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

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

Gaetano Pastore (NPI 1952333858)

Field	Value
Entity Type	Individual
Organization	Gaetano Pastore
Address	1 Centurian Dr
City	Newark
State	DE
ZIP	19713
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider’s Medicare portfolio is highly concentrated in cardiac imaging and related procedural support: 78431 (PET myocardial imaging) accounts for $1.3M and 51.6% of the provider’s Medicare revenue, A9555 (Rubidium rb-82 per study dose) contributes $408.1K (16.5%), and 99214 office visits contribute $179.1K (7.2%); precomputed data shows the top 3 Medicare codes together account for 75.3% of this provider’s total Medicare revenue, indicating a service-line focus where advanced myocardial perfusion imaging drives the business.

The code mix and descriptions signal an outpatient cardiac imaging and diagnostics operation that performs high volumes of PET myocardial studies (78431, 78434), uses radiopharmaceuticals (A9555, A9500) and pharmacologic stress agents (J2785), and also delivers routine cardiology visits and ECG-based testing (99214, 93000, 93015). These patterns are consistent with a practice that pairs diagnostic imaging services with downstream E/M follow-up rather than a purely clinic-based or inpatient-only cardiology practice.

Competitive standing on Medicare is strong for several procedure lines: 78431 ranks #13 of 1377 providers nationally (99th percentile; notably above typical national volume), 93306 ranks #443 of 24624 (98th percentile; notably above typical national volume), and J2785 ranks #22 of 6388 (100th percentile; extreme outlier). These ranks indicate the provider is a major national-volume performer in PET myocardial imaging and pharmacologic stress use relative to peers.

Several procedure codes are flagged as statistical outliers in national comparisons: 99214 (2K claims) is labeled an extreme outlier and ranks #1395 of 479517 providers nationally (100th percentile), while ECG and stress testing codes such as 93015 and 93000 also appear as extreme outliers (93015 ranks #18 of 7716; 93000 ranks #257 of 71016, both 100th percentile). In plain terms, the provider bills far more frequently for several routine E/M and ECG/stress services than typical peers, suggesting either a high throughput outpatient practice or centralized testing workflows.

Payer mix is effectively single-payer: total Medicare revenue is $2.5M and there is no Medicaid billing on file. This means analyses or risk-sharing conversations should treat Medicare as the dominant — effectively sole — public payer exposure for this NPI.

Operational implications from specific code-level detail: frequent use of A9555 (669 claims, $610 avg paid/claim) together with high-volume 78431 and 78434 suggests active use of rubidium PET myocardial perfusion imaging with pharmacologic stress (supported by J2785 regadenoson claims), which requires access to radiopharmaceutical supply and dedicated imaging capacity; this is a capital- and logistics-intensive service-line and likely a primary revenue driver.

Tenure and stability: the NPI was enumerated 2006-07-07 (~20 years ago), indicating long-standing enrollment in Medicare and implying historical continuity of billing patterns that support interpreting these volumes as established rather than transient.

Although imaging codes dominate revenue, there is still a sizable outpatient visit volume (99214: 2K claims, $91 avg paid/claim) that supports continuity-of-care or follow-up activity tied to imaging; this combination of high imaging revenue and very high office-visit volume differentiates the provider from imaging-only centers and suggests integrated clinical and diagnostic services under the same NPI.

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	650	$1,970	$1.3M
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	670	$610	$408.1K
99214	The 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…	1,970	$90	$179.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	970	$130	$128.6K
J2785	Injection, regadenoson, 0.1 mg	2,920	$40	$128.3K
78434	The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…	650	$150	$96.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	180	$350	$63.5K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	860	$60	$49.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,750	$10	$19.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$130	$18.6K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Gaetano Pastore — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	1	10	80	$1,810	$437.6K
A9555	1	10	240	$610	$195.5K
93306	5	70	450	$100	$51.8K
78452	20	60	120	$250	$40.3K
93229	20	30	40	$670	$34.2K
78434	1	10	90	$140	$33.5K
J2785	1	30	390	$40	$26.9K
99214	16	1,830	150	$80	$25.5K
99233	361	500	80	$90	$15.4K
99232	205	730	120	$60	$14.2K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Christiana Care Health Services Inc	DE	Neurology Physician	$0	$5.1M
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
Autism Delaware	DE	Intellectual & Developmental Disabilities Psychologist	$0	$5.8M

Gaetano Pastore — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References