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

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

Brian Pavlas (NPI 1982659710)

Field	Value
Entity Type	Individual
Organization	Brian Pavlas
Address	4821 Sw 64th Ct
City	Miami
State	FL
ZIP	33155
Taxonomy	Podiatrist
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicare	$285.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,310	$110	$244.8K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	250	$120	$29.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	260	$40	$9.2K
G0180	Physician 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…	50	$40	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Brian Pavlas — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	12	1,570	140	$90	$27.4K
11721	479	960	250	$30	$14.9K
99344	9	740	30	$100	$4.5K
G0180	586	2,390	30	$40	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Children's Hospital	FL	Children's Hospital	$0	$175.3M
Nicklaus Children's Pediatric Specialists, LLC	FL	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$66.2M
Alternative Medical Healthcare Services, Corp.	FL	Home Health Agency	$0	$61.9M
Harmony Homes Of Miami, Inc	FL	Home Health Agency	$0	$41.7M
Hha Home Services Corp	FL	Developmentally Disabled Services Day Training Agency	$0	$30M
Bocasa Gourmet, LLC.	FL	Attendant Care Provider	$0	$24.8M
Continental Home Health Care, Inc.	FL	Home Health Agency	$0	$23.4M
Preferred Home Health Care, Inc.	FL	Home Health Agency	$0	$15.7M
First Quality Medical Supplies, Inc	FL	Durable Medical Equipment & Medical Supplies	$0	$14.8M
Syx, Corp.	FL	Community/Behavioral Health Agency	$0	$13.4M

Brian Pavlas — Billing Profile & Reimbursement Data

Sign up for Brian Pavlas — Billing Profile & Reimbursement Data policy alerts

Brian Pavlas — Billing Profile & Reimbursement Data

Sign up for Brian Pavlas — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References