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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1548408669
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    NPI 1548408669 — Billing Profile & Reimbursement Data

    NPI 1548408669 · XX · healthcare

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    NPI 1548408669 is a healthcare provider located in Unspecified Location. This profile covers 17 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNPI 1548408669
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedDecember 18, 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 Revenue by CPT/HCPCS Code

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…260$60$16K
    99203The 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…160$70$11.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.320$30$9.1K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.140$60$7.5K
    99204The 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…70$100$7.5K
    99214The 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…60$80$4.9K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…60$70$4.3K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.50$90$4.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.50$90$4.1K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.80$40$3.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 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

    Claims Volume vs. Unspecified Location Distribution
    NPI 1548408669 — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    110563210740$70$49.3K
    1172149101,230$30$42.9K
    110552910330$60$19.5K
    9921346810140$60$18.8K
    110427110230$80$18.4K
    992143,5971080$90$15.8K
    992034910140$90$12.2K
    97597241080$80$6.8K
    1175081050$130$6.4K
    1173071040$90$3.1K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with NPI 1548408669, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$5.1M
    Saint Alphonsus Regional Medical Center IncIDGeneral Acute Care Hospital$0$4.2M
    Saint Alphonsus Medical Center- Ontario IncORGeneral Acute Care Hospital$0$3.7M
    Saint Alphonsus Medical Center- Ontario Inc

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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    Lifetime revenue by payer source
    Payer SourceTotal Paid
    Medicare$82.2K
    Medicaid$0
    ID
    Rural Health Clinic/Center
    $0
    $854.6K
    Adam GrimaldiIDClinical Cardiac Electrophysiology Physician$247.1K$0
    John FooteIDOrthopaedic Surgery Physician$140.1K$0
    Michael RichIDCardiovascular Disease Physician$125K$0
    Paul GeringORFamily Medicine Physician$105.1K$0
    Eli HarrisIDPain Medicine (Anesthesiology) Physician$62.2K$0
    Jason QuinnIDEmergency Medicine Physician$46.5K$0