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

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

Francisco Pena (NPI 1710479720)

Field	Value
Entity Type	Individual
Organization	Francisco Pena
Address	2730 Sw Moody Ave
City	Portland
State	OR
ZIP	97201
Taxonomy	Surgical Physician Assistant
NPI Enumerated	June 5, 2018

Payer Source	Total Paid
Medicare	$730
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	10	$60	$730

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Francisco Pena — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
49505	8	10	10	$640	$12.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Lakes Medical Center Inc	OR	General Acute Care Hospital	$0	$30.3M
Mihaela Matei	CO	Hematology & Oncology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Joseph Poole	NM	Nurse Practitioner	$554.4K	$0
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
Laurie Martin	OR	Diagnostic Radiology Physician	$437.3K	$0
Matthew Bentz	OR	Diagnostic Radiology Physician	$403.4K	$0
Jozef Brozyna	OR	Diagnostic Radiology Physician	$359.4K	$0
Kendall Michels	OR	Specialist	$306.1K	$0
Traci Clautice-engle	OR	Diagnostic Radiology Physician	$301.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health And Science University	OR	Dentist	$0	$1.4M
Peter Morita	OR	Dentist	$0	$1.4M
National University Of Natural Medicine	OR	Student in an Organized Health Care Education/Training Program	$0	$1.2M
Amber Kozlov	OR	Physical Therapist	$14K	$0

Francisco Pena — Billing Profile & Reimbursement Data

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Francisco Pena — 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