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    OpenPayerNPI Medicare & MedicaidMaria Padilla
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    Maria Padilla — Billing Profile & Reimbursement Data

    NPI 1285652024 · New York, NY · Pulmonary Disease Physician

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    Maria Padilla is a pulmonary disease physician provider located in New York, New York. This profile covers 8 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaria Padilla
    Address5 E 98th St
    CityNew York
    StateNY
    ZIP10029
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$76.6K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…420$130$52.5K
    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…90$90$7.8K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…460$10$5.5K
    99205The 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…20$170$3.7K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.430$10$3.4K
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.90$20$1.6K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…50$30$1.5K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…50$10$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921415,41030,45090$100$19K
    992151568,28040$140$10.1K
    992052,3954,26030$180$6.4K
    947293168070$40$4.8K
    9472622340060$40$3.9K
    94375710060$20$3.5K
    G221212640030$30$1.7K
    946182620030$30$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Larry Di FabrizioNYPulmonary Disease Physician$324.9K$6.8K
    William WhangNYCardiovascular Disease Physician$248.3K$26.8K
    Karina JordanMDInternal Medicine Physician$274.7K$80
    Raymonde Ernest-jeanNYPulmonary Disease Physician$114.2K$4.9K
    Mira TadrosNYSleep Medicine (Internal Medicine) Physician$84.7K$0
    Barbara SchultzNYPulmonary Disease Physician$84.1K$0
    Robert Jan HienschUTCritical Care Medicine (Internal Medicine) Physician$69.2K$11.6K
    Barbara MannNYPulmonary Disease Physician$58.3K$2.9K
    Udit ChaddhaNYPulmonary Disease Physician$56.4K$170
    Timothy HarkinNYPulmonary Disease Physician$55.7K$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. New York Distribution
    Maria Padilla — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York