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

Why is the Medicaid comparison limited to Washington 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. Washington (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.

John Paul Giliberto (NPI 1922324771)

Field	Value
Entity Type	Individual
Organization	John Paul Giliberto
Address	1959 Ne Pacific St.
City	Seattle
State	WA
ZIP	98195
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 18, 2010

Payer Source	Total Paid
Medicare	$33.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	140	$90	$12.6K
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…	80	$80	$6.2K
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…	40	$110	$4.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$120	$4.3K
31571	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. The provider then injects a therapeutic agent into the one or…	20	$130	$2.8K
31574	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects one…	10	$140	$1.7K
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…	20	$50	$850

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

John Paul Giliberto — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,050	10,860	100	$80	$13.6K
31579	5	20	120	$120	$12.4K
31574	2	10	10	$660	$8.6K
99215	2,141	4,320	40	$120	$8.4K
99213	8,565	9,690	60	$60	$6.5K
99204	1,754	4,750	30	$110	$5.2K
31571	1	10	20	$140	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
University Of Washington	WA	Clinical Medical Laboratory	$1.5M	$36.6M
The Association Of Chrmc And University Physicians	WA	Pediatrics Physician	$0	$25M
Uw School Of Dentistry	WA	Dentist	$0	$23.4M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
University Of Washington	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Waldo Feng	NV	Pediatric Urology Physician	$0	$2.4M
Ariel Tyring	WA	Ophthalmology Physician	$1.5M	$0
Abilio Reis	VA	Orthopaedic Surgery Physician	$472K	$0

John Paul Giliberto — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References