profile & Reimbursement Data

    NPI 1902880826 · Jacksonville, FL · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

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    Richard Proia is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Jacksonville, Florida. This profile covers 8 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
    OrganizationRichard Proia
    Address1824 King St Ste 200
    CityJacksonville
    StateFL
    ZIP32204
    TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
    NPI EnumeratedDecember 5, 2005

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

    Payer SourceTotal Paid
    Medicare$117.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    33533Coronary artery bypass, using arterial graft(s); single arterial graft50$1,480$68.2K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…50$620$30.9K
    33518The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…30$340$10.8K
    99204The provider sees a new 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 provider…30$120$3.1K
    99203The provider sees a new 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 provider…20$80$1.5K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$70$1.1K
    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…10$100$1.1K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…20$40$670

    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

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    335332122020$980$25.4K
    333612522020$620$18.7K
    9920412,19919,04040$110$7K
    992228,6888,97030$100$6K
    992038,49311,72040$70$4.4K
    33518411020$250$4.3K
    992211,0481,69020$60$2.2K
    G01801,6642,39030$40$1.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher LecroyFLVascular Surgery Physician$1.1M$0
    Shonak PatelOKVascular Surgery Physician$1.1M$0
    Charles GarnetteFLVascular Surgery Physician$867.7K$0
    Fernando KafieFLVascular Surgery Physician$723.1K$0
    Ravi ChandraFLSurgery Physician$681.1K$0
    Christopher BosargeFLVascular & Interventional Radiology Physician$475.1K$0
    James St GeorgeFLVascular & Interventional Radiology Physician$458.7K$0
    Felipe CollaresFLDiagnostic Radiology Physician$441.3K$0
    Jon AllmonFLVascular Surgery Physician$380.9K$0
    Erin MooreFLVascular Surgery Physician$207K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All About Pediatrics, LLCFLDurable Medical Equipment & Medical Supplies$0$16.6M
    St Vincents Medical Center IncFLGeneral Acute Care Hospital$0$12.7M
    St Vincents Ambulatory Care IncFLNeurological Surgery Physician$0$10.4M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.1M
    Carol Bowen-wellsFLSurgical Oncology Physician$5.1M$0
    Abdallah JeroudiFLOphthalmology Physician$3.3M$2.9K
    Leonard ShvartzmanFLMOHS-Micrographic Surgery Physician$2.5M$0
    Mitchell TerkFLRadiation Oncology Physician$2.2M$0
    Jacksonville Endoscopy Centers LLCFLAmbulatory Surgical Clinic/Center$1.2M$36.1K
    Richard LewisFLUrology Physician$583.6K$0

    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. Florida Distribution
    Richard Proia — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida