Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gert Pretorius (NPI 1629385836)

Field	Value
Entity Type	Individual
Organization	Gert Pretorius
Address	200 West Arbor Dr
City	San Diego
State	CA
ZIP	92103
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	September 9, 2010

Payer Source	Total Paid
Medicare	$97.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33945	The provider transplants a heart into a patient’s body. He may perform a cardiectomy as part of the procedure.	20	$2,720	$46.2K
33916	In this procedure, the provider surgically removes a blood clot from the pulmonary artery and may perform an embolectomy. This service is done to treat chronic thromboembolic pulmonary hypertension,…	10	$3,230	$42K
33238	In this procedure, the provider performs a thoracotomy, to open the chest wall and remove the permanent transvenous electrode from the heart surface. This procedure usually occurs after the removal…	10	$290	$3.8K
99222	The 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…	30	$110	$2.9K
33944	The provider prepares the donor heart that he receives in a cold solution for transplantation to a recipient’s body. He inspects the heart, excises, or sutures the blood vessels if they need repair,…	20	$80	$1.4K
93314	In this procedure, the provider performs transesophageal echocardiography, TEE, with interpretation of the overall function of the heart’s valves and chambers and determines the presence of many…	10	$70	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Gert Pretorius — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33945	2	10	20	$3,190	$51K
33916	3	10	20	$2,270	$45.4K
99222	3,467	7,350	30	$110	$5K
33238	1	10	10	$290	$3.8K
93314	39	40	30	$80	$3.2K
33944	2	10	20	$90	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rady Children's Hospital San Diego	CA	Pediatrics Physician	$0	$77.3M
Rady Children's Hospital San Diego	CA	Children's Hospital	$0	$69.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Emory Medical Care Foundation Inc	GA	Internal Medicine Physician	$0	$41.4M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Grady Memorial Hospital Corporation	GA	Family Medicine Physician	$0	$5.9M
Atul Jain	CA	Ophthalmology Physician	$3.5M	$0
Gokul Kumar	FL	Ophthalmology Physician	$3M	$0
Inderjit Mehmi	CA	Hematology & Oncology Physician	$2.3M	$0
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of California	CA	General Acute Care Hospital	$0	$264.9M
Family Health Centers Of San Diego Inc	CA	Federally Qualified Health Center (FQHC)	$0	$95.2M
Scripps Health	CA	General Acute Care Hospital	$0	$64.2M
Ihs Radiology Medical Group, Inc.	CA	Diagnostic Radiology Physician	$0	$59.1M
New Alternatives, Inc.	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32M
Mark Schechter	CA	Diagnostic Radiology Physician	$1.7M	$270
Harrison Wang	CA	Diagnostic Radiology Physician	$1.3M	$0
Scripps Mercy Ambulatory Surgery Center, LP	CA	Ambulatory Surgical Clinic/Center	$723.3K	$551.3K
Randy Fanous	CA	Diagnostic Radiology Physician	$339.6K	$911.3K
Michael Booker	CA	Diagnostic Radiology Physician	$1.2M	$0

Gert Pretorius — Billing Profile & Reimbursement Data

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Gert Pretorius — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References