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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1841287398
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    NPI 1841287398 — Billing Profile & Reimbursement Data

    NPI 1841287398 · XX · healthcare

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    NPI 1841287398 is a healthcare provider located in Unspecified Location. This profile covers 15 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 1841287398
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedDecember 19, 2024

    (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.

    15 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…450$80$37.2K
    21485The provider treats dislocations of the temporomandibular joint, which causes the jaw to lock in an open position and causes significant pain and discomfort. He manipulates it back into its proper…40$700$29.6K
    21085The provider fabricates an oral surgical splint to match the patient’s facial contours by taking an impression, or negative imprint, of the patient's face. An oral surgical splint supports a…80$370$28.4K
    J0588Injection, incobotulinumtoxin a, 1 unit6,600$1$26.4K
    99205The provider sees a new 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 provider…110$140$15.1K
    76100The provider uses special X–ray equipment that allows viewing of only one plane of the body based upon complex movements of the equipment and scanning across the body in one direction.  Images show…220$70$14.3K
    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…40$120$4.8K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.40$110$4.2K
    70330The provider takes X–rays of both temporomandibular joints (TMJs), with the mouth open and closed. He performs the procedure in patients who have arthralgia of the TMJ or whose TMJ makes abnormal…110$40$4.1K
    70220The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.110$30$2.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 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 1841287398 — 0 of 3 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

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6091080$90$15.8K
    992151,7161060$110$13.3K
    20605271060$40$2.5K
    20551390N/A$N/A$N/A
    2108520N/A$N/A$N/A
    2148510N/A$N/A$N/A
    64612110N/A$N/A$N/A
    7014020N/A$N/A$N/A
    7022020N/A$N/A$N/A
    7033020N/A$N/A$N/A

    Showing 1–10 of 15

    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$174.1K
    Medicaid$0