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NPI 1760431159 · Cincinnati, OH · Nuclear Medicine Physician
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Harold Pretorius is a nuclear medicine physician provider located in Cincinnati, Ohio. This profile covers 23 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Harold Pretorius |
| Address | 4743 Cornell Rd |
| City | Cincinnati |
| State | OH |
| ZIP | 45241 |
| Taxonomy | Nuclear Medicine Physician |
| NPI Enumerated | May 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $260.3K |
| Medicare | $162.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 580 | $80 | $48.6K |
| 78608 | In this diagnostic procedure, the provider performs PET, positron emission tomography, a type of nuclear imaging test. It tells how the brain is functioning with information on metabolism, such as… | 60 | $740 | $43.8K |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 60 | $340 | $19.8K |
| 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… | 30 | $320 | $10.6K |
| 99215 | The 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… | 70 | $130 | $8.6K |
| 78803 | The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.… | 20 | $260 | $5.7K |
| J2785 | Injection, regadenoson, 0.1 mg | 120 | $40 | $5K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 50 | $90 | $4.2K |
| 99204 | The 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… | 30 | $110 | $3.1K |
| 78473 | The provider performs gated equilibrium cardiac blood pool imaging at rest and stress with wall motion study and ejection fraction to show how the heart is pumping blood to the rest of the body. | 10 | $200 | $2.2K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| A9552 | 8 | 40 | 30 | $350 | $23.8K |
| 80061 | 303 | 480 | 110 | $10 | $18K |
| A9502 | 11 | 10 | 150 | $100 | $17.4K |
| 99214 | 794 | 20,010 | 100 | $70 | $11.7K |
| 99233 | 3,603 | 5,570 | 70 | $90 | $11.2K |
| J2785 | 44 | 80 | 200 | $40 | $10.4K |
| 78452 | 397 | 520 | 60 | $100 | $8.1K |
| 78608 | 3 | 10 | 20 | $210 | $6.9K |
| 99215 | 1,164 | 4,950 | 30 | $110 | $5.9K |
| 99204 | 4,294 | 8,330 | 30 | $100 | $4.4K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 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… | 4,490 | $60 | $246.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 270 | $10 | $3K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 1,360 | $1 | $2.7K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 500 | $10 | $2.5K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 270 | $10 | $1.4K |
| 99213 | The 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… | 40 | $30 | $1.1K |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 270 | $1 | $1.1K |
| 82947 | The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip. | 300 | $1 | $900 |
| 78215 | A liver and spleen scan is a specialized radiologic procedure that is used to examine the liver and spleen to identify certain conditions or to assess their function. | 10 | $60 | $820 |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | 10 | $1 | $10 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 838 | 4,510 | 500 | $60 | $377.8K |
| 99213 | The 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… | 4,327 | 5,080 | 560 | $40 | $323.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 205 | 280 | 1,450 | $10 | $178.3K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 337 | 650 | 540 | $10 | $50.5K |
| 84460 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.… | 67 | 120 | 390 | $1 | $9.6K |
| 82947 | The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip. | 121 | 180 | 830 | $1 | $8.1K |
| 84450 | The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic… | 70 | 130 | 350 | $1 | $8K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 115 | 340 | 590 | $1 | $3.2K |
| 78215 | A liver and spleen scan is a specialized radiologic procedure that is used to examine the liver and spleen to identify certain conditions or to assess their function. | 1 | 10 | 10 | $60 | $820 |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | 17 | 20 | 80 | $1 | $150 |
Other providers in the same ZIP code as Harold Pretorius, ranked by combined Medicare and Medicaid revenue.
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