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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

James Pulvino (NPI 1194759548)

James Pulvino is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Columbus, Ohio. This profile covers 16 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.

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	James Pulvino
Address	3555 Olentangy River Rd.
City	Columbus
State	OH
ZIP	43214
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$71.1K
Medicaid	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$160	$12.2K
51729	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…	40	$290	$11.1K
57280	The provider pulls up the vaginal vault that is prolapsing and attaches it to a strong structure using sutures. The provider performs this procedure through an abdominal incision.	10	$670	$8K
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…	130	$60	$7.9K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	20	$380	$6.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	50	$110	$5.6K
51797	Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.	40	$150	$5.5K
51701	In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…	120	$30	$3.8K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	10	$260	$3.1K
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…	30	$80	$2.2K

Showing 1–10 of 16

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64590	8	10	20	$3,020	$51.4K
64561	13	20	20	$1,400	$32.1K
99214	16,620	20,010	100	$70	$11.7K
52000	226	340	70	$120	$10.5K
57280	1	10	10	$670	$8K
51729	10	40	30	$240	$7.5K
57288	9	20	20	$390	$7.5K
99213	6,110	20,000	70	$50	$6.6K
99215	4,493	4,950	30	$110	$5.9K
99205	82	2,130	20	$140	$4.2K

James Pulvino — Billing Profile & Reimbursement Data

Sign up for James Pulvino — Billing Profile & Reimbursement Data policy alerts

James Pulvino — Billing Profile & Reimbursement Data

Sign up for James Pulvino — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References