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    OpenPayerNPI Medicare & MedicaidPca Interventional Spine At Fayette, LLC
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    Pca Interventional Spine At Fayette, LLC — Billing Profile & Reimbursement Data

    NPI 1447791074 · Fayetteville, GA · Pain Clinic/Center

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    Pca Interventional Spine At Fayette, LLC is a pain clinic/center provider located in Fayetteville, Georgia. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPca Interventional Spine At Fayette, LLC
    Address1233 Highway 54 W
    CityFayetteville
    StateGA
    ZIP30214
    TaxonomyPain Clinic/Center
    NPI EnumeratedMarch 15, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$434.5K
    Medicaid$0

    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 CodeDescriptionClaimsAvg PaidRevenue
    22869Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous…10$8,370$108.9K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).390$280$108.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.130$550$72.2K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography270$200$54.2K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…170$260$45K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$630$18.9K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…50$300$13.8K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…50$250$12.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$20$410

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2286931010$3,790$53K
    646353327050$380$27.7K
    644831836070$200$23.7K
    G026069070$200$23.2K
    644933432060$190$16.8K
    646335413030$400$13.9K
    644907318040$200$9.9K
    623215423030$160$7.1K
    206101,1601,32060$50$5.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pca Interventional Spine At Fayette, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jignesh GandhiGAInterventional Pain Medicine Physician$258.7K$0
    Nathaniel PleasantGAPain Medicine (Anesthesiology) Physician$230.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Pca Interventional Spine At Fayette, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BenderGAHematology & Oncology Physician$2.6M$0
    Vipin Ramprasad LohiyaGAHematology & Oncology Physician$2.3M$0
    Trevor FeinsteinGAHematology & Oncology Physician$1.4M$0
    Summit Endoscopy CenterGAAmbulatory Surgical Clinic/Center$1.4M$0
    Board Of Commissioners Of Fayette CountyGALand Ambulance$693.7K$224.7K
    James SandwichGADermatology Physician$584.8K$0
    Georgia Urology Fayette AscGAAmbulatory Surgical Clinic/Center$504.4K$0
    Paul FeldmanGAPlastic Surgery Physician$483.9K$0
    Assured Care Ems LLCGALand Ambulance$457.1K$0
    Eye Consultants: Fayetteville Surgery CenterGAOphthalmology Physician$449.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Pca Interventional Spine At Fayette, LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia