NPI 1114994613 — Billing Profile & Reimbursement Data
NPI 1114994613 · XX · healthcare
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NPI 1114994613 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 1114994613 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | June 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,080 | $20 | $19.4K |
| 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… | 180 | $90 | $16.7K |
| 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… | 30 | $150 | $4.3K |
| 77080 | The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient… | 70 | $40 | $3.3K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 150 | $20 | $2.4K |
| 84481 | The lab analyst performs a test to measure free T3 in patient blood. | 110 | $20 | $1.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 170 | $10 | $1.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 90 | $10 | $1.1K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 110 | $10 | $960 |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 30 | $30 | $920 |
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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
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0897 | 122 | 10 | 1,440 | $20 | $26.6K |
| 99214 | 3,126 | 10 | 80 | $90 | $15.8K |
| 99215 | 2,538 | 10 | 60 | $110 | $13.3K |
| 36415 | 466 | 10 | 230 | $10 | $5.5K |
| 96372 | 397 | 10 | 400 | $10 | $4.1K |
| 77080 | 174 | 10 | 310 | $10 | $3K |
| 84443 | 45 | 10 | 80 | $20 | $1.2K |
| 82565 | 43 | 10 | 230 | $10 | $1.2K |
| 80061 | 153 | 10 | 90 | $10 | $1.1K |
| 95251 | 116 | 10 | 20 | $20 | $520 |
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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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