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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Polowczyk
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    James Polowczyk — Billing Profile & Reimbursement Data

    NPI 1932371416 · Brick, NJ · Foot & Ankle Surgery Podiatrist

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    James Polowczyk is a foot & ankle surgery podiatrist provider located in Brick, New Jersey. This profile covers 16 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
    OrganizationJames Polowczyk
    Address457 Jack Martin Blvd
    CityBrick
    StateNJ
    ZIP08724
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedMarch 25, 2008

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

    Payer SourceTotal Paid
    Medicare$75.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$70$31.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.350$30$9.8K
    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…100$90$8.7K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.240$30$7.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…110$50$4.8K
    28470The provider treats a metatarsal fracture without making a skin incision and without manipulating the fracture.10$180$2.3K
    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…20$100$1.8K
    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…10$120$1.7K
    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$1.4K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…20$60$1.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,60713,640130$90$23.6K
    992131,66114,090100$70$13.1K
    992046,1767,16040$130$6.5K
    992039245,66040$80$4.8K
    992126623,45040$40$3.6K
    2055030842040$50$3.5K
    28470121020$180$3.3K
    9922137075020$70$2.3K
    2060017622030$40$1.7K
    9920244280020$50$1.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen ZabinskiNJAdult Reconstructive Orthopaedic Surgery Physician$1M$0
    Brian VannozziNJOrthopaedic Surgery Physician$878.3K$0
    Hari BezwadaNJOrthopaedic Surgery Physician$712.1K$0
    David RodricksNJAdult Reconstructive Orthopaedic Surgery Physician$531.5K$0
    Brian CulpNJOrthopaedic Surgery Physician$519.9K$0
    Mark PizzurroNJAdult Reconstructive Orthopaedic Surgery Physician$442.4K$0
    Joseph BogdanNJAdult Reconstructive Orthopaedic Surgery Physician$415.2K$0
    Dennis NutiniNJSports Medicine (Physical Medicine & Rehabilitation) Physician$412.8K$0
    William BaioneNJOrthopaedic Surgery Physician$401.1K$0
    Elad TennenNJSports Medicine (Family Medicine) Physician$390.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White Glove Community Care, Inc.NJHome Health Agency$0$540.7M
    Ocean Partnership For Children, Inc.NJCase Manager/Care Coordinator$0$66.5M
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$50M
    Summit Home Health Care, IncNJHome Health Agency$0$14.6M
    Brick Board Of EducationNJLocal Education Agency (LEA)$0$12.2M
    White Glove Community Care, Inc.NJHome Health Agency$0$9.4M
    Monmouth Healthcare ServicesNJMethadone Clinic$111K$4.9M
    Seashore Surgical Institute, LLCNJAmbulatory Surgical Clinic/Center$3.6M$6.4K
    Mutahir AbidiNJRheumatology Physician$1.6M$0
    Aditya MehraNJCardiovascular Disease Physician$1.2M$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. New Jersey Distribution
    James Polowczyk — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey