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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Bethany Pellegrino (NPI 1376657494)

Field	Value
Entity Type	Individual
Organization	Bethany Pellegrino
Address	1 Stadium Drive
City	Morgantown
State	WV
ZIP	26506
Taxonomy	Nephrology Physician
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicare	$126.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	170	$220	$37.2K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	110	$270	$29.3K
99214	The 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…	310	$80	$23.2K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	100	$220	$22.3K
99204	The 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…	60	$110	$6.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$60	$4.1K
99213	The 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…	30	$50	$1.7K
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…	20	$90	$1.4K
99441	N/A	40	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Bethany Pellegrino — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	17	30	110	$270	$37.2K
90966	1	10	70	$220	$16.9K
90961	6	30	40	$220	$15K
99232	790	1,340	90	$60	$11.9K
99214	433	2,740	100	$70	$11.8K
99213	2,200	2,860	80	$50	$7.5K
99222	875	1,080	30	$100	$4.5K
99204	249	1,220	30	$100	$4.1K
99441	20	120	20	$30	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
Princeton Community Hospital Assn., Inc.	WV	General Acute Care Hospital	$0	$41M
West Virginia Health Care Cooperative Inc	WV	Critical Access Hospital	$0	$19.2M
Princeton Community Hospital Assn Inc.	WV	Urology Physician	$0	$15.4M
Inas Al-attar	WV	Pediatric Infectious Diseases Physician	$0	$3.9M
Summersville Regional Medical Center	WV	Critical Access Hospital	$0	$3.4M
West Virginia Health Care Cooperative Inc	WV	Hospitalist Physician	$0	$3.1M
Inderjit Mehmi	CA	Hematology & Oncology Physician	$2.3M	$0
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Randall J. Hill, M.d., P.L.L.C.	WV	Specialist	$0	$1.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Hospitals, Inc	WV	General Acute Care Hospital	$0	$124.1M
West Virginia University Hospitals, Inc.	WV	Substance Abuse Rehabilitation Facility	$0	$15.4M
West Virginia University Dental Corporation	WV	Dentist	$0	$5.9M
West Virginia University Hospitals, Inc	WV	Emergency Medicine Physician	$0	$3M
Heather Boo	WV	Neuroradiology Physician	$596.8K	$0
Arijit Chakravarty	WV	Nephrology Physician	$281K	$0
Adeem Akbar	WV	Nephrology Physician	$162.7K	$0
Robert Marsh	WV	Neurological Surgery Physician	$152.1K	$0
Mark Lisle	WV	Diagnostic Radiology Physician	$150.1K	$710
Brian Hamlin	WV	Adult Reconstructive Orthopaedic Surgery Physician	$148.2K	$0

Bethany Pellegrino — 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