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    OpenPayerNPI Medicare & MedicaidJames Pehoushek
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    James Pehoushek — Billing Profile & Reimbursement Data

    NPI 1104810720 · Glendale, AZ · Dermatology Physician

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    James Pehoushek is a dermatology physician provider located in Glendale, Arizona. This profile covers 37 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
    OrganizationJames Pehoushek
    Address6320-a W Union Hills Dr.
    CityGlendale
    StateAZ
    ZIP85308
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$492.4K
    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.

    37 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…1,940$60$114.7K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…900$80$69.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…840$60$46.1K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.350$120$41.1K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,130$30$38.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.500$60$29.7K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…5,110$10$25.5K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.70$220$15.9K
    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…170$80$13.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…270$40$11.5K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305119270700$40$71.1K
    992144,15310,410120$80$20.6K
    J734530407,100$1$17.7K
    1110259500170$60$13.8K
    171106510120$70$13.1K
    1700028580210$30$11.8K
    120323518040$190$9.7K
    99213359,60080$60$9.6K
    17004732050$110$9.3K
    96574385030$190$9K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lynn JuracekAZMOHS-Micrographic Surgery Physician$497.4K$0
    Tyler MossAZDermatology Physician$339.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vhs Of Arrowhead, IncAZGeneral Acute Care Hospital$0$27.7M
    Family Care Connections LLCAZHome Health Agency$0$23.7M
    Arizona Spine And Pain Specialists LLCAZInterventional Pain Medicine Physician$0$14.1M
    Am Nutrition ServicesAZRegistered Dietitian$0$12.8M
    El Bondy Medical Transportation LLCAZNon-emergency Medical Transport (VAN)$0$9.3M
    Brian S Page Do LLCAZPain Medicine Physician$0$9.1M
    Raymond W Lemberg Phd PCAZPsychologist$0$7.5M
    Cactus Childrens Clinic PCAZPediatrics Physician$0$6M
    Southwest Kidney Davita Dialysis Partners LLCAZEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6M
    Surgery Center Of Scottsdale LLCAZAmbulatory Surgical Clinic/Center$1M$3.5M

    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. Arizona Distribution
    James Pehoushek — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona