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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlejandro Pruitt
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    Alejandro Pruitt — Billing Profile & Reimbursement Data

    NPI 1568447118 · San Antonio, TX · Gastroenterology Physician

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    Alejandro Pruitt is a gastroenterology physician provider located in San Antonio, Texas. This profile covers 22 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
    OrganizationAlejandro Pruitt
    Address5223 Hamilton Wolfe Rd
    CitySan Antonio
    StateTX
    ZIP78229
    TaxonomyGastroenterology Physician
    NPI EnumeratedDecember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$152.1K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…140$190$27.4K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…110$190$20.9K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…40$320$13.6K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…80$150$11.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk70$170$11.7K
    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…90$110$9.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk50$170$8.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.140$60$8K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…30$180$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…60$90$5.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851921,13050$280$26.4K
    9921421,78032,500110$80$17.6K
    453808551,16050$190$16.4K
    G01058161030$270$12K
    432392091,21070$120$11.3K
    G01218261020$270$8.9K
    9921315,71729,79070$60$8.4K
    4327466020$310$7.5K
    4324821823030$160$6.8K
    432518411020$300$6.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Digestive Disease Consultants, PLLCTXClinical Medical Laboratory$8M$61.6K
    Jacque NoelLAGastroenterology Physician$804.6K$0
    Chukwuma OnyeagochaTNAnatomic Pathology & Clinical Pathology Physician$775.8K$0
    Daniel DangKSAnatomic Pathology & Clinical Pathology Physician$651.9K$0
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Keith BrownMSAnatomic Pathology & Clinical Pathology Physician$332.1K$0
    Jason JonesMSAnatomic Pathology & Clinical Pathology Physician$309.6K$0
    Tanner MattisonTXAnatomic Pathology & Clinical Pathology Physician$27K$271.7K
    Samuel HensleyMSAnatomic Pathology & Clinical Pathology Physician$288.6K$0
    M. Bruce JohnsonARGastroenterology Physician$253.9K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Alejandro Pruitt — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas