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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOrlando Pena
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    Orlando Pena — Billing Profile & Reimbursement Data

    NPI 1689068629 · Lancaster, CA · Physical Medicine & Rehabilitation Physician

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    Orlando Pena is a physical medicine & rehabilitation physician provider located in Lancaster, California. This profile covers 33 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
    OrganizationOrlando Pena
    Address42135 10th St W Ste 101
    CityLancaster
    StateCA
    ZIP93534
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedMarch 27, 2015

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

    Payer SourceTotal Paid
    Medicare$602.1K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,290$100$129.4K
    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…1,030$110$109.6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,010$70$66.9K
    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…870$70$58.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…230$150$32.9K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…230$140$32.4K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…280$90$23.8K
    99222The 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…220$110$23.4K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…180$110$19.8K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…180$100$18.1K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J7999230240130$140$34.9K
    6448350479060$240$28.5K
    9923334211,530120$100$26.2K
    992141,47337,970120$90$23.2K
    6449330667050$220$18.8K
    9923257712,28090$70$16.3K
    993061531,32060$150$15.5K
    992131,37034,66080$70$13.2K
    958866755070$80$12.5K
    9922386613,19050$140$11.3K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas NasserCAPhysical Medicine & Rehabilitation Physician$864.5K$380
    Ramon GodoyWAFamily Nurse Practitioner$230.6K$0
    Justin HellerCAPlastic Surgery Physician$132.7K$0
    Simarjeet ManochaCAPhysician Assistant$122K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Antelope Valley Health Care DistrictCAGeneral Acute Care Hospital$0$222.3M
    Antelope Valley Emergency Medical Associates IncCAEmergency Medicine Physician$0$31.3M
    American Medical Response Of Southern CaliforniaCAAmbulance$3.7M$27M
    Southern California Permanente Medical GroupCAHealth Maintenance Organization$0$25.5M
    Advanced Endoscopy And Pain Center LLCCAAmbulatory Surgical Clinic/Center$972.5K$4.4M
    Embassy Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.9M$55.5K
    Antelope Valley Outpatient Imaging Center, LLCCADiagnostic Radiology Physician$1.4M$182.8K
    Apollo Surgery Center LLCCAAmbulatory Surgical Clinic/Center$488.9K$648.9K
    Mark BellerCADiagnostic Radiology Physician$1.1M$510
    Kanagaratnam SivalingamCAGeriatric Medicine (Internal Medicine) Physician$1M$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. California Distribution
    Orlando Pena — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California