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    OpenPayerNPI Medicare & MedicaidPaul Prosperi
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    Paul Prosperi — Billing Profile & Reimbursement Data

    NPI 1952416588 · Ship Bottom, NJ · Family Medicine Physician

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    Paul Prosperi is a family medicine physician provider located in Ship Bottom, New Jersey. This profile covers 23 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
    OrganizationPaul Prosperi
    Address1812 Long Beach Blvd
    CityShip Bottom
    StateNJ
    ZIP08008
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 21, 2006

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

    Payer SourceTotal Paid
    Medicare$243.7K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…760$90$69.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit420$140$57K
    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…590$60$35.8K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes420$30$11.4K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…60$170$10.7K
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…250$30$8.6K
    G0444Annual depression screening, 5 to 15 minutes420$20$8.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…120$70$7.8K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$180$6.8K
    G0442Annual alcohol misuse screening, 5 to 15 minutes320$20$6.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921494513,640130$90$23.6K
    992131,00414,090100$70$13.1K
    G0439403,37070$120$11.5K
    906779061,78020$280$8.5K
    992034,2105,66040$80$4.8K
    906623832,85040$70$4.6K
    G04386053020$160$3.7K
    992122,0323,45040$40$3.6K
    994951259020$150$3.3K
    G0446212080$30$3.2K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harry LarkinNJFamily Medicine Physician$451.3K$0
    James SuddethNJFamily Medicine Physician$184.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph ClancyNJFamily Medicine Physician$194.6K$0
    Todd SchmollNJFamily Medicine Physician$191.5K$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
    Paul Prosperi — 6 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey