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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1962470286
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    NPI 1962470286 — Billing Profile & Reimbursement Data

    NPI 1962470286 · XX · healthcare

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    NPI 1962470286 is a healthcare provider located in Unspecified Location. This profile covers 20 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 1962470286
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedJuly 26, 2023

    (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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64520In this procedure, the provider performs a nerve block on the lumbar or thoracic paravertebral sympathetic nerves, which are part of the sympathetic division of the autonomic nervous system. Blocking…130$270$33.8K
    27093In this procedure, the provider injects contrast material into a hip joint for hip arthrography, an X–ray examination of the hip joint. He performs this procedure without administration of anesthesia…100$270$26.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).80$290$22.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$540$20K
    64451The provider injects an anesthetic and/or a steroid under imaging guidance into the nerves supplying the sacroiliac joint to diagnose and/or treat sacroiliac joint pain.70$270$18.9K
    64625The provider destroys the nerves innervating (supplying) the sacroiliac joint with radiofrequency ablation, that is, the use of heat produced by focused radio waves (a type of electromagnetic wave)…30$590$18.1K
    77003The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat…170$90$15.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2,480$10$12.4K
    64479This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).40$330$12.1K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…40$300$11K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 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 1962470286 — 0 of 1 code 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

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992038,95110140$90$12.2K
    2335080N/A$N/A$N/A
    2709310N/A$N/A$N/A
    27369270N/A$N/A$N/A
    6445150N/A$N/A$N/A
    64479140N/A$N/A$N/A
    6448060N/A$N/A$N/A
    644832430N/A$N/A$N/A
    644841180N/A$N/A$N/A
    6451010N/A$N/A$N/A

    Showing 1–10 of 20

    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$242.3K
    Medicaid$0