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    OpenPayerNPI Medicare & MedicaidAngelo Mancuso
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    Angelo Mancuso — Billing Profile & Reimbursement Data

    NPI 1992777627 · Madison, AL · Procedural Dermatology Physician

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    Angelo Mancuso is a procedural dermatology physician provider located in Madison, Alabama. This profile covers 35 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
    OrganizationAngelo Mancuso
    Address540 Hughes Rd
    CityMadison
    StateAL
    ZIP35758
    TaxonomyProcedural Dermatology Physician
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: total Medicare revenue on file is $1.3M and there is no Medicaid billing on file, so Medicaid does not appear in this provider’s current payer mix. Analysts should treat Medicare activity as the sole available claims signal when assessing utilization and market impact.

    Revenue is highly concentrated in a narrow set of radiation‑therapy planning and guidance codes: the precomputed top three Medicare codes (77280, G6001, 77401) account for 73.4% of this provider’s total Medicare revenue. In particular, 77280 represents $693.8K in revenue (54.9% of the provider’s Medicare total; 3.7K claims, $189 avg paid/claim), showing the service-line dominates overall income.

    The code mix strongly indicates a practice focused on radiation simulation, planning, and guidance rather than exclusively dermatologic office procedures: top revenue drivers are 77280 (simulation/imaging for radiation ports), G6001 (ultrasonic guidance for radiation fields), and 77401 (radiation therapy planning, deleted effective Jan. 1, 2026). These radiation‑service codes together form the bulk of revenue while dermatologic procedural codes (for example 11102 at $24.7K/2.0%, 11301 at $12.4K/1.0%, and 17000 at $10.4K/0.8%) are present but constitute small shares of total Medicare revenue.

    Competitive standing on key codes is unusually strong for several radiation services: 77280 ranks #6 of 3348 providers nationally (100th percentile; extreme outlier), 77401 ranks #9 of 426 (98th percentile; notably above typical national volume), and 77427 ranks #95 of 4720 (98th percentile; notably above typical national volume). By contrast, G6001 is at a more typical volume (ranks #76 of 280; 73th percentile). These ranks suggest this provider is a major national outlier specifically on simulation/planning activity.

    Several evaluation-and-management and ancillary codes also show above-typical volumes for their categories and may reflect substantial clinic throughput: 99213 reports 520 claims and $31.2K revenue (2.5%); 99202 is flagged as an extreme outlier (191 claims, $8.6K revenue; ranks #192 of 20840, 99th percentile). High new‑patient E/M volume combined with heavy simulation/planning billing could indicate a steady intake funnel into radiation therapy services.

    Tenure and stability: the NPI was enumerated on 2006-02-06 (~20 years ago), indicating a long-enumerated billing history that supports the observed high volumes being the product of an established practice rather than a short‑term spike. Analysts can reasonably expect historical continuity when reviewing longitudinal trends.

    For payers and network analysts, two practical considerations follow from these patterns: the extreme concentration in a few radiation therapy codes (top three = 73.4% of Medicare revenue) implies revenue and capacity risk tied to those service lines, and the absence of Medicaid claims suggests either non‑participation in Medicaid or limited Medicaid access locally. Both factors are important for capacity planning, network contracting, and assessing care access for low‑income beneficiaries.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.3,670$190$693.8K
    G6001Ultrasonic guidance for placement of radiation therapy fields1,060$120$131.7K
    77401Deleted effective Jan. 1, 2026.3,520$30$102K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…620$140$88.5K
    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…520$60$31.2K
    88305The 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…1,110$30$31.1K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.370$70$24.7K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…310$60$18.8K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.180$90$16.1K
    11301The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.160$80$12.4K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6001310680$130$104K
    8830557180610$40$74.2K
    7728015040$180$61.8K
    77401110660$30$37.6K
    77427470150$140$30.5K
    77336940150$60$12.9K
    773341870100$70$11.4K
    773003370170$40$10.9K
    1110228280140$50$10.1K
    17000125320180$30$8.3K

    Showing 1–10 of 35

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Good Samaritan Hospice Of Madison Inc.ALCommunity Based Hospice Care Agency$0$5.2M
    Integrated Behavioral Health, Inc.ALPsychiatry Physician$0$4.1M
    Cornerstone Pediatrics, P.CALPediatrics Physician$0$3.9M
    Brightstarts Pediatrics PCALClinic/Center$0$3.6M
    Singing River Dentistry Treehouse, LLCALPediatric Dentistry$0$2.2M
    North Alabama Oral And Facial Surgery LLCALOral and Maxillofacial Surgery (Dentist)$0$1.8M
    Joseph DaiALDermatology Physician$1.6M$0
    Madison Valley PediatricsALPediatrics Physician$0$1.4M
    Vernon ForresterALMOHS-Micrographic Surgery Physician$1.3M$0
    Sarah M. Withrow, Dmd LLCALDentist$0$1.2M

    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. Alabama Distribution
    Angelo Mancuso — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama