NPI 1740061415 — Billing Profile & Reimbursement Data
NPI 1740061415 · XX · healthcare
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NPI 1740061415 is a healthcare provider located in Unspecified Location. This profile covers 1 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 1740061415 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | January 12, 2024 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
Service-line footprint is narrowly focused on chest radiography: the provider’s only listed Medicare procedure is 71045, a single-view diagnostic chest radiograph used to assess conditions of the chest and nearby structures, indicating the billing activity is centered on basic diagnostic imaging rather than a broader procedure mix. This suggests the provider’s measurable Medicare activity is concentrated in routine chest X-ray services rather than advanced imaging or procedural specialties.
Revenue concentration is extreme and highly concentrated in a single code: the precomputed top-3 share is 100.0% of Medicare revenue, and the sole listed code 71045 is recorded as representing that entire share. That concentration means any analysis of this provider’s Medicare book of business is essentially an analysis of a single service line.
Reported Medicare scale is minimal and contains an internal inconsistency that should be reconciled: lifetime Medicare revenue is listed as $196, while the top-code row for 71045 reports $203 revenue from 29 claims at $7 avg paid/claim and is labeled as 100.0% of Medicare revenue. Both figures are small in absolute terms, indicating very low Medicare billing volume overall, but the mismatch between $196 and $203 should be flagged for data-quality follow-up.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 30 | $10 | $200 |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 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
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 71045 | 2 | 10 | 480 | $10 | $3.3K |
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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