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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPedro Villablanca Spinetto
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    Pedro Villablanca Spinetto — Billing Profile & Reimbursement Data

    NPI 1518254630 · Detroit, MI · Cardiovascular Disease Physician

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    Pedro Villablanca Spinetto is a cardiovascular disease physician provider located in Detroit, Michigan. This profile covers 10 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
    OrganizationPedro Villablanca Spinetto
    Address2799 W Grand Blvd
    CityDetroit
    StateMI
    ZIP48202
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 10, 2011

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

    Payer SourceTotal Paid
    Medicare$57.6K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92986In this procedure, the provider opens up a stenotic aortic valve using a balloon catheter to allow the blood to flow more freely.20$1,070$23.5K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…20$640$15.4K
    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…80$110$8.8K
    99205The provider sees a new 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 provider…30$130$3.1K
    33370At the same session as a primary transcatheter aortic valve replacement (TAVR/TAVI) procedure, the provider percutaneously places one or more cerebral embolic protection devices to prevent clots and…20$110$2.4K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…20$80$1.3K
    93451In this procedure, the provider gains percutaneous venous access through the internal jugular, subclavian, or femoral vein under fluoroscopic guidance. He obtains oxygen saturation measurements that…10$90$1.1K
    92978In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…10$80$870
    99152The 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…70$10$720
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.70$10$420

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    37252416030$670$30.9K
    9298611020$1,070$23.5K
    333614610020$610$17.7K
    992157844,42030$110$6K
    992056931,68020$150$4.3K
    3337061020$110$2.3K
    93451233020$100$2.2K
    9297811312020$80$1.8K
    930101,3732,40090$10$1.3K
    9915225671050$20$940

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    W.a. Foote Memorial HospitalMIGeneral Acute Care Hospital$0$41.3M
    W.a. Foote Memorial Hospital, Inc.MIGeneral Acute Care Hospital$0$40M
    W.a. Foote Memorial Hospital, IncMINurse Practitioner$0$5.3M
    Abdulkareem SharafCACardiovascular Disease Physician$1.2M$1.2M
    John CareyMIImmunopathology Physician$1.3M$220
    Tareq BaghalMICardiovascular Disease Physician$1M$0
    Janakkumar KansagraAZInterventional Cardiology Physician$798.6K$0
    Yaser BadrCANeurological Surgery Physician$756.3K$13.2K
    Patrick MclaughlinMIRadiation Oncology Physician$737.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Pedro Villablanca Spinetto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Health SystemMIGeneral Acute Care Hospital$0$335M
    Henry Ford Health SystemMIEmergency Medicine Physician$0$30.4M
    Henry Ford Health SystemMIPediatrics Physician$0$25.7M
    Henry Ford Health SystemMIInternal Medicine Physician$0$24.4M
    Henry Ford Health SystemMIDiagnostic Radiology Physician$0$23M
    Addus Healthcare, Inc.MIIn Home Supportive Care Agency$0$18.5M
    The Wellness Plan Medical CentersMIClinic/Center$0$17.5M
    Henry Ford Health SystemMIObstetrics & Gynecology Physician$0$17M
    Detroit Wayne Mental Health AuthorityMICommunity/Behavioral Health Agency$0$13.1M
    Henr Y Ford Health SystemMIFamily Medicine Physician$0$11.8M

    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
    Pedro Villablanca Spinetto — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan