NPI 1467457093 — Billing Profile & Reimbursement Data
NPI 1467457093 · XX · healthcare
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NPI 1467457093 is a healthcare provider located in Unspecified Location. This profile covers 45 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 1467457093 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | August 28, 2025 |
(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.
45 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,300 | $100 | $123.4K |
| 55874 | Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes… | 20 | $2,490 | $52.2K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 260 | $200 | $51.4K |
| 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… | 650 | $60 | $41.3K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 250 | $140 | $34K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 60 | $310 | $17.1K |
| 99204 | The provider sees a new 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 provider… | 140 | $120 | $16.8K |
| 76100 | The provider uses special X–ray equipment that allows viewing of only one plane of the body based upon complex movements of the equipment and scanning across the body in one direction. Images show… | 220 | $70 | $15.6K |
| 99443 | N/A | 100 | $100 | $10K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 100 | $100 | $9.8K |
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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 45 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
45 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99213 | 2,258 | 10 | 140 | $60 | $18.8K |
| 99214 | 878 | 10 | 80 | $90 | $15.8K |
| 99215 | 9,475 | 10 | 60 | $110 | $13.3K |
| 99203 | 9,979 | 10 | 140 | $90 | $12.2K |
| 36415 | 307 | 10 | 230 | $10 | $5.5K |
| 96372 | 1,387 | 10 | 400 | $10 | $4.1K |
| 74176 | 1,046 | 10 | 60 | $70 | $4.1K |
| Q9967 | 521 | 10 | 33,000 | $1 | $3.8K |
| 99204 | 1,657 | 10 | 20 | $120 | $2.8K |
| 96402 | 123 | 10 | 70 | $20 | $1.7K |
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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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