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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1639351729
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    NPI 1639351729 — Billing Profile & Reimbursement Data

    NPI 1639351729 · XX · healthcare

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    NPI 1639351729 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNPI 1639351729
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedOctober 23, 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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73580In this procedure, the provider performs imaging supervision and interpretation of a knee joint study. The provider injects contrast material into the knee joint and takes a series of X–rays as it…460$100$48.3K
    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…470$70$33.2K
    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…260$100$25.2K
    27369The provider injects contrast material into the knee joint prior to contrast knee arthrography or contrast–enhanced CT or MRI knee arthrography to enhance the internal structures such as cartilage,…110$150$15.6K
    98928The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.210$60$11.7K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…120$90$10.8K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose50$60$2.8K
    98925The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.110$30$2.6K
    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…30$80$2.3K
    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…20$120$2.1K

    Showing 1–10 of 13

    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

    Claims Volume vs. Unspecified Location Distribution
    NPI 1639351729 — 0 of 4 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

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921334910140$60$18.8K
    992141,9941080$90$15.8K
    992031,44110140$90$12.2K
    Q99673551033,000$1$3.8K
    992043,5581020$120$2.8K
    J1100181101,110$1$110
    2055150N/A$N/A$N/A
    2736910N/A$N/A$N/A
    7358010N/A$N/A$N/A
    7700240N/A$N/A$N/A

    Showing 1–10 of 13

    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$155.4K
    Medicaid$0