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    OpenPayerNPI Medicare & MedicaidJohn Tarro
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    John Tarro — Billing Profile & Reimbursement Data

    NPI 1942294749 · Providence, RI · Otolaryngology Physician

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    John Tarro is a otolaryngology physician provider located in Providence, Rhode Island. This profile covers 14 Medicare and 2 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Tarro
    Address148 W River St
    CityProvidence
    StateRI
    ZIP02904
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$135.6K
    Medicaid$35.8K

    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.

    14 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…960$70$63.1K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.1,880$10$22.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.70$150$11.2K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.910$10$8.2K
    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$80$7.7K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.200$30$6.5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.60$100$5.6K
    92552The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.110$30$3.2K
    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…20$120$2.8K
    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$90$1.8K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,7521,950100$80$11.7K
    3123141050$140$11K
    95165110670$10$10.2K
    99213121,95070$60$7.4K
    3157572050$100$5K
    9920442474030$110$4.6K
    95117210420$10$4.4K
    992036558030$70$3.6K
    92557354080$30$3.3K
    6921043030$30$2.5K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 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…670$50$31K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.370$10$4.4K

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6912,050300$50$72.3K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.810380$10$37.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rhode Island HospitalRIGeneral Acute Care Hospital$0$380.8M
    Rhode Island HospitalRIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.2M
    Rhode Island HospitalRIPediatrics Physician$0$5.3M
    Rhode Island HospitalRIMulti-Specialty Clinic/Center$0$4M
    Rhode Island HospitalRIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    George DupontRIPediatric Dentistry$0$2.4M
    Rhode Island HospitalRIHematology & Oncology Physician$0$2.3M
    Brian SavoieRIRetina Specialist (Ophthalmology) Physician$1.4M$55.1K
    Ri Ear Nose & Throat Physicians Inc.RIOtolaryngology Physician$0$1.4M
    Chandan LakhianiRIPediatrics Physician$0$1.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Providence Center IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$170.9M
    Re-focus Inc.RIDevelopmentally Disabled Services Day Training Agency$0$102.5M
    Hopehealth Hospice & Palliative CareRICommunity Based Hospice Care Agency$0$33.3M
    Mas Medical StaffingRIHome Health Agency$0$24.5M
    Generations Adult Day Health CenterRIAdult Day Care Clinic/Center$0$16.3M
    Prospect Chartercare Sjhsri, LLCRIGeneral Acute Care Hospital$0$10.9M
    Global Homecare And Staffing IncRIHome Health Agency$0$8.3M
    Emergency Care Services Of New England PCRIEmergency Medicine Physician$0$6.9M
    State Of Rhode IslandRIClinical Medical Laboratory$570$6.4M
    The Providence CenterRICommunity/Behavioral Health Agency$0$5.9M

    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. Rhode Island Distribution
    John Tarro — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    John Tarro — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island