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NPI 1912905209 · Lincoln, RI · Cardiovascular Disease Physician
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Joseph Mazza is a cardiovascular disease physician provider located in Lincoln, Rhode Island. This profile covers 23 Medicare and 4 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 | Joseph Mazza |
| Address | 6 Blackstone Valley Pl Ste 105 |
| City | Lincoln |
| State | RI |
| ZIP | 02865 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | July 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $268.7K |
| Medicaid | $15.2K |
This provider is effectively Medicare‑dominant by scale: total Medicare revenue is $268.7K compared with total Medicaid revenue of $15.2K, indicating Medicare is the primary payer driving this practice’s billing volume and financial footprint. Medicaid activity exists but constitutes a small fraction of lifetime reported revenue.
Revenue concentration on Medicare is high: the top 3 Medicare codes by revenue account for 69.2% of this provider's total Medicare revenue. Those top codes are 99214 ($73.7K), 93306 ($65.9K) and 99213 ($46K), which together signal that established outpatient evaluation‑and‑management visits and transthoracic echocardiography are the principal revenue drivers.
Medicaid revenue is extremely concentrated: the top 3 Medicaid codes account for 98.7% of this provider's total Medicaid revenue. Medicaid billing is concentrated in 93010 ($7.3K, routine ECG interpretation), 99213 ($6.2K, established office visits) and 93306 ($1.8K, transthoracic echocardiography), meaning Medicaid payments are almost entirely tied to ECGs, low‑complexity office visits, and a small amount of echo work.
The provider shows above‑typical national outpatient E/M volume: 99214 ranks in the 96th percentile nationally and is labeled "notably above typical" national volume, while 99213 ranks in the 98th percentile and is also "notably above typical." This positioning indicates the clinician is a high‑volume manager of established cardiology patients compared with peers, which supports a clinic‑centric practice model.
Echocardiography and advanced echo analytics are important technical capabilities: 93306 (transthoracic echo) contributes $65.9K to Medicare revenue and ranks in the 86th percentile (typical, unremarkable volume), while 93356 (speckle tracking/myocardial strain) ranks in the 95th percentile and is noted as "notably above typical." Together these codes point to routine echo services with a relative strength in strain imaging.
The billing mix includes device and remote monitoring services plus inpatient E/M, showing a broader cardiology scope beyond clinic visits. Presence of codes such as 93268, 93280, 93294, 93296 and inpatient codes 99222/99223/99232—albeit at lower revenue levels—indicates the provider performs pacemaker/ICD follow‑up, remote device monitoring, and some hospital care in addition to outpatient diagnostics.
There are detectable statistical outliers at both ends of the distribution: high‑volume office E/M codes (99214 and 99213) are "notably above typical" national volume, while some lower‑complexity codes like 99212 rank in the 3rd percentile nationally (typical, unremarkable volume), suggesting selective intensity at mid/high complexity visits rather than broad use of the shortest visits. This pattern implies a focus on higher‑complexity established visits and diagnostic procedures.
The provider has a long billing history in Medicare/Medicaid systems, with NPI enumeration on 2005-07-11 (~21 years ago), which supports interpretation of these patterns as established rather than transient. Average paid‑per‑claim values are consistent with the service mix (for example, 99214 at $87/claim and 93306 at $130/claim on Medicare), and high claim counts for low‑unit services such as 93010 ($6 avg/claim) further emphasize volume‑driven ECG work, especially on Medicaid where 93010 accounts for $7.3K across 1.2K claims.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 850 | $90 | $73.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 510 | $130 | $65.9K |
| 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… | 780 | $60 | $46K |
| 99204 | The 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… | 150 | $110 | $16.6K |
| 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… | 180 | $60 | $10.9K |
| 93351 | In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and… | 60 | $170 | $9.8K |
| 93356 | The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography. | 280 | $30 | $8.1K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 40 | $130 | $5.4K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 810 | $10 | $4.9K |
| 93268 | In this service, the provider uses electrocardiographic leads and a monitor to assess the occurrence of cardiac events in a patient, even when the patient is at home. He records the data throughout… | 40 | $130 | $4.7K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 2 | 70 | 220 | $80 | $17.5K |
| 99214 | 12 | 1,950 | 100 | $80 | $11.7K |
| 99232 | 134 | 650 | 70 | $60 | $7.7K |
| 99213 | 24 | 1,950 | 70 | $60 | $7.4K |
| 99223 | 214 | 540 | 30 | $130 | $6.4K |
| 99204 | 18 | 740 | 30 | $110 | $4.6K |
| 93015 | 16 | 20 | 70 | $50 | $3.9K |
| 93296 | 6 | 10 | 70 | $20 | $3.8K |
| 99222 | 92 | 420 | 20 | $100 | $3.7K |
| 93294 | 11 | 10 | 80 | $20 | $3.6K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,220 | $10 | $7.3K |
| 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… | 120 | $50 | $6.2K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 10 | $150 | $1.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 10 | $20 | $200 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 68 | 70 | 150 | $250 | $147K |
| 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… | 1,342 | 2,050 | 300 | $50 | $72.3K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 53 | 150 | 470 | $10 | $19.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 93 | 100 | 120 | $10 | $3.9K |
Other providers in the same ZIP code as Joseph Mazza, ranked by combined Medicare and Medicaid revenue.
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