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    OpenPayerNPI Medicare & MedicaidBrian Pelkey
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    Brian Pelkey — Billing Profile & Reimbursement Data

    NPI 1477609253 · Saginaw, MI · Certified Registered Nurse Anesthetist

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    Brian Pelkey is a certified registered nurse anesthetist provider located in Saginaw, Michigan. This profile covers 3 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
    OrganizationBrian Pelkey
    Address6230 Fox Glen Dr Apt 143
    CitySaginaw
    StateMI
    ZIP48638
    TaxonomyCertified Registered Nurse Anesthetist
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$17.1K
    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.60$230$12.8K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.10$240$2.9K
    01400The provider performs anesthesia services for a patient undergoing an open or arthroscopic procedure on the knee joint.10$120$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01402840020$150$3K
    0121412617010$150$2.5K
    01400475020$70$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vimala RameshPAAnesthesiology Physician$57.8K$2.2M
    Debbie DivenanzoPAAnesthesiology Physician$18.2K$23.6K
    Leigh VargoWVCertified Registered Nurse Anesthetist$9.1K$0
    Amy PiotrowskiWVCertified Registered Nurse Anesthetist$4.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Home CareMIHome Health Agency$0$10.1M
    Christopher GencoMIThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$51.9K$0
    Mark BullockMIFoot & Ankle Surgery Podiatrist$43.4K$0
    Zakir QureshiMIAnesthesiology Physician$14.7K$480

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Brian Pelkey — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan