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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Prematta
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    Michael Prematta — Billing Profile & Reimbursement Data

    NPI 1801009444 · Havertown, PA · Allergy & Immunology Physician

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    Michael Prematta is a allergy & immunology physician provider located in Havertown, Pennsylvania. This profile covers 16 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
    OrganizationMichael Prematta
    Address400 W Township Line Rd
    CityHavertown
    StatePA
    ZIP19083
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedMay 8, 2007

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

    Payer SourceTotal Paid
    Medicare$190.2K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.4,600$10$55.2K
    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…420$100$42K
    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…350$70$23.7K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2,240$10$20.2K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…480$30$14.3K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.2,950$1$8.9K
    99204The 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…60$120$7.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…40$80$3.3K
    95018This is a type of skin which helps the provider to find out which substance triggers immediate allergic response in an individual. This particular test is sequential and incremental with drugs and…140$20$2.4K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…60$30$2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9516510150790$10$15.9K
    992142,52423,230100$80$14.5K
    992131,84922,37070$60$7.7K
    906941,5402,40070$80$7.5K
    992042,21910,29030$110$5K
    951176170300$10$4.3K
    95004131101,100$1$4.3K
    950244660430$10$3.6K
    992034,8317,33030$70$3.5K
    9437539050$30$2.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tracy PremattaPAAllergy & Immunology Physician$55K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Child Guidance Resource Centers IncPACommunity/Behavioral Health Agency$0$30.9M
    Khanh ThieuPADermatology Physician$578.7K$0
    Richard JahnlePAOphthalmology Physician$542.5K$0
    Larry ChouPAPhysical Medicine & Rehabilitation Physician$444.8K$0
    Michael NegreyPAOphthalmology Physician$415.9K$0
    Minh ThieuPADermatology Physician$299.7K$0
    Xiaobin LiPAInternal Medicine Physician$224.9K$9.2K
    Robby WiemerPAFoot & Ankle Surgery Podiatrist$233.1K$0
    Addison LernerPAPhysical Therapist$182.6K$0
    Kelly Scollon-grievePAPhysical Medicine & Rehabilitation Physician$137.1K$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
    Michael Prematta — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania