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NPI 1194906065 · Bethel Park, PA · Orthopaedic Surgery of the Spine Physician
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Carmen Petraglia is a orthopaedic surgery of the spine physician provider located in Bethel Park, Pennsylvania. This profile covers 24 Medicare and 2 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 | Carmen Petraglia |
| Address | 2000 Oxford Dr |
| City | Bethel Park |
| State | PA |
| ZIP | 15102 |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| NPI Enumerated | November 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $209.1K |
| Medicaid | $2.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 70 | $550 | $38.6K |
| 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… | 240 | $90 | $21.4K |
| 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… | 280 | $60 | $16.4K |
| 22612 | The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone… | 10 | $1,190 | $15.4K |
| 27245 | In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the… | 10 | $930 | $13.1K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 20 | $620 | $12.9K |
| 22614 | The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The… | 40 | $300 | $12.6K |
| 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… | 110 | $110 | $11.2K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 220 | $50 | $10.8K |
| 22842 | The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal… | 20 | $580 | $9.9K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 14 | 40 | 20 | $6,350 | $139.6K |
| 22612 | 61 | 80 | 20 | $1,280 | $29.5K |
| J7327 | 13 | 80 | 30 | $550 | $24.8K |
| 27245 | 46 | 90 | 20 | $890 | $16K |
| 99214 | 5,633 | 23,230 | 100 | $80 | $14.5K |
| 22614 | 46 | 100 | 40 | $270 | $14.5K |
| 63047 | 65 | 140 | 20 | $490 | $14.3K |
| 22842 | 52 | 100 | 20 | $500 | $10.6K |
| J7324 | 84 | 100 | 70 | $100 | $9.6K |
| 22514 | 2 | 10 | 20 | $390 | $8.1K |
Showing 1–10 of 24
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.
2 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… | 50 | $40 | $2K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 10 | $30 | $340 |
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
2 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… | 5,928 | 8,160 | 210 | $60 | $68.4K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 187 | 200 | 140 | $20 | $6.3K |
Other providers in the same ZIP code as Carmen Petraglia, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Ideal Homecare Agency LLC | PA | Home Health Agency | $0 | $9.8M |
| Upper St. Clair Township | PA | Ambulance | $453.9K | $700.7K |
| Allegheny Health Network Surgery Center - Bethel Park, LLC | PA | Ambulatory Surgical Clinic/Center | $347.5K | $0 |
| Brian Deyarmin | PA | Family Medicine Physician | $165.6K | $163.4K |
| Michael Mcgonigal | PA | Family Medicine Physician | $176.2K | $148K |
| John Snyder | PA | Podiatrist | $229.8K | $16.5K |
| Jason Hughes | PA | Podiatrist | $220.1K | $24.5K |
| Phillip Brown | PA | Podiatrist | $135K | $25K |
| Brian Elford | PA | Otolaryngology Physician | $116.4K | $0 |
| David Demarino | PA | Otolaryngology Physician | $81.1K | $0 |
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