NPI 1548252935 — Billing Profile & Reimbursement Data
NPI 1548252935 · XX · healthcare
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NPI 1548252935 is a healthcare provider located in Unspecified Location. This profile covers 13 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 1548252935 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | August 30, 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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 220 | $80 | $16.4K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 370 | $40 | $14K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 270 | $50 | $13K |
| 11000 | The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface. | 150 | $50 | $7.4K |
| 99203 | The provider sees a new 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 provider… | 70 | $100 | $6.7K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 90 | $60 | $5.8K |
| 17110 | The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or… | 40 | $100 | $4K |
| 11730 | The provider removes part or all of a single nail plate using simple avulsion techniques. | 40 | $100 | $3.9K |
| 10160 | The provider inserts a needle into a fluid deposit area on the skin and aspirates fluid or pus to obtain a culture. | 30 | $110 | $3K |
| 10060 | The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A… | 20 | $110 | $2K |
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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 13 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
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11721 | 495 | 10 | 1,230 | $30 | $42.9K |
| 99213 | 6,972 | 10 | 140 | $60 | $18.8K |
| 99203 | 2,691 | 10 | 140 | $90 | $12.2K |
| 99348 | 312 | 10 | 70 | $50 | $3.2K |
| 11730 | 139 | 10 | 40 | $90 | $3.1K |
| 10060 | 280 | 10 | 10 | $100 | $1.4K |
| 99212 | 457 | 10 | 30 | $30 | $960 |
| 73630 | 1,022 | 10 | 30 | $10 | $190 |
| 10160 | 24 | 0 | N/A | $N/A | $N/A |
| 11000 | 9 | 0 | N/A | $N/A | $N/A |
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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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