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NPI 1275634339 · Longmeadow, MA · Physical Medicine & Rehabilitation Physician
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Nicholas Spellman is a physical medicine & rehabilitation physician provider located in Longmeadow, Massachusetts. This profile covers 11 Medicare and 1 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 | Nicholas Spellman |
| Address | 21 Dwight Rd Ste 204 |
| City | Longmeadow |
| State | MA |
| ZIP | 01106 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $67.3K |
| Medicaid | $16.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,400 | $10 | $27K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 370 | $30 | $12.6K |
| 95910 | In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory… | 100 | $80 | $7.5K |
| 95911 | In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 50 | $100 | $5K |
| 95913 | In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of… | 30 | $140 | $4.4K |
| 95912 | In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory… | 30 | $120 | $4.1K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 40 | $60 | $2.7K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $100 | $2K |
| 95909 | In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory… | 30 | $60 | $1.8K |
| 95873 | In this procedure, the provider uses electrical stimulation to identify specific nerves to inject with medication to control various disorders. | 20 | $20 | $330 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 60 | 100 | 6,500 | $1 | $60.7K |
| 99232 | 3,532 | 5,400 | 70 | $60 | $9.3K |
| 95886 | 9 | 150 | 80 | $70 | $8K |
| 95913 | 18 | 50 | 30 | $200 | $7.2K |
| 95911 | 13 | 90 | 20 | $150 | $5.5K |
| 95912 | 9 | 40 | 20 | $160 | $5.1K |
| 95910 | 8 | 100 | 30 | $120 | $4.7K |
| 99222 | 2,200 | 3,420 | 30 | $100 | $4.5K |
| 95909 | 24 | 80 | 20 | $90 | $2.6K |
| 95885 | 69 | 80 | 40 | $30 | $1.5K |
Showing 1–10 of 11
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 300 | $60 | $16.4K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 39 | 70 | 310 | $110 | $107.6K |
Other providers in the same ZIP code as Nicholas Spellman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Town Of Longmeadow | MA | Land Ambulance | $350.7K | $189.7K |
| Niloufar Shoushtari | MA | Internal Medicine Physician | $217.2K | $0 |
| Landon Guntman | MA | General Practice Physician | $209.6K | $0 |
| Big Y Foods Inc | MA | Community/Retail Pharmacy | $146.6K | $0 |
| Andrew Wetstone | MA | Internal Medicine Physician | $121.6K | $0 |
| William Osgood | MA | Physical Therapist | $119.6K | $0 |
| Barry Rodstein | MA | Physical Medicine & Rehabilitation Physician | $91.5K | $0 |
| Noelle Efantis | MA | Family Nurse Practitioner | $85.7K | $0 |
| Christopher Peteros | MA | Podiatrist | $70.4K | $0 |
| Stephen Bonasera | MA | Geriatric Medicine (Internal Medicine) Physician | $26.2K | $0 |
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