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NPI 1154532612 · Washington, PA · Pain Medicine Physician
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Richard Plowey is a pain medicine physician provider located in Washington, Pennsylvania. This profile covers 22 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Richard Plowey |
| Address | 80 Landings Dr Ste 202 |
| City | Washington |
| State | PA |
| ZIP | 15301 |
| Taxonomy | Pain Medicine Physician |
| NPI Enumerated | May 25, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $193.5K |
| Medicaid | $80.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 270 | $190 | $51.6K |
| 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… | 480 | $60 | $29.4K |
| 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… | 280 | $90 | $26.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $330 | $13.8K |
| 64483 | This 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). | 60 | $200 | $11K |
| 64493 | 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 joint, using imaging guidance… | 50 | $190 | $10K |
| 99204 | The provider sees a new 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 provider… | 80 | $120 | $9.9K |
| 64636 | In 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… | 40 | $180 | $8K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 60 | $120 | $7.1K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 40 | $200 | $7.1K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64483 | 182 | 340 | 60 | $190 | $18.6K |
| 64635 | 81 | 230 | 30 | $360 | $16.1K |
| 99214 | 4,551 | 23,230 | 100 | $80 | $14.5K |
| 62323 | 21 | 360 | 60 | $140 | $14.2K |
| 64493 | 126 | 330 | 40 | $170 | $11K |
| 99232 | 8,778 | 10,870 | 80 | $60 | $9.6K |
| 99213 | 1,080 | 22,370 | 70 | $60 | $7.7K |
| 20610 | 1,170 | 1,980 | 60 | $50 | $6.7K |
| 62321 | 73 | 200 | 30 | $150 | $6.2K |
| 99204 | 1,322 | 10,290 | 30 | $110 | $5K |
Showing 1–10 of 22
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 800 | $40 | $33.4K |
| 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… | 960 | $30 | $28.9K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 200 | $70 | $15K |
| 99204 | The provider sees a new 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 provider… | 30 | $90 | $2.3K |
| 99203 | The provider sees a new 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 provider… | 20 | $60 | $960 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 70 | $1 | $260 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 110 | $0 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,116 | 8,160 | 210 | $60 | $68.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 21 | 70 | 120 | $240 | $61.7K |
| 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… | 2,130 | 8,870 | 240 | $40 | $56.1K |
| 99204 | The provider sees a new 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 provider… | 1,002 | 1,410 | 60 | $90 | $30.5K |
| 99203 | The provider sees a new 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 provider… | 1,290 | 1,620 | 80 | $60 | $28.4K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 77 | 110 | 140 | $1 | $860 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 125 | 240 | 140 | $1 | $600 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 26 | 50 | 150 | $1 | $420 |
Other providers in the same ZIP code as Richard Plowey, ranked by combined Medicare and Medicaid revenue.
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