NPI 1407863764 — Billing Profile & Reimbursement Data
NPI 1407863764 · XX · healthcare
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NPI 1407863764 is a healthcare provider located in Unspecified Location. This profile covers 9 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 1407863764 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | August 14, 2025 |
(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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 15946 | The provider removes a pressure sore and its underlying bone in the hip area, when infection in the wound has spread to bone. He prepares the wound for closure with the use of a graft of skin or skin… | 170 | $1,380 | $228.4K |
| 15738 | The provider creates a muscle, myocutaneous, or fasciocutaneous flap from a lower extremity of the patient to treat injury or open wounds on an affected area. | 170 | $1,080 | $178.9K |
| 15736 | The provider creates a muscle, myocutaneous, or fasciocutaneous flap from an upper extremity of the patient to treat an injury or open wound on an affected area. | 170 | $1,030 | $171.5K |
| 14061 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size. | 170 | $880 | $144.5K |
| 15733 | The provider develops a muscle, myocutaneous, or fasciocutaneous flap from one of the muscles in the forehead, around the jaws, or neck, preserving the vascular supply, and uses it to cover a nearby… | 160 | $880 | $143.5K |
| 14041 | The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a… | 170 | $810 | $134.8K |
| 14021 | The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2. | 170 | $760 | $126.8K |
| 14001 | The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to… | 170 | $710 | $118.2K |
| 15734 | The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body. | 170 | $630 | $104.9K |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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
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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