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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIra Cantor
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    Ira Cantor — Billing Profile & Reimbursement Data

    NPI 1760425755 · Phoenixville, PA · Internal Medicine Physician

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    Ira Cantor is a internal medicine physician provider located in Phoenixville, Pennsylvania. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIra Cantor
    Address1220 Valley Forge Rd
    CityPhoenixville
    StatePA
    ZIP19460
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJune 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$234.7K
    Medicaid$0

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,320$100$127.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…120$140$16.8K
    G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation,…220$70$15K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.400$30$10.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.180$50$9.4K
    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…140$70$9.2K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…240$40$8.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…150$50$7.3K
    64405The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…100$60$6.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.180$30$5.6K

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149823,230100$80$14.5K
    G04393,3515,25060$110$9.5K
    992151,1137,17040$120$8.6K
    992136,47022,37070$60$7.7K
    G300262050$60$7.5K
    206105331,98060$50$6.7K
    963654531070$50$5.3K
    992051,6053,09020$150$4.9K
    9949746192040$60$4K
    9637561160120$10$3.4K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Ira Cantor, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricounty Medical Equipment And Supply, LLCPADurable Medical Equipment & Medical Supplies$0$27.8M
    Relevant Home Care, LLCPAHome Health Agency$0$6.7M
    Penn Psychiatric Center IncPACommunity/Behavioral Health Agency$0$6.1M
    Regional Womens Health Group LLCPAObstetrics & Gynecology Physician$0$5.8M
    Dennis MonteiroPAPlastic and Reconstructive Surgery Physician$407.5K$9K
    Peter MotelPADermatology Physician$303.9K$0
    Le WangPAHematology (Internal Medicine) Physician$270.4K$0
    Barry FabrizianiPAOptometrist$255K$0
    Raymond KovalskiPAPulmonary Disease Physician$237K$0
    Brian BrokerPAOtolaryngology Physician$225.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Ira Cantor — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania