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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Frank Pelosi (NPI 1508942517)

Field	Value
Entity Type	Individual
Organization	Frank Pelosi
Address	1500 E Medical Center Dr
City	Ann Arbor
State	MI
ZIP	48109
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicare	$65.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,420	$10	$20.5K
93248	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…	580	$20	$11.5K
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	10	$810	$9.7K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	10	$740	$8.9K
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	$90	$4.7K
93244	After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…	140	$20	$2.6K
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…	50	$50	$2.4K
93227	In 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…	140	$10	$1.8K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	50	$20	$1.2K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	20	$50	$810

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

Claims Volume vs. Michigan Distribution

Frank Pelosi — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	57	60	30	$760	$19.1K
33249	19	30	10	$720	$11.5K
99213	8,754	14,810	60	$60	$6.6K
99204	1,283	6,280	30	$110	$4.2K
93280	113	240	50	$40	$3K
93284	77	90	30	$60	$2.3K
93283	76	80	30	$50	$2K
93010	9	2,400	90	$10	$1.3K
93279	61	60	20	$30	$960
93248	1	160	20	$20	$810

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Cohen	KS	Ophthalmology Physician	$2.4M	$0
Joshua Grant	MI	Ophthalmology Physician	$1.3M	$0
Philip Lieu	TX	Ophthalmology Physician	$1.1M	$0
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
Ehab Youssef	MI	Diagnostic Radiology Physician	$613.8K	$0
Andrew Leblanc	MI	Psychiatry Physician	$370.2K	$0
Noah Smith	WI	Dermatology Physician	$364K	$0
Eric Silberg	MI	Orthopaedic Surgery Physician	$309.9K	$0
Richard Cross	MI	Nephrology Physician	$296.6K	$0
Marius Tijunelis	MI	Ophthalmology Physician	$255.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of Michigan	MI	General Acute Care Hospital	$0	$317.9M
Regents Of The University Of Michigan	MI	Diagnostic Radiology Physician	$0	$13.8M
Regents Of The University Of Michigan	MI	Neonatal-Perinatal Medicine Physician	$0	$12.9M
Regents Of The University Of Michigan	MI	Emergency Medicine Physician	$0	$12.7M
Regents Of The University Of Michigan	MI	Obstetrics & Gynecology Physician	$0	$12.5M
Regents Of The University Of Michigan	MI	Family Medicine Physician	$0	$11.2M
Regents Of The University Of Michigan School Of Dentistry	MI	General Practice Dentistry	$0	$8.9M
Regents Of The University Of Michigan	MI	Pediatrics Physician	$0	$8.3M
Regents Of The University Of Michigan	MI	Anesthesiology Physician	$0	$7M
Regents Of The University Of Michigan	MI	Pediatric Critical Care Medicine Physician	$0	$6.6M

Frank Pelosi — 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