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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJuan Prieto
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    Juan Prieto — Billing Profile & Reimbursement Data

    NPI 1245471663 · Tucson, AZ · Physician Assistant

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    Juan Prieto is a physician assistant provider located in Tucson, Arizona. This profile covers 15 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJuan Prieto
    Address5301 E Grant Rd
    CityTucson
    StateAZ
    ZIP85712
    TaxonomyPhysician Assistant
    NPI EnumeratedMarch 14, 2009

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

    Payer SourceTotal Paid
    Medicare$59.6K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.380$30$9.4K
    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…100$80$7.8K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…60$140$7.5K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…50$140$7K
    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…140$50$6.5K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…50$120$6.3K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…140$30$4K
    99204The provider sees a new 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 provider…40$100$3.4K
    99203The provider sees a new 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 provider…30$60$2.2K
    97750The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…80$20$1.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744632020$2,210$59.6K
    274478529040$1,290$59.3K
    271304821030$1,270$45.7K
    992145,76010,410120$80$20.6K
    992133,1059,60080$60$9.6K
    992043,0065,79040$110$6.7K
    2061056795060$50$5.4K
    20985516040$90$4.6K
    992032,1074,10040$70$4K
    977505111080$20$3.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tucson Orthopaedic Institute Professional CorporationAZOrthopaedic Surgery Physician$0$10.2M
    Kyung ChenAZInterventional Pain Medicine Physician$540.3K$0
    Bradley HoltAZInterventional Pain Medicine Physician$473.4K$0
    Russell CohenAZAdult Reconstructive Orthopaedic Surgery Physician$399.1K$0
    Kevin BowersAZSports Medicine (Orthopaedic Surgery) Physician$341.1K$0
    John MaltryAZAdult Reconstructive Orthopaedic Surgery Physician$312.4K$0
    John WildAZSports Medicine (Orthopaedic Surgery) Physician$285.2K$0
    Troy Virgil TaduranAZSports Medicine (Neuromusculoskeletal Medicine) Physician$278.5K$0
    Chad HillsAZOrthopaedic Surgery Physician$229.4K$0
    Edward PetrowAZAdult Reconstructive Orthopaedic Surgery Physician$217.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Juan Prieto — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona