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    OpenPayerNPI Medicare & MedicaidNelson Pichardo
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    Nelson Pichardo — Billing Profile & Reimbursement Data

    NPI 1720110547 · Passaic, NJ · Internal Medicine Physician

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    Nelson Pichardo is a internal medicine physician provider located in Passaic, New Jersey. This profile covers 24 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
    OrganizationNelson Pichardo
    Address80 Passaic Ave
    CityPassaic
    StateNJ
    ZIP07055
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 9, 2007

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

    Payer SourceTotal Paid
    Medicare$61.2K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…280$70$19.8K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.2,100$1$8.4K
    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…30$100$3.5K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…30$120$3K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…30$110$2.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.50$50$2.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…40$50$2.3K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…20$150$2.3K
    92540The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.30$80$2.2K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…50$40$2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,21913,640130$90$23.6K
    99490431490170$50$16.6K
    992133,06114,090100$70$13.1K
    G04393,3173,37070$120$11.5K
    364151,3012,200110$10$11.1K
    9397819824030$140$7.6K
    95004431401,330$1$7.2K
    92546172040$120$5.8K
    7653650652050$70$4.9K
    9392318732030$80$4.8K

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Accredited Health ServicesNJHome Health Agency$0$87.7M
    Prime Healthcare Services - St. Mary's Passaic LLCNJGeneral Acute Care Hospital$0$56.2M
    Passaic Board Of EducationNJLocal Education Agency (LEA)$0$32.7M
    Passaic Pediatrics Ii PANJPediatrics Physician$0$19.9M
    Passaic Pediatrics PANJPediatrics Physician$0$17.6M
    Mer Associates LLCNJAdult Day Care Clinic/Center$0$15.7M
    2nd Home Passaic Operations, LLCNJAdult Day Care Clinic/Center$0$14.5M
    Smile Central Passaic P.C.NJGeneral Practice Dentistry$0$10.6M
    Shah Anuj Md PCNJInterventional Cardiology Physician$0$8.8M
    Kindcare Pediatric Center LLCNJPediatrics Physician$0$7.6M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Nelson Pichardo — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey