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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdgar Zambrano
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    Edgar Zambrano — Billing Profile & Reimbursement Data

    NPI 1780718767 · Mount Pleasant, TX · Surgery Physician

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    Edgar Zambrano is a surgery physician provider located in Mount Pleasant, Texas. This profile covers 19 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
    OrganizationEdgar Zambrano
    Address2015 Mulberry Ave
    CityMount Pleasant
    StateTX
    ZIP75455
    TaxonomySurgery Physician
    NPI EnumeratedMarch 14, 2007

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

    Payer SourceTotal Paid
    Medicare$244K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.2,420$40$106.7K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…340$80$27.3K
    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…490$50$25K
    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…150$100$14.8K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…90$110$10K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…350$30$9.5K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…50$170$7.9K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…380$20$7.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$130$6.8K
    99203The provider sees a new 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 provider…110$60$6.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    110437116060$150$32.9K
    991832570200$80$20.7K
    11044337050$220$18.4K
    992338,5779,320100$90$17.9K
    9921420,72332,500110$80$17.6K
    29581466070$80$13.8K
    11042479090$70$13K
    152714712070$100$9.9K
    992234,3999,99040$130$9.5K
    15275368060$110$8.5K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lindsay LoveALFamily Nurse Practitioner$47.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ab Innovations Health Services, Inc.TXHome Health Agency$0$21.1M
    The Pediatric Clinic, P.A.TXPediatrics Physician$0$10.9M
    Sheletha BrattonTXFamily Nurse Practitioner$1.5M$0
    Sai ChavalaTXRetina Specialist (Ophthalmology) Physician$1.1M$0
    Titus County Hospital DistrictTXLand Ambulance$441.8K$509.8K
    Trevor ClaytonTXDiagnostic Radiology Physician$633.8K$0
    Mark GlanzerTXOptometrist$357.7K$0
    Anthony GrecoTXMOHS-Micrographic Surgery Physician$295K$0
    John CampbellTXDiagnostic Radiology Physician$294K$0
    Mohammad ShafiTXNephrology Physician$191.9K$0

    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. Texas Distribution
    Edgar Zambrano — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas