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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Oliva
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    Peter Oliva — Billing Profile & Reimbursement Data

    NPI 1083600829 · Plattsburgh, NY · Plastic and Reconstructive Surgery Physician

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    Peter Oliva is a plastic and reconstructive surgery physician provider located in Plattsburgh, New York. This profile covers 9 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
    OrganizationPeter Oliva
    Address16 Degrandpre Way
    CityPlattsburgh
    StateNY
    ZIP12901
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedSeptember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$52.7K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.70$190$12.9K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.60$180$11K
    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…120$80$9.2K
    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…110$50$5.8K
    12041This CPT® code is used for the intermediate repair of superficial wounds to the neck, hands, feet and/or external genitalia that are 2.5 cm or less in size.20$190$4.5K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.40$110$3.8K
    11402The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.30$70$2.3K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.20$90$1.8K
    11442The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple…20$70$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921312,94331,44080$70$12.1K
    1144261020$120$7.3K
    992031,06411,36030$90$4.7K
    1205113030$160$4.4K
    1203114020$190$3.8K
    1204111020$210$3.8K
    116028114020$110$3.3K
    1164273020$120$3.2K
    11402189020$90$2.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Champlain Valley Physicians Hospital Medical CenterNYGeneral Acute Care Hospital$0$35.9M
    Champlain Valley Brace And Limb, L.L.C.NYDurable Medical Equipment & Medical Supplies$0$21M
    Roy ArogyasamiNYOphthalmology Physician$4.7M$1.1M
    Surgical Pain Center Of The Adirondacks, LLCNYAmbulatory Surgical Clinic/Center$930K$225.6K
    Plattsburgh Asc LLCNYAmbulatory Surgical Clinic/Center$623.9K$21.1K
    Craig HurwitzNYNephrology Physician$445K$178.5K
    Joseph RiniNYOphthalmology Physician$543K$51.2K
    Champlain Toxicology Lab, LLCNYClinical Medical Laboratory$228.2K$269K
    Afterhours Imaging, LLCNYDiagnostic Radiology Physician$371.4K$16.4K
    Walgreen CoNYPharmacy$330.9K$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. New York Distribution
    Peter Oliva — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York