NPI 1962461020 — Billing Profile & Reimbursement Data
NPI 1962461020 · XX · healthcare
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NPI 1962461020 is a healthcare provider located in Unspecified Location. This profile covers 13 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | NPI 1962461020 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | December 26, 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: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,360 | $80 | $104.6K |
| 98928 | The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders. | 1,260 | $60 | $76.7K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 1,110 | $30 | $35.4K |
| 97810 | The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute… | 1,030 | $30 | $34K |
| 97112 | Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or… | 1,170 | $20 | $25.8K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 1,110 | $20 | $21K |
| 97124 | Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood… | 1,150 | $20 | $20.7K |
| 97012 | Mechanical traction is a highly successful alternative to surgery. Techniques applied in mechanical traction are dependent on the patient's condition, disorder, tolerance level, and the spinal level… | 1,140 | $10 | $11.4K |
| 64566 | In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin. | 100 | $110 | $10.8K |
| 20551 | The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon. | 190 | $40 | $6.8K |
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Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 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
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 97530 | 999 | 10 | 1,770 | $20 | $36.6K |
| 97112 | 635 | 10 | 910 | $20 | $19.8K |
| 99213 | 565 | 10 | 140 | $60 | $18.8K |
| 97110 | 1,638 | 10 | 900 | $20 | $16.1K |
| 99203 | 6,335 | 10 | 140 | $90 | $12.2K |
| 99212 | 2,291 | 10 | 30 | $30 | $960 |
| 20550 | 90 | 0 | N/A | $N/A | $N/A |
| 20551 | 2 | 0 | N/A | $N/A | $N/A |
| 64566 | 132 | 0 | N/A | $N/A | $N/A |
| 97012 | 6 | 0 | N/A | $N/A | $N/A |
Showing 1–10 of 13
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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