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    OpenPayerNPI Medicare & MedicaidMaria Pilar Faylona
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    Maria Pilar Faylona — Billing Profile & Reimbursement Data

    NPI 1770677676 · Las Vegas, NV · Family Medicine Physician

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    Maria Pilar Faylona is a family medicine physician provider located in Las Vegas, Nevada. This profile covers 10 Medicare and 17 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
    OrganizationMaria Pilar Faylona
    Address4212 W Charleston Blvd
    CityLas Vegas
    StateNV
    ZIP89102
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$100.9K
    Medicare$89.4K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…990$80$76K
    G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…420$10$3.8K
    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…60$50$3.2K
    99204The provider sees a new 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 provider…20$90$1.8K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…50$30$1.7K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…40$40$1.5K
    G0008Administration of influenza virus vaccine20$30$630
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…40$10$430
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…20$20$330
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141193,610110$80$19K
    992131,9383,50080$60$10K
    992041,3182,01030$110$5.8K
    G0179387060$30$3.6K
    G000852366060$30$3.2K
    G01805112030$40$3.1K
    9637223642050$10$1.2K
    G201211040$10$790
    90686285020$20$450
    8100227233030$1$260

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…880$90$82.4K
    99204The provider sees a new 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 provider…100$150$13.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…70$20$1.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.90$10$810
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.60$10$640
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…60$10$640
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…20$20$370
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$20$270
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…10$20$240
    G0447Face-to-face behavioral counseling for obesity, 15 minutes30$10$210

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6722,250290$60$138K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…3640130$10$89.5K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…5870320$10$50.5K
    99204The provider sees a new 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 provider…37478090$100$46.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.64801,010$1$38.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…352360190$10$26.9K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes131150250$20$18.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.335360120$10$17.4K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.3950300$1$14.2K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.6270420$1$11.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen DubinNVFamily Medicine Physician$33.2M$0
    Jacqueline WalkerNVNurse Practitioner$3.4M$0
    Medtrans Medical Nevada Casal PLLCNVCommunity Health Clinic/Center$0$2.1M
    Asher ShahzadNVInfectious Disease Physician$437.5K$483.4K
    Babak GhadishahNVInternal Medicine Physician$576.4K$0
    Behzad KermaniNVInternal Medicine Physician$73.4K$502.6K
    Audra OmwangheNVPsychiatric/Mental Health Nurse Practitioner$437.1K$1.3K
    Alice KimNVPsychiatric/Mental Health Nurse Practitioner$231.7K$0
    Gary GrossmanNVInternal Medicine Physician$217.8K$0
    Mehrdad TafreshiNVInternal Medicine Physician$129.6K$73.9K

    Nearby Providers

    Other providers in the same ZIP code as Maria Pilar Faylona, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical Center Of Southern NevadaNVGeneral Acute Care Hospital$0$95.5M
    Unlv MedicineNVMental Health Clinic/Center (Including Community Mental Health Center)$0$31.4M
    Unlv MedicineNVInternal Medicine Physician$0$22M
    Pioneer Health Care LLCNVInternal Medicine Physician$0$12.2M
    New Hope Placement, LLCNVCommunity/Behavioral Health Agency$0$11.1M
    Coppel Medical Enterprise LLCNVPain Medicine (Anesthesiology) Physician$0$10.4M
    Coppel Surgical SolutionsNVAmbulatory Surgical Clinic/Center$664.2K$8.1M
    Golden Years Personal Care LLCNVIn Home Supportive Care Agency$0$8M
    A-team Personal Care, LLCNVIn Home Supportive Care Agency$0$7.9M
    West Las Vegas Surgery Center,llcNVAmbulatory Surgical Clinic/Center$1.2M$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.

    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. Nevada Distribution
    Maria Pilar Faylona — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Maria Pilar Faylona — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada