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

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

Edward Pienkos (NPI 1356324669)

Field	Value
Entity Type	Individual
Organization	Edward Pienkos
Address	1010 Three Springs Blvd Ste 270
City	Durango
State	CO
ZIP	81301
Taxonomy	Urology Physician
NPI Enumerated	November 22, 2005

Payer Source	Total Paid
Medicare	$8.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.6K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$60	$1.6K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$90	$1.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$780
45990	In this procedure, the provider performs a diagnostic anorectal examination, or an exam of the anus and rectum, with the patient under anesthesia. He may also perform a procedure as necessary to…	20	$40	$740

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Edward Pienkos — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52332	29	60	20	$270	$5.6K
99222	205	1,150	20	$100	$2.7K
99231	355	500	30	$40	$2K
99221	25	140	20	$60	$1.2K
45990	1	10	20	$40	$740

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Ko	IN	Rheumatology Physician	$1.2M	$0
Karen Ringwald	IN	Rheumatology Physician	$1.1M	$0
Anil Rao	IN	Rheumatology Physician	$812.9K	$0
Monica Reddy	IN	Rheumatology Physician	$764.6K	$0
Cheng Du	IN	Neurology Physician	$243.6K	$0
Ethan Levine	NY	Clinical Cardiac Electrophysiology Physician	$222.4K	$220
Brian Orr	IN	Urology Physician	$213.8K	$0
Carl Walker	WA	Urology Physician	$209.2K	$0
Thomas Lazoff	IN	Physical Medicine & Rehabilitation Physician	$181.9K	$0
Saverio Barbera	NY	Cardiovascular Disease Physician	$170.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$6M
Pediatric Partners Of The Southwest	CO	Pediatrics Physician	$0	$5.8M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.5M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.3M
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
Kyle Piwonka	CO	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Clayton Labaume	CO	Surgical Physician Assistant	$1.4M	$0
Sano Vita Inc	CO	Community/Retail Pharmacy	$86.6K	$359.1K
Joshua Zastrocky	CO	Ophthalmology Physician	$352.5K	$0

Edward Pienkos — Billing Profile & Reimbursement Data

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Edward Pienkos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References