Claima

Public Medicare billing profile

Aziz Basem Nicholas Qandah, D.O.

Neurosurgery · New Hartford, NY · NPI 1528218773

Medicare allowed

$1,117,234

Services

7,979

Top 5 codes are

42%

42% of your Medicare revenue sits in five codes

That concentration is the useful part. It means a few percent of variance on a handful of codes moves real money, and it means checking whether you are being paid correctly is a small job rather than an audit of everything you bill.

CodeServiceVolumeYou chargeMedicare allows
22514Treatment of broken lower spine bone with placement of stabilizing device24$12,000.00$5,206.68
62323Injection of substance into lower spine canal using imaging guidance451$700.00$240.41
22513Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance18$12,000.00$5,254.23
63650Insertion of spinal neurostimulator electrode array through skin48$10,000.00$1,605.46
72148Mri scan of lower spinal canal without contrast377$550.00$180.35
95913Nerve conduction, 13 or more studies232$500.00$267.42
22612facilityFusion of spine in lower back34$10,968.00$1,456.45
72158Mri scan of lower spinal canal before and after contrast129$571.32$291.90

Ranked by total Medicare allowed. Allowed amounts are already adjusted by CMS for your locality.

Here is what this does not tell you

CMS publishes what Medicare allowed you. It publishes nothing about what Aetna, Cigna, United or your Blues plan allowed for the same codes. Commercial contracts are conventionally written as a percentage of Medicare and normally sit above it, so the numbers in that table are a floor your commercial payers should clear.

Most practices have never checked. A claim paid at 70% of the allowable does not show up as a denial or land in anyone's work queue. It shows up as paid.

The report is free, needs no signup, and the file never leaves your browser. Open your network tab before you drop it and you will see no request.

Where these numbers come from

Medicare Physician & Other Practitioners, by Provider and Service, published by the Centers for Medicare & Medicaid Services. It is public data covering Part B fee-for-service claims. Service descriptions are CMS's own.

Nothing here is modelled and nothing is an estimate of what you could recover. The totals are sums of what CMS published for NPI 1528218773. Beneficiary counts overlap across codes, so we do not add them up.

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