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

Why is the Medicaid comparison limited to New York 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. New York (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.

Terry Pontino (NPI 1093089542)

Field	Value
Entity Type	Individual
Organization	Terry Pontino
Address	475 E Main St
City	East Patchogue
State	NY
ZIP	11772
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	March 1, 2012

Payer Source	Total Paid
Medicare	$55.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	330	$100	$32.2K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	340	$30	$8.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$170	$5.4K
99213	The 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…	70	$70	$4.5K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	100	$40	$4.1K
J1030	Injection, methylprednisolone acetate, 40 mg	90	$10	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Terry Pontino — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,186	30,450	90	$100	$19K
99213	17,300	31,440	80	$70	$12.1K
99205	1,621	4,260	30	$180	$6.4K
20552	41	260	30	$40	$2.7K
G0396	3	20	30	$30	$2.4K
J1030	239	690	60	$10	$690

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarene Services Inc	NY	Nursing Care Agency	$0	$63M
Long Island Community Hospital At Nyu Langone Health	NY	General Acute Care Hospital	$0	$27.6M
Great South Bay Endoscopy Center, LLC	NY	Ambulatory Surgical Clinic/Center	$912.1K	$3.5M
Christopher Adam	NY	Ophthalmology Physician	$3.1M	$219.4K
Aleksander Vayntraub	NY	Radiation Oncology Physician	$2.1M	$700
Shahid Nawaz	NY	Hematology & Oncology Physician	$2M	$85.7K
Ravi Pulipati	NY	Vascular Surgery Physician	$2M	$24.6K
Sanjeev Jain	NY	Hematology & Oncology Physician	$1.5M	$59.6K
Adeel Iqbal	NY	Internal Medicine Physician	$1.3M	$10.1K
Hitesh Narain	NY	Obstetrics & Gynecology Physician	$22.4K	$1M

Terry Pontino — Billing Profile & Reimbursement Data

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Terry Pontino — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References