NPI 1982663035 — Billing Profile & Reimbursement Data
NPI 1982663035 · XX · healthcare
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NPI 1982663035 is a healthcare provider located in Unspecified Location. This profile covers 7 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 1982663035 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | June 19, 2024 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
Service mix is dominated by anesthesia for orthopedic joint surgery and gastrointestinal endoscopy: the top billed codes are 01402 (anesthesia for total knee arthroplasty, 17 claims, $146 avg paid/claim, $2.5K revenue (22.0% of this provider's total Medicare revenue)), 00790 (anesthesia for intraperitoneal upper-abdomen procedures, 15 claims, $154 avg paid/claim, $2.3K revenue (20.4%)), and 01214 (anesthesia for open total hip arthroplasty, 14 claims, $129 avg paid/claim, $1.8K revenue (16.0%)). This mix indicates the provider is functioning as an anesthesia service line covering both orthopedic joint arthroplasty and a spectrum of endoscopic procedures rather than primary medical or office-based care.
Revenue concentration is moderate: the precomputed top-3 Medicare codes account for 58.4% of this provider's Medicare revenue. Given the provider's total reported Medicare revenue of $11.3K, the business relies heavily on a small set of anesthesia procedure types to generate the majority of its Medicare billing.
The payer mix is effectively single-payer Medicare: the file shows Total Medicare revenue of $11.3K and explicitly notes no Medicaid billing on file. Because there is no Medicaid activity, any analysis of state-level Medicaid positioning or cross-payer strategy cannot be supported from these records alone.
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 01402 | The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty. | 20 | $150 | $2.5K |
| 00790 | The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code. | 20 | $150 | $2.3K |
| 01214 | The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty. | 10 | $130 | $1.8K |
| 00813 | The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above… | 20 | $70 | $1.6K |
| 00731 | The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond… | 20 | $60 | $1.2K |
| 00812 | The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part… | 20 | $50 | $1K |
| 00811 | The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to… | 20 | $50 | $860 |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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
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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