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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Vespa
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    Paul Vespa — Billing Profile & Reimbursement Data

    NPI 1992716435 · Los Angeles, CA · Neurology Physician

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    Paul Vespa is a neurology physician provider located in Los Angeles, California. This profile covers 8 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Vespa
    Address300 Medical Plz
    CityLos Angeles
    StateCA
    ZIP90095
    TaxonomyNeurology Physician
    NPI EnumeratedAugust 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$192.4K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…490$180$85K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…360$180$64.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…290$100$29.9K
    95718A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…30$110$3.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$150$3.3K
    95722A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The complete study…10$210$2.8K
    95719A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. No video is…20$130$2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$70$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992332,92511,530120$100$26.2K
    992913527,22060$180$18.6K
    9923211,36212,28090$70$16.3K
    95720110060$170$13.9K
    992239,91113,19050$140$11.3K
    95718287030$110$5.3K
    9572221010$220$2.9K
    9571992020$120$2.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Paul Vespa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandeep ThakkarCANeurology Physician$1.4M$92.5K
    Mark TramoCANeurology Physician$208.2K$0
    Kathleen TingusCAClinical Psychologist$198.6K$0
    Alexan YerevanianNMNeurology Physician$193.5K$0
    Vivian HoangTXNeurology Physician$191.6K$0
    Ausaf BariCANeurological Surgery Physician$174.2K$0
    Lucas RestrepoCANeurology Physician$163K$0
    Michael HoCANeurology Physician$161.7K$0
    Victor RosenfeldGANeurology Physician$156.2K$0
    Reza RonaghiCAPulmonary Disease Physician$154.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Paul Vespa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Regents Univ Of Calif Los AngelesCAGeneral Acute Care Hospital$0$41.5M
    The Regents Of The University Of CaliforniaCAInternal Medicine Physician$0$35.9M
    Louis ChangCAOphthalmology Physician$2.2M$5.9M
    Bartosz ChmielowskiCAHematology & Oncology Physician$3.2M$0
    Gad HeilweilCAOphthalmology Physician$1.9M$0
    Sarah LarsonCAHematology & Oncology Physician$1.5M$0
    Andrew BreithauptCAMOHS-Micrographic Surgery Physician$1.5M$0
    Simon GabrielCADiagnostic Radiology Physician$1.4M$0
    Jamshid MaddahiCASpecialist$1.3M$0
    Sarah DaleyCAAnatomic Pathology & Clinical Pathology Physician$816.4K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Paul Vespa — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California