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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNPI 1962562132
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    NPI 1962562132 — Billing Profile & Reimbursement Data

    NPI 1962562132 · XX · healthcare

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    NPI 1962562132 is a healthcare provider located in Unspecified Location. This profile covers 14 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 1962562132
    Address
    City
    StateXX (Unspecified Location)
    ZIP
    TaxonomyN/A
    NPI Enumerated
    NPI DeactivatedOctober 23, 2025

    (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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…190$70$13.9K
    11421The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.120$100$11K
    28005In this procedure, the provider incises the bone cortex, the superficial part of the bone, to treat an infection in a bone of the foot.40$240$10.4K
    27614The provider excises a lesion from the muscle or subfascial tissues of the leg or ankle area. He sends the tissue for pathological evaluation. He performs the procedure to diagnose the nature of the…20$480$9.2K
    28270The provider incises the capsule of a metatarsophalangeal joints of the toes to restore range of motion and relieve pain from a contracture. He may suture the tendon to strengthen it.30$230$7.7K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…120$60$6.7K
    11765The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail.60$90$5.8K
    27613The provider excises a lesion from the skin of the leg or ankle area. He sends the tissue for pathological evaluation. He performs this procedure to diagnose the nature of the skin lesion.30$180$5.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.150$30$4.1K
    99203The provider sees a new 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 provider…40$80$3.3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 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 1962562132 — 2 of 4 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

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992136,63210140$60$18.8K
    992034,17010140$90$12.2K
    736302981030$10$190
    736103351020$10$120
    1142110N/A$N/A$N/A
    11765210N/A$N/A$N/A
    2761310N/A$N/A$N/A
    2761420N/A$N/A$N/A
    2800520N/A$N/A$N/A
    2823010N/A$N/A$N/A

    Showing 1–10 of 14

    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$85.9K
    Medicaid$0