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    OpenPayerNPI Medicare & MedicaidDavid Pelkowski
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    David Pelkowski — Billing Profile & Reimbursement Data

    NPI 1508826819 · Rochester, NY · Cardiovascular Disease Physician

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    David Pelkowski is a cardiovascular disease physician provider located in Rochester, New York. This profile covers 14 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Pelkowski
    Address601 Elmwood Ave
    CityRochester
    StateNY
    ZIP14642
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMarch 23, 2006

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

    Payer SourceTotal Paid
    Medicare$54.7K
    Medicaid$5.8K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…180$90$15.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…290$50$14.3K
    99213The 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…230$60$12.6K
    99204The 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…30$120$3.2K
    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…20$130$2.4K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…190$10$1.9K
    93350In this procedure, the provider performs transthoracic echocardiography both at rest and after exercise to review images. He evaluates and assesses global and ventricular performance and cardiac…30$50$1.7K
    93352In this procedure, the provider performs echocardiography by administering contrast intravenously to obtain both pre– and poststress images of the heart during stress echocardiography.30$30$680
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…40$20$580
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…40$10$560

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933067021,990200$110$30.7K
    992149,68030,45090$100$19K
    992136,77931,44080$70$12.1K
    992156,3188,28040$140$10.1K
    992047,77214,17030$130$6.6K
    93350228020$70$2.3K
    930001,6626,62060$10$2.2K
    9332031265030$30$1.3K
    9301628551040$20$1.1K
    9301831553050$10$800

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$30$5.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…30$10$140
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$10$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9,13916,550220$90$186.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,4461,710290$110$129.3K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…2,7763,120260$10$11.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Associates - University Of RochesterNYEmergency Care Clinic/Center$0$26.1M
    Androscoggin Valley Hospital, Inc.NHCritical Access Hospital$0$8.3M
    Weeks Medical CenterNHClinic/Center$0$4.6M
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Weeks Medical CenterNHCritical Access Hospital$0$3.5M
    Weeks Medical CenterNHClinic/Center$0$3.5M
    Weeks Medical CenterNHClinic/Center$0$988.8K
    Daniel PowellTNVascular & Interventional Radiology Physician$601.7K$0
    Weeks Medical CenterNHCommunity/Behavioral Health Agency$0$594.6K
    Eric FlaggCADiagnostic Radiology Physician$491.4K$91.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of RochesterNYGeneral Acute Care Hospital$0$368.3M
    U Of R Neurology DepartmentNYNeurology Physician$0$61.8M
    Sana IdreesNYRetina Specialist (Ophthalmology) Physician$1.7M$1.6K
    Daniel GinatNYDiagnostic Radiology Physician$202.7K$867.5K
    Andrew ChenNYDiagnostic Radiology Physician$373.4K$0
    Andrew DunnNYAnatomic Pathology & Clinical Pathology Physician$358.9K$0
    Ankur ChandraNYVascular Surgery Physician$293.6K$0
    David WagnerNYAnatomic Pathology & Clinical Pathology Physician$174.7K$0
    Sherry WangNYDiagnostic Radiology Physician$151.5K$0
    Tyler SlyngstadNYCardiovascular Disease Physician$145.3K$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.

    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. New York Distribution
    David Pelkowski — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    David Pelkowski — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York