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    OpenPayerNPI Medicare & MedicaidMichael Powell
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    Michael Powell — Billing Profile & Reimbursement Data

    NPI 1003134107 · Reno, NV · Anatomic Pathology & Clinical Pathology Physician

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    Michael Powell is a anatomic pathology & clinical pathology physician provider located in Reno, Nevada. This profile covers 4 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Powell
    Address343 Elm St
    CityReno
    StateNV
    ZIP89503
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 13, 2010

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

    Payer SourceTotal Paid
    Medicare$37.8K
    Medicaid$30.7K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…720$50$36.8K
    87073The lab analyst performs an anaerobic culture using material from any source except urine, blood, or stool, and presumptively identifies and quantitates any clinically significant isolated bacteria.60$10$520
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…10$20$300
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…20$20$270

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883052980500$40$59.3K
    88342566080$50$6.3K
    8817291030$30$960
    8707311060$10$540

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…300$100$30.2K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…10$40$510
    87400The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.40$1$40
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$1$20
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…150$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.210$0$0
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.70$0$0
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…80$0$0
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…60$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.100$0$0

    Showing 1–10 of 26

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nevada median

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1281501,440$20$193.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.941301,600$1$74.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…3890200$20$71.6K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…981601,190$1$39.8K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…65702,610$1$38.2K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…78801,140$1$37.4K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…52601,490$10$34.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…6390610$1$27.3K
    83690The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.62702,450$1$21.7K
    87086Culture, bacterial; quantitative, colony count, urine.61701,060$1$20.5K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Western Pathology Consultants, LtdNVClinical Pathology/Laboratory Medicine Physician$503.1K$553.9K
    Robert CoronadoCAInterventional Cardiology Physician$687.9K$0
    Ronald HartCAFamily Medicine Physician$624.4K$0
    Phillip UseraNVAnatomic Pathology & Clinical Pathology Physician$356.4K$37.6K
    Ram ChallapalliNVCardiovascular Disease Physician$366.7K$0
    Sridevi ChallapalliNVCardiovascular Disease Physician$311.2K$840
    Richard BryanNVCardiovascular Disease Physician$227.3K$610
    Thomas-duythuc ToNVCardiovascular Disease Physician$180.2K$810
    Robert LeckieNVDiagnostic Radiology Physician$156.3K$4.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prime Healthcare Services - Reno LLCNVGeneral Acute Care Hospital$0$15.2M
    Northern Nevada Hiv Outpatient Program, Education And ServicesNVFederally Qualified Health Center (FQHC)$0$8M
    Reno Emergency Physicians Association, PLLCNVEmergency Medicine Physician$0$7.7M
    The Life Change CenterNVAddiction (Substance Use Disorder) Psychologist$201.5K$5.7M
    Reno Orthopaedic Surgery Center LLCNVAmbulatory Surgical Clinic/Center$5.3M$0
    Saint Marys Medical Group Inc.NVPrimary Care Clinic/Center$0$3.1M
    Ridge House, Incorporated.NVSubstance Abuse Rehabilitation Facility$0$2.1M
    Cba Healthcare, LLCNVCommunity/Behavioral Health Agency$0$1.9M
    Surgery Center Of Reno, LLCNVAmbulatory Surgical Clinic/Center$371K$200.3K
    Chad WattsNVAdult Reconstructive Orthopaedic Surgery Physician$523.3K$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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nevada Distribution
    Michael Powell — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Michael Powell — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada