Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMario Pinto
    Ask Trek AI about this page

    Mario Pinto — Billing Profile & Reimbursement Data

    NPI 1235540428 · Westport, CT · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Mario Pinto — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Mario Pinto is a internal medicine physician provider located in Westport, Connecticut. This profile covers 18 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMario Pinto
    Address333 Post Rd W
    CityWestport
    StateCT
    ZIP06880
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMay 11, 2014

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

    Payer SourceTotal Paid
    Medicare$185.1K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,070$100$105.9K
    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…380$70$25.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit130$140$18.5K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…100$70$7.3K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$240$6K
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…30$140$4.2K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…10$280$3.9K
    G0008Administration of influenza virus vaccine100$30$3.4K
    99442N/A40$70$2.7K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$180$2.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214366,48090$90$14.2K
    G04392331,51060$130$10K
    992134286,44070$60$8.1K
    992151,5611,84030$130$6.7K
    9067745566020$280$6.2K
    87636286030$140$4.7K
    994963521020$220$4.6K
    906621121,12030$70$3.5K
    G0402256010$180$2.5K
    994427434020$60$2.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danbury HospitalCTGeneral Acute Care Hospital$0$123.8M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Nuvance Health Medical Practice Ct, Inc.CTInternal Medicine Physician$0$20.2M
    Danbury HospitalCTGeneral Acute Care Hospital$0$15.3M
    Granit VeseliCTClinical Cardiac Electrophysiology Physician$567.3K$10
    Michael SpiegelCTRheumatology Physician$488.7K$0
    Sydney PageCTMedical Physician Assistant$398.3K$0
    Behzad Habibi KhamenehCTNeurology Physician$394.4K$0
    Donald SonnMAUrology Physician$367.6K$0
    Gillian LevyCTAnatomic Pathology & Clinical Pathology Physician$361.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meditox Care, LLCCTMental Health Clinic/Center (Including Community Mental Health Center)$0$2M
    Town Of WestportCTLand Ambulance$280.4K$424.2K
    Leslie DoctorCTOphthalmology Physician$486.7K$0
    Jody GerardCTFamily Medicine Physician$378.2K$0
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$214K$0
    Walgreen CoCTPharmacy$195.8K$0
    Boris SheynbergCTInterventional Cardiology Physician$193.9K$0
    Daniel ReckoCTOptometrist$192.9K$0
    Port Pharmacy LLCCTCommunity/Retail Pharmacy$174.7K$0
    Cesar SierraCTOphthalmology Physician$139.6K$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. Connecticut Distribution
    Mario Pinto — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut