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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLuiz Pinheiro
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    Luiz Pinheiro — Billing Profile & Reimbursement Data

    NPI 1508855206 · Birmingham, AL · Cardiovascular Disease Physician

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    Luiz Pinheiro is a cardiovascular disease physician provider located in Birmingham, Alabama. This profile covers 23 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
    OrganizationLuiz Pinheiro
    Address3980 Colonnade Pkwy
    CityBirmingham
    StateAL
    ZIP35243
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedOctober 17, 2005

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

    Payer SourceTotal Paid
    Medicare$72.1K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…220$80$17.7K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…160$90$14.3K
    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…180$50$9.1K
    93355The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…30$170$5.5K
    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…50$80$3.6K
    92960In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.40$80$3.2K
    99222The 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…30$100$3K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…50$40$2.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…70$30$2.2K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…70$20$1.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306211440170$80$19.1K
    992145,5637,330120$80$16.8K
    992335151,86080$90$13.4K
    9335531020$170$6.5K
    G20664760100$40$5.2K
    9388012748040$80$4.8K
    992227151,59030$90$4.2K
    939257422020$110$4.1K
    3328571010$260$4K
    93978286020$100$3.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Macy SmithALClinical Cardiac Electrophysiology Physician$282.7K$0
    Christopher RowleySCClinical Cardiac Electrophysiology Physician$266K$0
    John EaganALCardiovascular Disease Physician$254.9K$0
    Sanjeev HasabnisALClinical Cardiac Electrophysiology Physician$210.3K$0
    Raashid AshrafALCardiovascular Disease Physician$185.2K$0
    Saji JacobALCardiovascular Disease Physician$172.7K$0
    Sarah SandbergALClinical Cardiac Electrophysiology Physician$155.1K$7K
    Michael MckinneyKYCardiovascular Disease Physician$162.1K$0
    Peter ScaliseALInterventional Cardiology Physician$150.1K$0
    David CoxNCCardiovascular Disease Physician$138K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Taustin LaboratoriesALClinical Medical Laboratory$54.1K$37M
    The Children's Hospital Of AlabamaALPediatric Otolaryngology Physician$0$15.8M
    Wiregrass Hospice, LLCALCommunity Based Hospice Care Agency$0$3.5M
    Compassus Op Of Alabama LLCALCommunity Based Hospice Care Agency$0$3.5M
    Benjamin JonesALHematology & Oncology Physician$2.4M$0
    Vuepoint Diagnostics, LLCALPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.3M$181.3K
    Continuumrx, Inc.ALHome Infusion Therapy Pharmacy$0$1.3M
    Matthew TuckerALHematology & Oncology Physician$1.3M$0
    Agape Care Alabama LLCALCommunity Based Hospice Care Agency$0$1.1M
    Affinity Hospital LLCALGeneral Acute Care Hospital$0$904.8K

    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. Alabama Distribution
    Luiz Pinheiro — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama