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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWesley Pinto
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    Wesley Pinto — Billing Profile & Reimbursement Data

    NPI 1073894580 · Alexander City, AL · Physician Assistant

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    Wesley Pinto is a physician assistant provider located in Alexander City, Alabama. This profile covers 14 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
    OrganizationWesley Pinto
    Address3368 Highway 280
    CityAlexander City
    StateAL
    ZIP35010
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 30, 2011

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

    Payer SourceTotal Paid
    Medicare$57.3K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…590$50$28.5K
    99203The provider sees a new 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 provider…140$60$7.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.220$20$5.2K
    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…60$70$4.5K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.50$50$2.5K
    92553The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of…100$30$2.4K
    99204The provider sees a new 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 provider…20$100$2K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.20$80$1.2K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.110$10$950
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…20$30$780

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,9697,330120$80$16.8K
    992132356,47080$50$7.9K
    992042,5933,75030$100$4.8K
    3157511412050$80$4.8K
    992031172,21030$70$3.1K
    69210816050$30$2.1K
    20553243030$40$1.7K
    765365326020$40$1.5K
    G0268377030$30$1.5K
    9255321020$30$1.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Head & Neck SurgeryALOtolaryngic Allergy Physician$0$2.1M
    Fred McleodALSpecialist$751.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Associates Of Alexander City PCALPediatrics Physician$0$8.4M
    Russell Hospital CorporationALGeneral Acute Care Hospital$0$3.5M
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALPediatric Dentistry$0$3M
    Tallapoosa County Health Dept-alex City Fp ClinicALPublic Health or Welfare Agency$0$1.8M
    Nes Tennessee IncALEmergency Medicine Physician$0$1.4M
    Alexander City Amb SerALLand Ambulance$511.4K$753.6K
    Alexander City DermatologyALDermatology Physician$0$940K
    Heritage Pediatrics LLCALPediatrics Physician$0$892.3K
    Basel AlrefaiALCardiovascular Disease Physician$834.7K$0
    Wanda PattersonALFamily Nurse Practitioner$817.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Wesley Pinto — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama