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

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

Lori Pioli (NPI 1649352725)

Field	Value
Entity Type	Individual
Organization	Lori Pioli
Address	600 N Wolfe St
City	Baltimore
State	MD
ZIP	21264
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicare	$43.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	200	$130	$26.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	140	$90	$12.4K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	10	$160	$1.9K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	20	$40	$900
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	$50	$760
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	20	$30	$710
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	20	$40	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Lori Pioli — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	343	1,140	120	$140	$22.7K
12052	35	40	20	$160	$7.9K
99284	203	1,210	70	$90	$7.5K
99283	405	560	20	$50	$1.3K
12001	6	30	10	$60	$1.3K
12002	1	20	10	$50	$760
12011	4	10	10	$40	$690

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harcart Health Holdings, LLC	MD	Emergency Medicine Physician	$0	$5.5M
Todd Templeman	DC	Emergency Medicine Physician	$196.1K	$0
Matthew Leonard	NC	Emergency Medicine Physician	$191.6K	$0
Adetunji Williams	MD	Emergency Medical Services (Emergency Medicine) Physician	$169.6K	$0
Brendan Carmody	MD	Emergency Medicine Physician	$167K	$0
Emily Gordon	MD	Emergency Medicine Physician	$163.6K	$0
Shannon Reeve	MD	Emergency Medicine Physician	$161.2K	$0
Betty Dinarte	AZ	Emergency Medicine Physician	$156.9K	$0
Tracey Pyles	VA	Emergency Medicine Physician	$139.5K	$0
Jordan Tran	VA	Family Medicine Physician	$124.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Sulewski	MD	Ophthalmology Physician	$206.4K	$0
Majid Khan	MD	Neuroradiology Physician	$185.6K	$2.9K
Jeffrey Mewborne	MD	Neuroradiology Physician	$184.8K	$0
Marc Paul	MD	Diagnostic Radiology Physician	$150.8K	$0
Antoni Parellada	MD	Diagnostic Radiology Physician	$69.7K	$2.4K
Anna Nidecker	MD	Diagnostic Radiology Physician	$54.8K	$0
Alisha Ware	MD	Anatomic Pathology & Clinical Pathology Physician	$39.9K	$0
Ricardo Franco	MD	Pulmonary Disease Physician	$28.4K	$0
Salela Jordan	MD	Certified Registered Nurse Anesthetist	$11.2K	$0

Lori Pioli — Billing Profile & Reimbursement Data

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Lori Pioli — 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