NPI 1174525034 — Billing Profile & Reimbursement Data
NPI 1174525034 · XX · healthcare
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NPI 1174525034 is a healthcare provider located in Unspecified Location. This profile covers 10 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 1174525034 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | January 30, 2025 |
(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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 50 | $60 | $3K |
| 78580 | In this diagnostic procedure, the provider performs a nuclear perfusion imaging test to evaluate the circulation of blood within the patient’s lungs. He does this to identify the presence of any… | 80 | $30 | $2.1K |
| 78306 | The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of… | 40 | $30 | $1.3K |
| 78815 | PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.… | 10 | $90 | $1K |
| 78226 | The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;… | 20 | $30 | $580 |
| 78227 | The provider images the liver, bile, bile ducts, and gallbladder to follow the production and flow of bile from the liver to the small intestine to diagnose a bile duct obstruction or leakage;… | 20 | $30 | $540 |
| 78582 | In this diagnostic procedure, the provider performs both pulmonary ventilation and perfusion imaging in a nuclear scan test that evaluates the circulation of air and blood within the patient’s lungs. | 10 | $40 | $510 |
| 78278 | The provider images a wide area including the lower portion of the liver and spleen and the entire abdomen and pelvic region after administering a radiopharmaceutical or tracer. The goal is to… | 10 | $40 | $500 |
| 78803 | The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.… | 10 | $40 | $430 |
| 78264 | The provider images the stomach after the patient consumes a liquid, solid, or semisolid meal that has a radiopharmaceutical or tracer added to it. The provider then takes immediate and ongoing… | 10 | $30 | $380 |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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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