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

    NPI 1023055761 · Pinehurst, NC · Pulmonary Disease Physician

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    Michael Pritchett is a pulmonary disease physician provider located in Pinehurst, North Carolina. This profile covers 33 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
    OrganizationMichael Pritchett
    Address205 Page Road
    CityPinehurst
    StateNC
    ZIP28374
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJune 1, 2006

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

    Payer SourceTotal Paid
    Medicare$167.5K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.1,010$20$20.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.320$60$18.7K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…120$120$14.3K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…700$20$14K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…70$150$11K
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.620$10$7.4K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…500$10$7K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…530$10$6.9K
    31652The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…50$140$6.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…70$90$6.5K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306595770210$80$19.3K
    9921411,52918,060110$80$15.1K
    3660051020$20$11.2K
    992153,8625,72040$110$7.7K
    992136,11516,32070$50$7.1K
    992233,1624,58030$130$6.5K
    364153,0123,49090$10$6.4K
    992051892,29020$140$4.9K
    992044908,43030$110$4.8K
    712503174070$50$4.8K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinehurst Medical Clinic, Inc.NCAmbulatory Surgical Clinic/Center$1.4M$985.2K
    Karen SchornNCRheumatology Physician$1.9M$0
    Mahmoud AtiehNCInterventional Cardiology Physician$649.6K$0
    Brooks MaysNCEndocrinology, Diabetes & Metabolism Physician$569.7K$0
    Christopher TracyNCRheumatology Physician$485.7K$0
    Michol StanzioneNCInternal Medicine Physician$433.8K$0
    Lukas JantacNCCardiovascular Disease Physician$383.7K$0
    Jennifer SzurgotNCInternal Medicine Physician$374.7K$0
    David ReismanNHHematology & Oncology Physician$366.8K$0
    Ashley GreerCOAnatomic Pathology & Clinical Pathology Physician$366.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Firsthealth Of The Carolinas, Inc.NCGeneral Acute Care Hospital$0$61.5M
    Sandhills Emergency Physicians PANCEmergency Medical Services (Emergency Medicine) Physician$0$21.1M
    Speech Connections, LLCNCOccupational Therapist$0$19.5M
    Solas Health PLLCNCAnesthesiology Physician$0$13.4M
    Ats Of North Carolina, LLCNCMethadone Clinic$123.2K$7.4M
    Surgery Center Of Pinehurst, LLCNCAmbulatory Surgical Clinic/Center$2M$812.9K
    Daniel WilliamsNCOrthopaedic Surgery of the Spine Physician$1.2M$0
    Cedar MaloneNCDermatology Physician$1.1M$0
    Sarah VietaNCMOHS-Micrographic Surgery Physician$792.3K$0
    Leah HershmanNCVascular Surgery Physician$543.2K$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. North Carolina Distribution
    Michael Pritchett — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina