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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElmer Pinzon
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    Elmer Pinzon — Billing Profile & Reimbursement Data

    NPI 1992761753 · Knoxville, TN · Physical Medicine & Rehabilitation Physician

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    Elmer Pinzon is a physical medicine & rehabilitation physician provider located in Knoxville, Tennessee. This profile covers 16 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
    OrganizationElmer Pinzon
    Address10710 Murdock Dr Ste 103
    CityKnoxville
    StateTN
    ZIP37932
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedApril 21, 2006

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

    Payer SourceTotal Paid
    Medicare$65.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$470$12.1K
    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…150$60$9.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).30$220$7.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…40$180$6.8K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$250$6.6K
    64451The provider injects an anesthetic and/or a steroid under imaging guidance into the nerves supplying the sacroiliac joint to diagnose and/or treat sacroiliac joint pain.40$180$6.5K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…40$90$3.4K
    99443N/A40$90$3.2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…10$160$2.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…30$70$2.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448311415070$190$25.8K
    6463511815040$360$25.6K
    6449311816060$180$16.9K
    9588610012080$60$9.8K
    992133,38911,03080$50$8K
    95911587030$140$7.5K
    646368911040$130$6.5K
    992044,0225,49030$100$5.3K
    6445111040$130$4.6K
    644948212050$70$4.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Davidson CurwenTNPhysical Medicine & Rehabilitation Physician$258.2K$0
    Brandon WeberMIPhysician Assistant$205K$0
    Kristin HallMIFamily Nurse Practitioner$171.4K$0
    Sharon HurtadoMINurse Practitioner$152.9K$0
    Patricia McclanahanMIFamily Nurse Practitioner$148.8K$0
    Amelia AlbachtenMINurse Practitioner$119.6K$0
    Wesley PeaceTNPhysical Medicine & Rehabilitation Physician$92.6K$0
    Stephanie BlandTNFamily Nurse Practitioner$87.1K$0
    Leslie FrazierMSMedical Physician Assistant$59.7K$0
    Tonya LambertTNFamily Nurse Practitioner$38.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Covenant Medical Group, Inc.TNFamily Medicine Physician$0$17.9M
    Maxim Healthcare Services, IncTNHome Health Agency$0$16.4M
    Cde Onsite Senior Services CorporationTNIn Home Supportive Care Agency$0$7.9M
    Ross KernsTNHematology & Oncology Physician$4.5M$0
    Daniel IbachTNHematology & Oncology Physician$4.3M$0
    Integrity Laboratories, LLCTNClinical Medical Laboratory$109.6K$4.1M
    Parkwest Surgery Center LLCTNAmbulatory Surgical Clinic/Center$1.9M$0
    Jeffrey DellTNGynecology Physician$438.3K$0
    Contract Health Services, Inc.TNSonography Specialist/Technologist Cardiovascular$64.1K$260.1K
    Joseph MeyerTNRadiation Oncology Physician$285.1K$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. Tennessee Distribution
    Elmer Pinzon — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee