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    OpenPayerNPI Medicare & MedicaidRichard Prager
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    Richard Prager — Billing Profile & Reimbursement Data

    NPI 1235127499 · Pinecrest, FL · Pulmonary Disease Physician

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    Richard Prager is a pulmonary disease physician provider located in Pinecrest, Florida. This profile covers 12 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRichard Prager
    Address8950 Sw 57th Ave
    CityPinecrest
    StateFL
    ZIP33156
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedOctober 12, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$353.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…890$180$162.9K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,310$100$131.1K
    99292Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…340$90$31.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$140$7.8K
    31500The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.40$130$5.2K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.60$70$4.5K
    92950In this procedure, the provider attempts to restart the heart and lungs of the patient with cardiopulmonary arrest to ensure oxygen supply to the lungs.20$160$2.9K
    36569The provider places a catheter through a vein in the upper extremity of a patient 5 years of age or older and passes the catheter into one of the major veins carrying the blood to the heart or…30$80$2.7K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…40$40$1.5K
    36800The provider inserts a cannula into two veins for hemodialysis, a process in which a dialysis machine removes harmful wastes, salt, and fluids from the blood and reinfuses the purified blood back…10$110$1.4K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331539,970100$90$20.1K
    99291104,77050$170$15.7K
    992235,60011,11060$130$12.5K
    992921039030$90$5.8K
    3656931030$80$3.8K
    9295021010$150$2.1K
    31500323010$120$1.8K
    3680041020$90$1.6K
    36556550020$70$1.3K
    3662013492020$40$940

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Richard Prager, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pro Diametrics CorpFLClinical Medical Laboratory$12.8M$792.4K
    Life Cares Solutions, LLC.FLAttendant Care Provider$0$11.1M
    Luna Home Care Services Inc.FLIn Home Supportive Care Agency$0$9.2M
    American Access Care Of Miami Asc LLCFLAmbulatory Surgical Clinic/Center$1.4M$532.6K
    John TorregrosaFLPodiatrist$836.5K$0
    Joshua FoxFLMOHS-Micrographic Surgery Physician$570K$0
    Jeremy TabakFLPulmonary Disease Physician$320.7K$0
    Deborah LongwillFLDermatology Physician$265.7K$2.9K
    Abelardo CoronaFLInternal Medicine Physician$240.6K$0
    Philip ClaireFLVascular & Interventional Radiology Physician$205K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Richard Prager — 5 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida