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NPI 1801043146 · Dubois, PA · Cardiovascular Disease Physician
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Steven Sprankle is a cardiovascular disease physician provider located in Dubois, Pennsylvania. This profile covers 20 Medicare and 8 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 | Steven Sprankle |
| Address | 145 Hospital Ave |
| City | Dubois |
| State | PA |
| ZIP | 15801 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | August 19, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $177.1K |
| Medicaid | $106.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93306 | The 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… | 950 | $60 | $58.1K |
| 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… | 400 | $90 | $35.7K |
| 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… | 550 | $60 | $31.4K |
| 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… | 150 | $110 | $16.8K |
| 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… | 160 | $50 | $8.4K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,370 | $10 | $8.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 600 | $10 | $5.4K |
| 75561 | The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with… | 30 | $90 | $2.9K |
| 93308 | The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused… | 90 | $30 | $2.5K |
| 93016 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 140 | $20 | $2.1K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 10 | 1,130 | 220 | $70 | $19.1K |
| 99214 | 2,747 | 23,230 | 100 | $80 | $14.5K |
| 78452 | 38 | 730 | 50 | $130 | $8.7K |
| 99213 | 804 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 336 | 10,290 | 30 | $110 | $5K |
| 75561 | 31 | 70 | 30 | $110 | $4.7K |
| 99203 | 5,897 | 7,330 | 30 | $70 | $3.5K |
| 93010 | 155 | 2,330 | 140 | $10 | $2.4K |
| 93451 | 84 | 100 | 20 | $100 | $2.2K |
| 93000 | 215 | 3,410 | 30 | $10 | $1.4K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93306 | The 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… | 1,270 | $40 | $45.8K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 2,980 | $10 | $20.9K |
| 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… | 490 | $30 | $16.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 790 | $10 | $11K |
| 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… | 320 | $20 | $6.8K |
| 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… | 70 | $80 | $4.9K |
| 93016 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 40 | $20 | $720 |
| 93018 | The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings… | 40 | $10 | $460 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
8 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… | 2,806 | 8,160 | 210 | $60 | $68.4K |
| 93306 | The 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… | 68 | 550 | 160 | $80 | $58.1K |
| 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… | 3,881 | 8,870 | 240 | $40 | $56.1K |
| 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… | 701 | 1,410 | 60 | $90 | $30.5K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 122 | 1,290 | 230 | $10 | $17.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 80 | 410 | 100 | $20 | $14.8K |
| 93016 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 40 | 70 | 60 | $20 | $4.2K |
| 93018 | The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings… | 42 | 80 | 50 | $20 | $3.5K |
Other providers in the same ZIP code as Steven Sprankle, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Peritech Home Health Associates LLC | PA | Home Health Agency | $0 | $31.5M |
| Interim Healthcare Of Western Pennsylvania Inc | PA | Home Health Agency | $0 | $21.2M |
| Brookville Behavioral Health Inc. | PA | Community/Behavioral Health Agency | $0 | $16.7M |
| County Homemakers Inc | PA | In Home Supportive Care Agency | $0 | $8.6M |
| Behavioral Advancements Of Dubois | PA | Psychologist | $0 | $6.8M |
| Brandon Roscoe | PA | Family Medicine Physician | $690.1K | $546.1K |
| Gregory Roscoe | PA | Otolaryngology Physician | $188.7K | $700.7K |
| Lisa Pfingstler | PA | Dermatology Physician | $581.7K | $257.3K |
| Tuesdae Stainbrook | PA | Infectious Disease Physician | $373.4K | $229.2K |
| Jeffrey Rice | PA | Oral and Maxillofacial Surgery (Dentist) | $7.3K | $533.2K |
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