Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Pagenkopf
    Ask Trek AI about this page

    Eric Pagenkopf — Billing Profile & Reimbursement Data

    NPI 1881762896 · Clovis, CA · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Eric Pagenkopf — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Eric Pagenkopf is a orthopaedic surgery physician provider located in Clovis, California. This profile covers 8 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Pagenkopf
    Address729 N Medical Center Dr W
    CityClovis
    StateCA
    ZIP93611
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedNovember 30, 2006

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

    Payer SourceTotal Paid
    Medicare$43.2K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…30$930$30.6K
    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…90$60$5.7K
    99222The 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…30$90$3K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$60$1.1K
    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…10$90$940
    73552In this diagnostic procedure, the provider takes an X–ray image of the femur (thigh bone) from a minimum of two projections (directions or angles) to check for fracture, swelling, or other reason for…30$30$680
    73522In this diagnostic procedure, the provider takes three to four X–ray images of both hips, left and right, from different projections (directions or angles) to check for fracture, swelling, or other…20$40$660
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$30$520

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    272451019020$890$16K
    9921316,09634,66080$70$13.2K
    992222,8237,35030$110$5K
    9920312,17512,74030$80$4.6K
    9922152599020$70$1.9K
    735601,2131,67030$20$1K
    7352222037020$30$890
    7355240299020$10$420

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vilas SaldanhaTXOrthopaedic Trauma Physician$303.9K$0
    Jason ThompsonTXAdult Reconstructive Orthopaedic Surgery Physician$245.2K$0
    John BadylakWIOrthopaedic Surgery Physician$97.1K$0
    Justin FriedmanTXOrthopaedic Trauma Physician$76.5K$0
    Cody AndersonTXOrthopaedic Trauma Physician$72.6K$0
    Benjamin TurnbowFLOrthopaedic Trauma Physician$61.9K$0
    Michael DevishSDOrthopaedic Surgery Physician$44.1K$0
    Joseph HahnWYOrthopaedic Surgery Physician$23.9K$0
    Gustavo DiazSDPhysician Assistant$8.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Valley Indian Health, IncCAClinic/Center$0$30M
    Felipe RuizCAFoot & Ankle Surgery Podiatrist$4M$3K
    Sierra Pathology Laboratory IncCAClinical Medical Laboratory$975.7K$836.6K
    Luis DehesaCADermatology Physician$615.4K$80
    Nadeem RahmanCAUrology Physician$556.4K$910
    Thomas MinorCAUrology Physician$513.9K$0
    Mark AlsonCADiagnostic Radiology Physician$446.7K$0
    Christopher KinterCAVascular Surgery Physician$405.8K$0
    Jonathan CrosbyCAPhysician Assistant$308.3K$0
    Longs Drug Stores California LLCCAPharmacy$291K$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.

    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. California Distribution
    Eric Pagenkopf — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California