NPI 1295788669 — Billing Profile & Reimbursement Data
NPI 1295788669 · XX · healthcare
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NPI 1295788669 is a healthcare provider located in Unspecified Location. This profile covers 30 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 1295788669 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | July 3, 2024 |
(source: CMS Medicare & Medicaid claims data)
Medicare: Total Revenue Breakdown by CPT/HCPCS Code
Medicare revenue breakdown by CPT/HCPCS procedure code.
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Medicare: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 20 | $180 | $3.5K |
| 77012 | In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report… | 60 | $50 | $3.1K |
| 32408 | In this procedure, the provider removes a core tissue sample from a lung or the mediastinum to diagnose conditions such as lung or mediastinal cancer. The code includes imaging guidance, when… | 20 | $110 | $2.7K |
| 49406 | The provider uses imaging guidance to direct a catheter through a small incision in the skin to a peritoneal or retroperitoneal area. Once the catheter is properly positioned, the area is drained. | 20 | $140 | $2.5K |
| 74230 | The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if… | 130 | $20 | $2.5K |
| 36558 | The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,… | 10 | $190 | $2.3K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 40 | $60 | $2.2K |
| 99443 | N/A | 30 | $70 | $2.1K |
| 49440 | In this procedure, the provider inserts a gastrostomy tube through the skin using fluoroscopic guidance. The provider may use this treatment for patients suffering from abnormalities of the mouth,… | 10 | $150 | $1.7K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 60 | $30 | $1.6K |
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Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 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
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 74177 | 215 | 10 | 210 | $120 | $23.9K |
| 99203 | 1,555 | 10 | 140 | $90 | $12.2K |
| 70450 | 196 | 10 | 400 | $30 | $12K |
| 71260 | 190 | 10 | 160 | $50 | $7.5K |
| 71275 | 186 | 10 | 80 | $70 | $5.1K |
| 72125 | 193 | 10 | 120 | $40 | $4.3K |
| 74176 | 210 | 10 | 60 | $70 | $4.1K |
| 71250 | 199 | 10 | 80 | $40 | $3.3K |
| 71045 | 231 | 10 | 480 | $10 | $3.3K |
| 74230 | 4 | 10 | 60 | $20 | $1.2K |
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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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