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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Michael Pylman (NPI 1407803893)

Field	Value
Entity Type	Individual
Organization	Michael Pylman
Address	3820 Commons Ave Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$16.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$80	$6.9K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	30	$200	$6.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	40	$60	$2.1K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	20	$30	$590
J3010	Injection, fentanyl citrate, 0.1 mg	20	$1	$20
J1100	Injection, dexamethasone sodium phosphate, 1 mg	330	$0	$0
J2250	Injection, midazolam hydrochloride, per 1 mg	40	$0	$0
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	50	$0	$0

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

Claims Volume vs. New Mexico Distribution

Michael Pylman — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	11	10	130	$190	$37.7K
99214	1,431	2,700	90	$70	$12.9K
80307	16	20	130	$60	$11.3K
99152	84	90	70	$20	$1.2K
Q9966	10	10	690	$1	$800
J1100	58	130	230	$1	$60
J3010	6	10	60	$1	$50
J2250	8	10	90	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Pain Center, Ps	WA	Pain Medicine (Anesthesiology) Physician	$0	$11.6M
Steven Larsen	UT	Interventional Pain Medicine Physician	$360.8K	$0
Virginia Lynch	WA	Nurse Practitioner	$275.3K	$0
William Waites	WA	Physician Assistant	$217K	$0
Patrick Demarco	WA	Clinical Psychologist	$123.1K	$0
Vienna Loften	WA	Family Nurse Practitioner	$120K	$0
Greg Wilkinson	CA	Physician Assistant	$102.4K	$0
Elise Pedigo	NM	Physician Assistant	$67.7K	$0
Regina Marie Kendra	ID	Nurse Practitioner	$55.4K	$0
Kyle Schoenberger	NM	Interventional Pain Medicine Physician	$48.6K	$0

Michael Pylman — 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

Frequently Asked Questions

References