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NPI 1760708259 · Erie, PA · Diagnostic Radiology Physician
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Andres Pena is a diagnostic radiology physician provider located in Erie, Pennsylvania. This profile covers 24 Medicare and 6 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andres Pena |
| Address | 201 State St |
| City | Erie |
| State | PA |
| ZIP | 16550 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | April 9, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $24.8K |
| Medicaid | $8.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 32555 | In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance. | 70 | $80 | $5.7K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 10 | $260 | $3.4K |
| 49083 | In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He… | 30 | $80 | $2.7K |
| 32557 | Using imaging guidance, the provider places a small tube through a small incision into the patient’s chest for drainage. | 20 | $120 | $2.4K |
| 99222 | The 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… | 10 | $100 | $1.3K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 180 | $10 | $1.2K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 20 | $60 | $1.1K |
| 77012 | In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report… | 20 | $50 | $1K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 80 | $10 | $970 |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 90 | $10 | $940 |
Showing 1–10 of 24
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36561 | 133 | 170 | 20 | $280 | $6K |
| 73721 | 323 | 340 | 40 | $80 | $5.8K |
| 74176 | 908 | 1,010 | 70 | $70 | $5.6K |
| 99222 | 6,863 | 7,850 | 30 | $100 | $4.3K |
| 49083 | 118 | 220 | 40 | $80 | $3.9K |
| 32555 | 33 | 230 | 30 | $80 | $3.2K |
| 71045 | 793 | 1,210 | 290 | $10 | $3K |
| 73562 | 799 | 920 | 50 | $20 | $2K |
| 32557 | 7 | 40 | 10 | $110 | $1.8K |
| 73564 | 995 | 1,070 | 50 | $20 | $1.6K |
Showing 1–10 of 24
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 400 | $10 | $3.6K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 420 | $10 | $2.5K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 130 | $10 | $1.4K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 20 | $20 | $260 |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 10 | $20 | $250 |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 10 | $10 | $150 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 397 | 880 | 320 | $10 | $19.5K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 328 | 850 | 220 | $10 | $17.9K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 327 | 360 | 150 | $10 | $7.5K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 262 | 470 | 160 | $10 | $7K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 256 | 300 | 130 | $10 | $5.9K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 153 | 180 | 100 | $10 | $4.3K |
Other providers in the same ZIP code as Andres Pena, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Upmc Hamot | PA | General Acute Care Hospital | $0 | $18.1M |
| Rachel Lagos | PA | Diagnostic Radiology Physician | $246.1K | $3.4K |
| Antonio Pena | PA | Diagnostic Radiology Physician | $133.5K | $114.3K |
| Jennifer Naber | PA | Anatomic Pathology & Clinical Pathology Physician | $82.9K | $146.9K |
| Stephen Oljeski | PA | Diagnostic Radiology Physician | $156.1K | $40.4K |
| Dale Stevens | PA | Diagnostic Radiology Physician | $73.3K | $75.6K |
| Angelo Zerbonia | PA | Diagnostic Radiology Physician | $59.7K | $83.9K |
| Samuel Zerkle | PA | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | $72.7K | $0 |
| Kim Krichko | PA | Certified Registered Nurse Anesthetist | $46K | $0 |
| Mark Yost | PA | Diagnostic Radiology Physician | $27.3K | $10.1K |
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