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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Peggy Avendano (NPI 1629660923)

Field	Value
Entity Type	Individual
Organization	Peggy Avendano
Address	911 E Boling Hwy
City	Wharton
State	TX
ZIP	77488
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 8, 2021

Payer Source	Total Paid
Medicare	$75.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The 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…	470	$100	$46.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	190	$70	$13.1K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	130	$40	$5.2K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$30	$4.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	50	$50	$2.2K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	30	$50	$1.4K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	20	$60	$1.3K
99437	A physician or other qualified healthcare professional personally performs management and care plan services for a patient with two or more chronic conditions, expected to last at least one year or…	30	$40	$1.2K

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

Claims Volume vs. Texas Distribution

Peggy Avendano — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1,024	1,840	240	$70	$35K
99308	1,292	1,600	170	$50	$23.8K
99310	67	860	80	$100	$19K
99490	893	1,520	180	$40	$16.2K
99439	267	760	90	$40	$7.4K
99491	97	120	60	$60	$7.3K
99497	1,556	2,400	40	$60	$4.8K
99437	10	20	30	$30	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Demia Louis	TX	Family Nurse Practitioner	$1.7M	$0
Reginald Castor	TX	Family Nurse Practitioner	$250.2K	$0
Angela Frazier	TX	Family Nurse Practitioner	$240.3K	$0
Douglas Matey	TX	Orthopaedic Surgery Physician	$182.1K	$0
Moe Zaw	TX	Internal Medicine Physician	$157.4K	$0
Connie Powell	TX	Family Nurse Practitioner	$150.9K	$0
Robin Yue	TX	Cardiovascular Disease Physician	$146.5K	$320
Tanisha Mangon	TX	Adult Health Nurse Practitioner	$145.6K	$0
Gina Heck	TX	Family Nurse Practitioner	$138.6K	$0
Jerry Followwill	TX	Orthopaedic Surgery Physician	$122.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All The Little Things Count, Lc	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.5M
Health Wise Affordable Pharmacy	TX	Community/Retail Pharmacy	$5.2M	$940
Nadim Jafri	TX	Gastroenterology Physician	$192.6K	$0
Namita Tuli	TX	Specialist	$126.8K	$0

Peggy Avendano — Billing Profile & Reimbursement Data

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Peggy Avendano — 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