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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshley Penaloza
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    Ashley Penaloza — Billing Profile & Reimbursement Data

    NPI 1669966719 · Winter Haven, FL · Family Nurse Practitioner

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    Ashley Penaloza is a family nurse practitioner provider located in Winter Haven, Florida. This profile covers 27 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
    OrganizationAshley Penaloza
    Address500 E Central Ave
    CityWinter Haven
    StateFL
    ZIP33880
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJune 20, 2018

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

    Payer SourceTotal Paid
    Medicare$37.7K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…90$150$12.4K
    99443N/A80$90$7.3K
    G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…310$20$6.4K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…20$130$2.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.30$40$1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…60$20$930
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.100$10$780
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.70$10$680
    G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)90$10$640
    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…70$10$580

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9935064375080$120$33K
    87088408070$10$26.7K
    8230688892070$30$21.5K
    800531,0071,430170$10$21.3K
    844438521,210130$20$20.9K
    8397023932050$40$20.2K
    800619881,250160$10$19.4K
    850251,3641,930210$10$11.5K
    8260780893060$10$11.4K
    G03183513090$20$10.8K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maurice MccarthyFLRheumatology Physician$1.3M$0
    Zaheed TaiFLCardiovascular Disease Physician$814.7K$0
    Ahmad El-farFLHematology & Oncology Physician$814.5K$0
    Muhammad MustafaFLCardiovascular Disease Physician$629.4K$0
    Edgar WillardFLCardiovascular Disease Physician$454.4K$0
    Robinson KoilpillaiFLFamily Medicine Physician$451.1K$0
    Richard LacalamitoFLFamily Medicine Physician$391K$0
    Lucien ParrilloFLInterventional Pain Medicine Physician$389.4K$0
    Yan WolfsonFLUrology Physician$232.3K$156.4K
    Jose Martinez-salasFLPulmonary Disease Physician$367.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adam BergerFLOphthalmology Physician$2.7M$0
    Suk MoonFLOphthalmology Physician$2.2M$0
    Logan ChristensenFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Hershel PatelFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Winter Haven Sebring Fl Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$1.6M$0
    Samuel MessiehFLOrthopaedic Surgery Physician$929.6K$0
    Damon WelchFLOphthalmology Physician$828.7K$0
    Daniel WelchFLOphthalmology Physician$699.4K$0
    Obinna NwobiFLVascular Surgery Physician$438.3K$0
    Christopher LopezFLInternal Medicine Physician$345.4K$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.

    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. Florida Distribution
    Ashley Penaloza — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida