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

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

Pendleton Wickersham (NPI 1053380048)

Field	Value
Entity Type	Individual
Organization	Pendleton Wickersham
Address	4511 Horizon Hill Blvd
City	San Antonio
State	TX
ZIP	78229
Taxonomy	Rheumatology Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Medicare: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0491	Injection, anifrolumab-fnia, 1 mg	44,740	$10	$581.6K
J3262	Injection, tocilizumab, 1 mg	57,830	$10	$289.1K
99214	The 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…	2,150	$90	$193.5K
J9312	Injection, rituximab, 10 mg	2,410	$60	$151.8K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	37,200	$1	$148.8K
J0897	Injection, denosumab, 1 mg	7,920	$20	$142.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	510	$100	$50K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	670	$60	$40K
86235	The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…	1,540	$20	$26.1K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	340	$60	$19.1K

Showing 1–10 of 60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Pendleton Wickersham — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

60 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0491	1	10	44,740	$10	$562.8K
J0717	68	90	56,000	$1	$272.5K
J9312	16	20	3,830	$60	$248.5K
J3262	13	40	31,800	$1	$212K
J0897	88	650	2,580	$20	$79.2K
86480	8	30	60	$60	$61.4K
86235	16	70	270	$20	$44K
83970	128	240	40	$40	$31.2K
J7322	26	40	1,370	$10	$28.2K
80307	64	460	170	$60	$23.7K

Showing 1–10 of 60

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jose Roldan	TX	Rheumatology Physician	$2.1M	$0
Gerald Rosenberg	TX	Rheumatology Physician	$356.4K	$0
Luis Zuniga-montes	TX	Rheumatology Physician	$266.4K	$0
Julio Beras-matos	TX	Rheumatology Physician	$218.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bexar County Hospital District	TX	General Acute Care Hospital	$0	$91.4M
A Plus Family Care LLC	TX	Home Health Agency	$0	$72.7M
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.	TX	General Acute Care Hospital	$0	$68M
Casa Linda Homecare, Inc.	TX	Home Health Agency	$0	$39.7M
Axiom Home Health LLC	TX	Home Health Agency	$0	$39.2M
University Of Texas Health Science Center At San Antonio	TX	Internal Medicine Physician	$0	$35.5M
Easter Seal Rehabilitation Center	TX	Registered Dietitian	$0	$24.2M
Access Quality Therapy Services, LLC	TX	Home Health Agency	$0	$23.4M
Emergency Medicine Services Of Tx, PLLC	TX	Emergency Medicine Physician	$0	$15M
San Rafael Healthcare, Inc	TX	Home Health Agency	$0	$13.6M

Pendleton Wickersham — Billing Profile & Reimbursement Data

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Pendleton Wickersham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References