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

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

Mias Pretorius (NPI 1235213356)

Mias Pretorius is a anesthesiology physician provider located in Nashville, Tennessee. This profile covers 13 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Mias Pretorius
Address	3601 The Vanderbilt Clinic
City	Nashville
State	TN
ZIP	37232
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicare	$44.2K
Medicaid	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	40	$240	$9K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	50	$180	$8.7K
00562	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	10	$520	$6.8K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	20	$210	$4.4K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	50	$80	$3.6K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	50	$70	$3.5K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	90	$30	$2.8K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	20	$110	$1.7K
00534	The provider performs anesthesia services for a patient undergoing the procedure of transvenous cardioverter–defibrillator insertion in which another provider inserts a device, via a blood vessel in…	10	$90	$1K
93503	The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…	10	$60	$870

Showing 1–10 of 13

Mias Pretorius — Billing Profile & Reimbursement Data

Sign up for Mias Pretorius — Billing Profile & Reimbursement Data policy alerts

Mias Pretorius — Billing Profile & Reimbursement Data

Sign up for Mias Pretorius — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00562	11	20	10	$450	$6.8K
00560	10	70	20	$250	$5.6K
00537	7	110	20	$190	$5.3K
93312	55	230	30	$80	$3.2K
01926	11	70	10	$170	$2.8K
01922	22	260	20	$100	$2.5K
00534	15	20	10	$120	$2K
00530	34	90	20	$100	$2K
93503	26	40	20	$70	$1.6K
00410	41	70	10	$50	$930