NPI 1093712671 — Billing Profile & Reimbursement Data
NPI 1093712671 · XX · healthcare
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NPI 1093712671 is a healthcare provider located in Unspecified Location. 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | NPI 1093712671 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | December 5, 2024 |
(source: CMS Medicare & Medicaid claims data)
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 Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 55875 | The provider, a urologist or oncologist, places needles or catheters into the prostate for separate placement of radioactive "seeds" to treat prostate cancer; needle or catheter placement may be done… | 20 | $650 | $14.9K |
| 77778 | In this procedure, the provider places more than 10 radioactive sources directly at the site of a tumor through catheters or needles. The goal of the procedure is to treat the tumor by applying… | 30 | $370 | $10.6K |
| 77295 | Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume… | 30 | $380 | $10.4K |
| 77318 | In this procedure, the provider does intermediate level isodose planning for brachytherapy where he uses over 10 radiation sources or over 12 channels for afterloading. Isodose means a radiation dose… | 20 | $380 | $7.2K |
| 99213 | The 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… | 160 | $40 | $6.3K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 340 | $20 | $6.1K |
| 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… | 50 | $70 | $3.8K |
| 77370 | In this service, the provider performs a special medical radiation physics consultation required under special circumstances like radiation to a pregnant patient. This code represents the technical… | 30 | $120 | $3.3K |
| 99205 | The provider sees a new 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 provider… | 20 | $140 | $3.3K |
| 77470 | In this procedure, the provider performs special radiotherapy procedures requiring special consideration from the provider in the overall management of radiotherapy treatment. | 30 | $110 | $3.3K |
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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. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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