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NPI 1407932049 · Altoona, PA · Nephrology Physician
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Angel Raposas is a nephrology physician provider located in Altoona, Pennsylvania. This profile covers 21 Medicare and 5 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 | Angel Raposas |
| Address | 501 Howard Avenue |
| City | Altoona |
| State | PA |
| ZIP | 16601 |
| Taxonomy | Nephrology Physician |
| NPI Enumerated | October 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $218.7K |
| Medicaid | $21.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 960 | $60 | $59.8K |
| 90960 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the… | 110 | $280 | $29.1K |
| 99233 | The 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… | 290 | $90 | $26.8K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 580 | $40 | $22.7K |
| 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… | 110 | $140 | $15.1K |
| 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… | 130 | $100 | $13.4K |
| 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… | 140 | $90 | $12.6K |
| 90961 | The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the… | 40 | $230 | $8.5K |
| 99223 | The 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… | 40 | $140 | $5.6K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 70 | $70 | $4.4K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 90960 | 180 | 300 | 130 | $280 | $42.3K |
| 99214 | 9,271 | 23,230 | 100 | $80 | $14.5K |
| 99458 | 43 | 70 | 100 | $30 | $13.2K |
| 99490 | 399 | 510 | 170 | $40 | $12.6K |
| 99233 | 756 | 6,630 | 70 | $90 | $12K |
| 90961 | 112 | 230 | 40 | $230 | $11K |
| 99457 | 131 | 150 | 100 | $40 | $10K |
| 99232 | 140 | 10,870 | 80 | $60 | $9.6K |
| 99215 | 1,280 | 7,170 | 40 | $120 | $8.6K |
| 99454 | 136 | 150 | 100 | $40 | $8.5K |
Showing 1–10 of 21
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The 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… | 260 | $30 | $8.3K |
| 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… | 90 | $50 | $5K |
| 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… | 120 | $30 | $3.9K |
| 99223 | The 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… | 40 | $80 | $3.6K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 10 | $20 | $280 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99233 | The 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… | 193 | 610 | 90 | $60 | $50.1K |
| 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… | 613 | 1,210 | 100 | $90 | $45K |
| 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… | 626 | 1,300 | 110 | $40 | $41.5K |
| 99223 | The 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… | 227 | 480 | 40 | $100 | $27.9K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 162 | 180 | 120 | $10 | $5.2K |
Other providers in the same ZIP code as Angel Raposas, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Primary Health Network | PA | Federally Qualified Health Center (FQHC) | $0 | $19.7M |
| Upmc Altoona | PA | General Acute Care Hospital | $0 | $19.7M |
| Pyramid Healthcare Inc. | PA | Methadone Clinic | $125.2K | $13.3M |
| Upmc Home Healthcare Of Central Pennsylvania | PA | Home Health Agency | $0 | $7.1M |
| Hany Shanoudy | PA | Cardiovascular Disease Physician | $571.3K | $108.8K |
| Michael Larkin | PA | Cardiovascular Disease Physician | $414.1K | $192.2K |
| David Rose | PA | Diagnostic Radiology Physician | $137.1K | $209.6K |
| Nicholas Madden | PA | Surgery Physician | $156K | $134K |
| Alan Kanouff | PA | Pulmonary Disease Physician | $212.7K | $49.1K |
| Michael Zlupko | PA | Pulmonary Disease Physician | $158.9K | $37.5K |
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