NPI 1306815287 — Billing Profile & Reimbursement Data
NPI 1306815287 · XX · healthcare
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NPI 1306815287 is a healthcare provider located in Unspecified Location. This profile covers 46 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 1306815287 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | March 26, 2026 |
(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.
46 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 15,800 | $40 | $679.4K |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 400 | $80 | $31.3K |
| 96413 | Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These… | 220 | $100 | $22.1K |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 10,700 | $1 | $21.4K |
| 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… | 220 | $90 | $19.2K |
| 58571 | The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports… | 30 | $710 | $17.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 130 | $130 | $17K |
| 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… | 200 | $60 | $12.3K |
| J0185 | Injection, aprepitant, 1 mg | 9,620 | $1 | $9.6K |
| 86304 | The lab analyst performs a quantitative test to evaluate the patient’s serum or body fluid for the cancer tumor antigen CA 125, a tumor marker for pancreatic cancer. | 320 | $20 | $6.5K |
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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 46 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
46 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9271 | 35 | 10 | 17,200 | $40 | $743.5K |
| 96413 | 126 | 10 | 350 | $100 | $34.2K |
| 99213 | 3,251 | 10 | 140 | $60 | $18.8K |
| 99214 | 4,774 | 10 | 80 | $90 | $15.8K |
| 99215 | 632 | 10 | 60 | $110 | $13.3K |
| 96367 | 115 | 10 | 350 | $20 | $7.6K |
| 99232 | 3,691 | 10 | 110 | $60 | $6.9K |
| 85025 | 168 | 10 | 820 | $10 | $6.2K |
| 36415 | 349 | 10 | 230 | $10 | $5.5K |
| 96417 | 62 | 10 | 100 | $50 | $4.7K |
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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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