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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1790929230
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    NPI 1790929230 — Billing Profile & Reimbursement Data

    NPI 1790929230 · XX · healthcare

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    NPI 1790929230 is a healthcare provider located in Unspecified Location. This profile covers 33 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 1790929230
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedMay 28, 2026

    (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.

    33 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…670$90$57.2K
    78452In 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…90$310$29.4K
    93306The 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…320$80$26.6K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…120$190$22.7K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose180$90$15.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…250$60$15.3K
    92928The 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…30$420$13K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$130$12.3K
    J2785Injection, regadenoson, 0.1 mg250$40$10.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,660$10$10K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 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 1790929230 — 5 of 8 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

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992133,68410140$60$18.8K
    992149261080$90$15.8K
    992032,54510140$90$12.2K
    9923264010110$60$6.9K
    992221,1391040$100$3.9K
    992042,1671020$120$2.8K
    992234101010$140$1.6K
    930002341030$10$220
    784521580N/A$N/A$N/A
    85610410N/A$N/A$N/A

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with NPI 1790929230, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Vincent Pediatric SubspecialtiesINPediatrics Physician$0$20.8M
    St Francis Hospital IncSCGeneral Acute Care Hospital$0$17.8M
    St Vincent Physician Services Hospital And Health Care CenterINFamily Medicine Physician$0$14M
    St Francis Hospital, Inc.SC

    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$255.7K
    Medicaid$0
    General Acute Care Hospital
    $0
    $13M
    St. Francis Hospital IncSCGeneral Acute Care Hospital$0$9M
    Saint Vincent Physician Services, Inc.MAFamily Medicine Physician$0$6.1M
    St. Vincent Williamsport HospitalINCritical Access Hospital$0$2.7M
    St. Vincent Hospital & Health Care Center, Inc.INPsychiatry Physician$0$2.5M
    Bon Secours Medical Group Greenville Specialty Care LLCSCCardiovascular Disease Physician$0$2.1M
    Chirag AminTNHematology & Oncology Physician$820K$0