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    OpenPayerNPI Medicare & MedicaidAndrea Pakula
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    Andrea Pakula — Billing Profile & Reimbursement Data

    NPI 1568767960 · Thousand Oaks, CA · Surgery Physician

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    Andrea Pakula is a surgery physician provider located in Thousand Oaks, California. This profile covers 8 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
    OrganizationAndrea Pakula
    Address375 Rolling Oaks Dr Ste 115
    CityThousand Oaks
    StateCA
    ZIP91361
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 14, 2011

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

    Payer SourceTotal Paid
    Medicare$43.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$130$11.7K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$450$10K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.10$750$8.3K
    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…70$110$7.4K
    49594The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are incarcerated (trapped) or strangulated…10$310$3.4K
    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…10$100$1.2K
    15860The provider assesses the blood flow in grafted tissue by injecting an illuminating dye to ensure the graft has an adequate blood supply and will remain healthy.10$40$620
    99442N/A10$60$620

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921424,16737,970120$90$23.2K
    1430110211020$790$19.8K
    496507820020$660$15.7K
    4959471010$520$7.2K
    992043,76219,36040$120$7.2K
    992226,6397,35030$110$5K
    994423,4353,53030$60$4.1K
    15860152020$40$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kern County Hospital AuthorityCAGeneral Acute Care Hospital$0$169.4M
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Keisha BaldeosinghCAGastroenterology Physician$74.3K$1.7M
    Boris BagdasarianCAHematology & Oncology Physician$1.7M$380
    Joe ChauvapunCAVascular Surgery Physician$1.6M$0
    Tigalat ShalitaCAFamily Medicine Physician$1.5M$1.3K
    Richard RoeCAOphthalmology Physician$1.4M$2.4K
    Shahid MalikNVHematology & Oncology Physician$1.1M$0
    Chad SilaCARadiation Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thousand Oaks Pathology Associates Inc A Medical GroupCAClinical Medical Laboratory$2.1M$5M
    Beronica SimpsonCAFamily Nurse Practitioner$3.3M$0
    Ashraf NashedCACardiovascular Disease Physician$882K$1.3M
    Shahryar AshouriCAHematology & Oncology Physician$2.2M$0
    Synergy Surgical Center, LLCCAAmbulatory Surgical Clinic/Center$1.6M$0
    Bassam GhanemCAHematology & Oncology Physician$1.5M$0
    Bahareh BahadiniCAHematology & Oncology Physician$1M$0
    Dlv Vision Asc, LLCCAAmbulatory Surgical Clinic/Center$993.5K$0
    Michael BodnarCADermatology Physician$977.1K$0
    The Westlake Ophthalmology Asc, LLCCAAmbulatory Surgical Clinic/Center$883K$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. California Distribution
    Andrea Pakula — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California