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    OpenPayerNPI Medicare & MedicaidCarlos Zevallos
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    Carlos Zevallos — Billing Profile & Reimbursement Data

    NPI 1619931433 · Akron, OH · Rheumatology Physician

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    Carlos Zevallos is a rheumatology physician provider located in Akron, Ohio. This profile covers 38 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
    OrganizationCarlos Zevallos
    Address471 N Cleveland Massillon Rd
    CityAkron
    StateOH
    ZIP44333
    TaxonomyRheumatology Physician
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicare$553.7K
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)10,600$30$360.4K
    J0897Injection, denosumab, 1 mg3,300$20$59.4K
    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…370$80$29.9K
    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…400$60$23.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…250$100$23.9K
    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…80$110$8.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.720$10$5.7K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.580$10$4.6K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…590$10$4.1K
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…620$10$3.1K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01298407,360$30$290K
    J08971022302,880$20$79.5K
    862352040160$20$27.1K
    823069737050$30$21.2K
    8444320846070$20$18.9K
    9641359210130$90$16.8K
    992142,16920,010100$70$11.7K
    8502572610110$10$11.7K
    86038143070$10$10.1K
    992131,08820,00070$50$6.6K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Megan BielawskiOHRheumatology Physician$800.7K$0
    David BachaOHRheumatology Physician$796.5K$0
    Margaret PullinOHRheumatology Physician$468.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Behavioral Nursing Services, IncOHHome Health Agency$0$26M
    Crystal Clinic Orthopaedic Center LLCOHSpecial Hospital$0$7.3M
    James LibeccoOHDermatology Physician$878.2K$0
    Akron Surgical Associates, LLCOHAmbulatory Surgical Clinic/Center$393.2K$68.5K
    Allison MoosallyOHMOHS-Micrographic Surgery Physician$338.8K$0
    Tony LababidiOHPain Medicine Physician$303.4K$0
    Anil ParikhOHPsychiatry Physician$57.1K$241.7K
    Saba SheikOHInternal Medicine Physician$249.6K$0
    Guang YangOHPhysical Medicine & Rehabilitation Physician$243K$0
    Michael GedeonOHInternal Medicine Physician$230.6K$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. Ohio Distribution
    Carlos Zevallos — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio