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

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

Umberto De Girolami (NPI 1972569127)

Umberto De Girolami is a anatomic pathology physician provider located in Boston, Massachusetts. This profile covers 11 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Umberto De Girolami
Address	75 Francis Street Armory 3
City	Boston
State	MA
ZIP	02115
Taxonomy	Anatomic Pathology Physician
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicare	$19.6K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	110	$70	$7.5K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	130	$20	$3.2K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	80	$30	$2.2K
88319	A qualified provider, typically a pathologist, performs a special stain, including interpretation and report, for enzyme constituents of a patient specimen, such as a biopsy, blood, or bone marrow.	60	$20	$1.5K
88331	Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…	30	$50	$1.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	40	$30	$1.4K
88314	The lab analyst performs the technical lab steps to perform a histochemical stain on a frozen tissue block; this code also includes interpretation and a report. You should report this code separately…	60	$20	$970
88360	The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…	20	$40	$700
88334	Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…	20	$30	$480
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	30	$10	$280

Showing 1–10 of 11

Umberto De Girolami — Billing Profile & Reimbursement Data

Sign up for Umberto De Girolami — Billing Profile & Reimbursement Data policy alerts

Umberto De Girolami — Billing Profile & Reimbursement Data

Sign up for Umberto De Girolami — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	483	520	530	$40	$53.4K
88341	305	430	210	$30	$9K
88342	296	470	120	$40	$8.3K
88307	126	350	80	$70	$7.5K
88360	240	260	60	$40	$5.1K
88331	98	150	30	$60	$3.2K
88313	215	270	60	$20	$2.8K
88319	1	10	30	$30	$1.1K
88314	1	10	60	$20	$950
88311	223	240	50	$10	$950