NPI 1730112558 — Billing Profile & Reimbursement Data
NPI 1730112558 · XX · healthcare
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NPI 1730112558 is a healthcare provider located in Unspecified Location. This profile covers 35 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 1730112558 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | January 1, 2026 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
This provider’s Medicare activity is concentrated in cardiology-focused diagnostics and interventions: the top three Medicare codes are 99214 ($202.2K, 22.9%), 78452 ($184.7K, 20.9%), and 93306 ($166.4K, 18.9%), and the precomputed summary shows the top 3 Medicare codes by revenue account for 62.7% of this provider's total Medicare revenue. Together these codes point to a hybrid clinical model that combines office-based E/M visits with high-volume cardiac imaging (SPECT and echocardiography).
The overall payer mix is effectively single-payer Medicare: total Medicare revenue is $887.5K while there is no Medicaid billing on file. Because Medicaid revenue is listed as none, analyses of Medicaid exposure, in-state network leverage, or dual-payer mix are not supported by the data on file.
Several individual CPT/HCPCS ranks mark this provider as a dominant national outlier for specific services: 99214 ranks #598 of 479517 providers nationally (100th percentile; extreme outlier), ranks #29 of 14946 (100th percentile; extreme outlier), and ranks #50 of 24624 (100th percentile; extreme outlier). These rank/percentile signals indicate materially higher-than-typical national volume for core office E/M, nuclear cardiology, and transthoracic echocardiography services.
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.
35 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… | 2,440 | $80 | $202.2K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 710 | $260 | $184.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 1,620 | $100 | $166.4K |
| J2785 | Injection, regadenoson, 0.1 mg | 1,640 | $40 | $69K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 280 | $190 | $54.2K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 570 | $50 | $29.6K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 600 | $50 | $27.4K |
| 92928 | The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a… | 60 | $430 | $24.5K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,680 | $10 | $16.8K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 40 | $410 | $16.6K |
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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 35 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
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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