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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAntonio Pena
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    Antonio Pena — Billing Profile & Reimbursement Data

    NPI 1184824377 · Erie, PA · Diagnostic Radiology Physician

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    Antonio Pena is a diagnostic radiology physician provider located in Erie, Pennsylvania. This profile covers 50 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAntonio Pena
    Address201 State St
    CityErie
    StatePA
    ZIP16550
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 25, 2007

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

    Payer SourceTotal Paid
    Medicare$133.5K
    Medicaid$114.3K

    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.

    50 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.200$130$26.1K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.180$70$12K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.250$50$11.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.160$70$11.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…1,150$10$8K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…130$60$7.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…660$10$6K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…80$80$5.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.60$70$4.4K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.50$70$3.9K

    Showing 1–10 of 50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    50 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    741772401,040110$70$10.7K
    7418311334040$120$8.8K
    721977620040$130$8.3K
    70450826960160$30$6.7K
    7372125834040$80$5.8K
    741761151,01070$70$5.6K
    9388036776050$70$5.4K
    7125010599080$40$5.1K
    712759085050$70$4.5K
    7322121330030$80$4.4K

    Showing 1–10 of 50

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.370$80$30K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…2,120$10$21.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…800$20$18.3K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…2,680$10$16.1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.200$60$11.7K
    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.190$20$4.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.360$10$3.9K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.70$50$3.1K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.370$10$2.9K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.70$10$910

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.193480260$90$115.3K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.127140120$150$49.4K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.186200110$60$35.2K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.147350140$60$29.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.129210100$50$20.8K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…123880320$10$19.5K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…42300150$30$19.2K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…98850220$10$17.9K
    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.70190110$40$12.6K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.85260160$10$10.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashok MuthukrishnanFLNuclear Radiology Physician$3.9M$129.2K
    Anjaly CurleyAZDiagnostic Radiology Physician$1.7M$0
    Balasubramanya RangaswamyOHDiagnostic Radiology Physician$549.5K$45.6K
    Nicholas SalaPAOphthalmology Physician$17.5K$549.2K
    Ashima LallPADiagnostic Radiology Physician$518.1K$41.5K
    Yihua ZhouMODiagnostic Radiology Physician$119.1K$387.3K
    Jeremy KatzILDiagnostic Radiology Physician$47.2K$346.2K
    Felice EspositoPADiagnostic Radiology Physician$153.2K$212.3K
    Douglas RusnackIDDiagnostic Radiology Physician$350.1K$310
    William DelfyettPANeuroradiology Physician$96.4K$239.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upmc HamotPAGeneral Acute Care Hospital$0$18.1M
    Richard KocanPADiagnostic Radiology Physician$104.3K$169.8K
    Rachel LagosPADiagnostic Radiology Physician$246.1K$3.4K
    Jennifer NaberPAAnatomic Pathology & Clinical Pathology Physician$82.9K$146.9K
    Stephen OljeskiPADiagnostic Radiology Physician$156.1K$40.4K
    Dale StevensPADiagnostic Radiology Physician$73.3K$75.6K
    Angelo ZerboniaPADiagnostic Radiology Physician$59.7K$83.9K
    Samuel ZerklePAUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$72.7K$0
    Kim KrichkoPACertified Registered Nurse Anesthetist$46K$0
    Mark YostPADiagnostic Radiology Physician$27.3K$10.1K

    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. Pennsylvania Distribution
    Antonio Pena — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Antonio Pena — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania