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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGary Mirone
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    Gary Mirone — Billing Profile & Reimbursement Data

    NPI 1972653939 · Cape May Court House, NJ · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Gary Mirone is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Cape May Court House, New Jersey. This profile covers 19 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
    OrganizationGary Mirone
    Address223 N Main St Ste 103
    CityCape May Court House
    StateNJ
    ZIP08210
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicare$229.7K
    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.

    19 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…740$100$75.5K
    52285The provider performs cystourethroscopy, inspection of the interior of the bladder, the urethra, and ureteric openings using a cystoscope passed through the urethra and into the bladder and treats…190$310$58.1K
    99215The 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…180$150$26K
    51725A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.210$100$21.1K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.30$260$7.7K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…10$560$6.2K
    91120N/A10$470$5.6K
    57240In this procedure, the provider repairs the vaginal wall where a prolapsing bladder is pushing through.  He uses a vaginal approach. The provider may or may not perform a urethrocele repair and…10$410$4.9K
    51701In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…120$40$4.4K
    52204The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder and takes biopsies…10$340$4.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6459011020$4,520$81.4K
    52285110190$310$58.1K
    6456131030$1,700$52.7K
    9921499313,640130$90$23.6K
    51725110120$150$16.3K
    52281255030$310$14.3K
    9921313,59714,090100$70$13.1K
    992154453,75040$140$12K
    9112071020$380$10.3K
    57288233020$450$10K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul KostoulakosNJNeurology Physician$362.1K$0
    Vasko GulevskiNJNeurology Physician$285K$0
    Amy BurhannaNJCardiovascular Disease Physician$227K$0
    Monique ScallyNJCardiovascular Disease Physician$219.4K$0
    Michael NillasNJCardiovascular Disease Physician$198.4K$0
    Samana ShaikhNJHospitalist Physician$172.4K$0
    Michael PiskunNJUrology Physician$158.4K$0
    Anita RaghuwanshiNJEndocrinology, Diabetes & Metabolism Physician$148.1K$0
    Paul OdonnellNJVascular Surgery Physician$134.2K$0
    Craig JurasinskiNJClinical Pathology/Laboratory Medicine Physician$124.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of Cape May CountyNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$53.8M
    Cooper University Hospital Cape Regional IncNJGeneral Acute Care Hospital$0$39.6M
    Rainbow Pediatrics PCNJPediatrics Physician$0$9.3M
    Ars Of Rio Grande, LLCNJMethadone Clinic$139.7K$8.4M
    Atlanticare Surgery Center Cape May - L.L.C.NJAmbulatory Surgical Clinic/Center$779K$0
    Ankur ShahNJDiagnostic Radiology Physician$502.1K$0
    Subhash MehtaNJInternal Medicine Physician$449.5K$350
    Danielle PonzioNJOrthopaedic Surgery Physician$418.5K$0
    Cape Cataract Center, PCNJAmbulatory Surgical Clinic/Center$412.2K$0
    Domenic PastoreNJSpecialist$412.1K$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
    Gary Mirone — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey