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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatrick Avila
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    Patrick Avila — Billing Profile & Reimbursement Data

    NPI 1114365699 · San Francisco, CA · Gastroenterology Physician

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    Patrick Avila is a gastroenterology physician provider located in San Francisco, California. This profile covers 19 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
    OrganizationPatrick Avila
    Address1001 Potrero Avenue
    CitySan Francisco
    StateCA
    ZIP94110
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 6, 2013

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

    Payer SourceTotal Paid
    Medicare$83.5K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…40$340$14.2K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…40$340$14.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$170$6.6K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…60$100$5.9K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…30$170$5.4K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…30$200$5.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$70$4.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$160$4.2K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…10$230$3.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$110$3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453853111,41060$340$33.9K
    992333,25511,530120$100$26.2K
    453803281,46060$230$23.8K
    432391811,50080$150$17.3K
    992323,57912,28090$70$16.3K
    992154,73615,36050$130$14.4K
    4327643030$330$13.6K
    992232,50113,19050$140$11.3K
    4327468020$330$9.9K
    4537818880020$220$7.5K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of California San FranciscoCAInternal Medicine Physician$0$49.3M
    Rahul KhuranaCAOphthalmology Physician$2.3M$1.8M
    Haig TcheurekdjianOHAllergy & Immunology Physician$2.9M$0
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Soraya RofaghaCAOphthalmology Physician$1.6M$0
    Henry AryanCANeurological Surgery Physician$1.6M$0
    Kent AdlerCAHematology & Oncology Physician$1.3M$0
    Bradley EkstrandCAHematology & Oncology Physician$1.3M$0
    Timothy MccalmontCADermatopathology (Pathology) Physician$1M$0
    Ostap MelnykCAHematology & Oncology Physician$584.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City & County Of San FranciscoCAGeneral Acute Care Hospital$0$56.4M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$56.3M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$41.6M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$34.9M
    Jacobson Dental CorpCAOrthodontics and Dentofacial Orthopedics Dentistry$0$27.9M
    City & County Of San FranciscoCAFederally Qualified Health Center (FQHC)$0$27.8M
    Mission Area Health AssociatesCAFederally Qualified Health Center (FQHC)$0$26.8M
    Jay WangCAOphthalmology Physician$2.2M$0
    Eric LimCAInternal Medicine Physician$220.8K$74.6K
    Sina HoushmandCADiagnostic Radiology Physician$108.1K$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.

    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. California Distribution
    Patrick Avila — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California