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

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

Mark Pimentel (NPI 1750319356)

Field	Value
Entity Type	Individual
Organization	Mark Pimentel
Address	8700 Beverly Blvd.
City	Los Angeles
State	CA
ZIP	90048
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$6.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	80	$50	$4.3K
91065	A hydrogen or methane breath test is a diagnostic procedure to find problems related to gastric functionality such as lactose deficiency, fructose intolerance, bacterial overgrowth, and oro–cecal…	130	$10	$1K
90912	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	20	$40	$740
90913	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	20	$20	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Mark Pimentel — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	17,228	34,660	80	$70	$13.2K
91065	7	50	30	$40	$3.2K
90912	23	30	40	$60	$3.1K
90913	14	20	30	$30	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Vescio	CA	Hematology & Oncology Physician	$2.1M	$0
Rameen Moridzadeh	CA	Vascular Surgery Physician	$1.8M	$0
Ryan Abdul-haqq	CA	Vascular Surgery Physician	$1.7M	$0
Pedram Enayati	CA	Internal Medicine Physician	$934.2K	$0
Allan Tulloch	CA	Vascular Surgery Physician	$804.8K	$390
Carlos Gonzalez Quesada	CA	Interventional Cardiology Physician	$610.9K	$0
Robert Reznik	CA	Radiation Oncology Physician	$385.5K	$0
Wen Cheng	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$381.6K	$0
Manminder Bhullar	CA	Interventional Cardiology Physician	$347.6K	$0
Katherine Davoren	RI	Nephrology Physician	$82.9K	$238.5K

Mark Pimentel — Billing Profile & Reimbursement Data

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Mark Pimentel — 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

Frequently Asked Questions

References