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    OpenPayerNPI Medicare & MedicaidJose Avila Calles
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    Jose Avila Calles — Billing Profile & Reimbursement Data

    NPI 1598908394 · Greenville, NC · Anesthesiology Physician

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    Jose Avila Calles is a anesthesiology physician provider located in Greenville, North Carolina. This profile covers 29 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
    OrganizationJose Avila Calles
    Address2080 W Arlington Blvd Ste B
    CityGreenville
    StateNC
    ZIP27834
    TaxonomyAnesthesiology Physician
    NPI EnumeratedApril 9, 2009

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

    Payer SourceTotal Paid
    Medicare$354.6K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…560$90$50.5K
    G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation,…780$60$49.3K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…320$120$37.3K
    99213The 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…490$70$31.6K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…90$190$18K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$380$17K
    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…130$120$16.1K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…80$200$15.5K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…90$140$13K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$210$11.6K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G048110713060$150$71.5K
    G04805015060$110$39.6K
    80307128380100$60$35.4K
    99309634900260$70$31.2K
    6448313825060$190$20.4K
    G3002110130$60$16.4K
    646355717030$350$16.3K
    992141,23018,060110$80$15.1K
    9930612838050$130$12.7K
    623234620050$150$11.3K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Joseph CartwrightFLInterventional Pain Medicine Physician$1.1M$0
    Alexis JimenezFLInterventional Pain Medicine Physician$841.7K$0
    James FreidensteinFLPain Medicine (Anesthesiology) Physician$765.5K$0
    Courtney AumanNCPain Medicine Physician$395.2K$2.9K
    Jerry FoltzFLInterventional Pain Medicine Physician$384.6K$0
    Kirk HarumNCPain Medicine (Anesthesiology) Physician$337.9K$790
    Benjamin WallNCPain Medicine (Physical Medicine & Rehabilitation) Physician$318.5K$0
    Zachary KitchenNCPain Medicine (Anesthesiology) Physician$301.2K$290
    Peter GemelliNCPhysical Medicine & Rehabilitation Physician$292.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Jose Avila Calles, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    Paradigm, Inc.NCCommunity/Behavioral Health Agency$0$37.8M
    Better Connections, Inc.NCCommunity/Behavioral Health Agency$0$25.4M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$25M
    East Carolina UniversityNCPediatrics Physician$0$22.8M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Pediatric Services Of America, LLCNCNursing Care Agency$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    East Carolina UniversityNCObstetrics & Gynecology Physician$0$12.3M

    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. North Carolina Distribution
    Jose Avila Calles — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina