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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRichard Pedro
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    Richard Pedro — Billing Profile & Reimbursement Data

    NPI 1013237924 · Warwick, RI · Anesthesiology Physician

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    Richard Pedro is a anesthesiology physician provider located in Warwick, Rhode Island. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Pedro
    Address455 Toll Gate Rd
    CityWarwick
    StateRI
    ZIP02886
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 3, 2010

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

    Payer SourceTotal Paid
    Medicare$20K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.30$160$4.5K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.30$130$3.8K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.30$130$3.3K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…30$60$1.7K
    01230The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.10$150$1.6K
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…30$50$1.4K
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.20$80$1.1K
    00910The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…10$60$850
    00410The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…10$70$750
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…20$20$530

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01402983020$170$3.7K
    01214372010$180$3.1K
    0073151213020$70$2.5K
    01230411010$170$2.3K
    01922402010$100$1.4K
    01480422010$90$1.3K
    009101294020$70$1.3K
    769421404020$30$1.2K
    64447462020$50$1.1K
    004101011020$60$880

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Planned Parenthood Of Southern New England, Inc.CTAmbulatory Family Planning Facility$0$37.9M
    Stephanie AvilaRIAdvanced Practice Midwife$0$1.1M
    Benjamin BrownRIObstetrics & Gynecology Physician$0$1.1M
    Janet LefkowitzRIObstetrics & Gynecology Physician$0$975.6K
    Fadya ElrayessRIFamily Medicine Physician$3.6K$563.9K
    Roberto FelizMAAnesthesiology Physician$460.2K$260
    Narragansett Bay Anesthesia, LLCRIAnesthesiology Physician$0$457.4K
    Paul MarsigliaILPain Medicine (Anesthesiology) Physician$452.4K$0
    Elizabeth GambleRIAnesthesiology Physician$3.3K$332.6K
    Frederic GergesMAInterventional Pain Medicine Physician$285.1K$880

    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
    Richard Pedro — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island