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    OpenPayerNPI Medicare & MedicaidNoel Serrano
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    Noel Serrano — Billing Profile & Reimbursement Data

    NPI 1700925211 · Oakland, CA · Internal Medicine Physician

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    Noel Serrano is a internal medicine physician provider located in Oakland, California. This profile covers 16 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNoel Serrano
    Address6117 Fairlane Dr
    CityOakland
    StateCA
    ZIP94611
    TaxonomyInternal Medicine Physician
    NPI EnumeratedFebruary 5, 2007

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

    Payer SourceTotal Paid
    Medicare$955.4K
    Medicaid$603.9K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The 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…3,470$60$207.9K
    99491The 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…2,110$60$130.8K
    99309The 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…1,210$90$108.5K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.2,230$50$106.8K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…840$110$92.5K
    99497The 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…1,280$60$79.1K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.890$70$60.4K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…2,240$30$55.9K
    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…310$150$47.6K
    98980The provider manages treatment using data from remote therapeutic monitoring (RTM). The service requires at least one real–time interactive communication with the patient or caregiver during the…590$30$16K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993092271,790210$80$48.1K
    99308431,640190$60$35.5K
    9931057184090$120$31.2K
    994241830100$70$27.9K
    9945418720220$40$20.2K
    9945730760240$40$20.1K
    994912130110$70$18K
    99458137510220$30$17.1K
    99306911,32060$150$15.5K
    993051271050$110$13.4K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The 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…12,280$10$110.6K
    99309The 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…4,400$20$88K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.4,010$20$64.2K
    99497The 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…2,910$20$58.1K
    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…740$70$51K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…3,720$10$48.4K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.1,690$20$37.1K
    99491The 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…2,550$10$33.1K
    99310The 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…440$70$30.5K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…1,580$20$23.7K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99499Use 99499 to report evaluation and management services for which there is no specific code available.100310190$100$301.4K
    99309The 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…1251,000440$30$72K
    99310The 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…166410240$40$71.7K
    99308The 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…511,150400$20$42K
    99497The 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…30610130$40$24.9K
    99491The 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…780320$30$24.7K
    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…6843080$50$22.5K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.34080$50$19.9K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.13330330$20$18.9K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…1427090$30$14.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Medical FoundationCAFamily Medicine Physician$0$52.6M
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Thomas SchlesingerCARetina Specialist (Ophthalmology) Physician$4.3M$7.9M
    Shalini YalamanchiCAOphthalmology Physician$4.6M$7.2M
    Stephen MeffertCARetina Specialist (Ophthalmology) Physician$3.2M$5.5M
    Matthew PowersCARetina Specialist (Ophthalmology) Physician$3.7M$4.3M
    Ira SchacharCARetina Specialist (Ophthalmology) Physician$3.9M$4.1M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Rajiv RathodCAOphthalmology Physician$4.3M$670.6K
    Timothy YouCAOphthalmology Physician$4.5M$115.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$55.7M
    Matthew SuskoCARadiation Oncology Physician$353.7K$0
    Neha DamleCAHematology & Oncology Physician$283.5K$0
    Saqib HasanCAOrthopaedic Surgery of the Spine Physician$223.8K$0
    Catherine CoxCAStudent in an Organized Health Care Education/Training Program$148.3K$0
    Judy WongCACertified Registered Nurse Anesthetist$62.7K$0
    Nirav BhaktaCAInternal Medicine Physician$43.7K$0
    Melissa ZhengCAOtolaryngology Physician$18.5K$0
    Daniel NahrwoldCAAnesthesiology Physician$12.6K$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
    Noel Serrano — 10 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Noel Serrano — 8 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California