Lauren Spiegel — Billing Profile & Reimbursement Data
NPI 1164840963 · Morgan Hill, CA · Neurology Physician
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Lauren Spiegel is a neurology physician provider located in Morgan Hill, California. This profile covers 13 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Lauren Spiegel |
| Address | 18431 Technology Dr |
| City | Morgan Hill |
| State | CA |
| ZIP | 95037 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | March 31, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $337.1K |
| 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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 28,800 | $10 | $144K |
| 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… | 500 | $120 | $58.6K |
| 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… | 510 | $80 | $42.7K |
| 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… | 250 | $150 | $37.4K |
| 96116 | A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face… | 180 | $90 | $15.6K |
| 64616 | The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical… | 60 | $160 | $9.6K |
| 95874 | In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®… | 90 | $90 | $7.3K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 40 | $130 | $5.5K |
| 64612 | In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles. | 30 | $200 | $5.2K |
| 64642 | The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms. | 50 | $100 | $5.1K |
Showing 1–10 of 13
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 46 | 400 | 7,640 | $1 | $86K |
| 99214 | 5,118 | 37,970 | 120 | $90 | $23.2K |
| 95923 | 81 | 140 | 50 | $110 | $13.2K |
| 99213 | 3,150 | 34,660 | 80 | $70 | $13.2K |
| 64616 | 27 | 70 | 50 | $140 | $10K |
| 64612 | 82 | 90 | 50 | $140 | $8.8K |
| 99204 | 391 | 19,360 | 40 | $120 | $7.2K |
| 96116 | 27 | 270 | 50 | $70 | $6.3K |
| 64642 | 9 | 40 | 30 | $100 | $5.5K |
| 64643 | 7 | 30 | 40 | $70 | $4.6K |
Showing 1–10 of 13
Nearby Providers
Other providers in the same ZIP code as Lauren Spiegel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Anuradha Chirala | CA | Cardiovascular Disease Physician | $1.3M | $0 |
| Amir Saffarian | CA | Urology Physician | $791.3K | $0 |
| Zepure Kouyoumdjian | CA | Neurology Physician | $669.3K | $0 |
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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