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    OpenPayerNPI Medicare & MedicaidLuis Perez
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    Luis Perez — Billing Profile & Reimbursement Data

    NPI 1225099880 · Pomona, CA · Family Medicine Physician

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    Luis Perez is a family medicine physician provider located in Pomona, California. This profile covers 10 Medicare and 19 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
    OrganizationLuis Perez
    Address2776 N Garey Ave
    CityPomona
    StateCA
    ZIP91767
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$40.1K
    Medicaid$10.4K

    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.

    10 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…260$70$17.4K
    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…110$100$11K
    99215The provider sees an established 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…30$120$3.5K
    99442N/A40$60$2.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$140$2.5K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…10$130$1.4K
    G0008Administration of influenza virus vaccine20$30$670
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…20$20$530
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…10$10$170
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.10$1$10

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419,35637,970120$90$23.2K
    9921510,25815,36050$130$14.4K
    992137,12734,66080$70$13.2K
    G04396,7017,80060$130$11.9K
    994421,0803,53030$60$4.1K
    G00087,3519,80050$30$3K
    9073242550020$130$2.8K
    930005,6286,54040$10$1.6K
    906863731,02020$20$760
    9476051020$1$40

    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.

    19 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…1,400$10$7K
    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…370$1$1.1K
    Q2038Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)30$30$960
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.40$10$350
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.80$1$160
    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,…80$1$80
    3074FNo Summary found for this code140$0$0
    3078FNo Summary found for this code130$0$0
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.320$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.190$0$0

    Showing 1–10 of 19

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7,81013,300640$40$169.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,2921,7201,360$10$165.3K
    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…5,80214,520760$10$122.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,6862,1001,130$1$83.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…1,0551,360590$10$74.1K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…1,0581,110300$10$70.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1,1721,610640$1$53.5K
    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,…4,1385,600440$10$44.4K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…1,7532,390550$1$28.7K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…9521,030580$1$25.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Shil PatelVAOphthalmology Physician$6.1M$0
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Nikhil PatelCAVascular & Interventional Radiology Physician$4.3M$0
    Jonathan EskenaziCANeurology Physician$2.9M$407.6K
    Clement ChanCARetina Specialist (Ophthalmology) Physician$2.9M$0
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K
    Steven LinCARetina Specialist (Ophthalmology) Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pomona Valley Hospital Medical CenterCAGeneral Acute Care Hospital$0$58.9M
    Michael DavisCARetina Specialist (Ophthalmology) Physician$2.1M$5.2K
    Bryan LeeCAInterventional Pain Medicine Physician$236.7K$687K
    Samir AnabiCAInternal Medicine Physician$479.8K$380
    Sadiq AltamimiCAClinical Neurophysiology Physician$358.1K$0
    Yogesh PaliwalCACardiovascular Disease Physician$357.4K$0
    Jerry KimCAVascular Surgery Physician$342.7K$0
    Luis CorralesCAOrthopaedic Surgery Physician$341.8K$0
    Vinod GargCASurgery Physician$200.9K$0
    Constantina LampropoulosCADiagnostic Radiology Physician$185.1K$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
    Luis Perez — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Luis Perez — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California