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

    NPI 1073562294 · Phoenix, AZ · Neurological Surgery Physician

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    Michael Lawton is a neurological surgery physician provider located in Phoenix, Arizona. 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Lawton
    Address2910 N 3rd Ave
    CityPhoenix
    StateAZ
    ZIP85013
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedMay 6, 2006

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

    Payer SourceTotal Paid
    Medicare$56.7K
    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
    61700The provider treats a simple intracranial aneurysm using intracranial surgical techniques to repair an abnormal dilation, or widening, of a blood vessel in the internal carotid circulation. This…10$2,610$36.5K
    69990Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing.40$170$6.6K
    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…30$120$4.1K
    61781In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$170$3.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…30$80$2.1K
    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…20$90$1.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…20$70$1.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$950

    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
    6170011010$2,610$36.5K
    992149,55810,410120$80$20.6K
    992138,4279,60080$60$9.6K
    992043,1265,79040$110$6.7K
    6178171020$180$4.5K
    992032,5234,10040$70$4K
    6999021020$150$3.5K
    992121,4522,31030$40$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel KreinerAZPain Medicine (Physical Medicine & Rehabilitation) Physician$445.8K$0
    Grace MaloneyAZPhysical Medicine & Rehabilitation Physician$443.2K$0
    Jay TurnerAZNeurological Surgery Physician$408.2K$0
    Vernon CrispAZPhysical Medicine & Rehabilitation Physician$390.6K$0
    Timothy SanfordAZPain Medicine (Physical Medicine & Rehabilitation) Physician$342.7K$0
    Udaya KakarlaAZNeurological Surgery Physician$323.5K$0
    Bryan LeeAZNeurological Surgery Physician$313.7K$0
    Parul GoelAZInterventional Pain Medicine Physician$297.3K$0
    Randall PorterAZNeurological Surgery Physician$264.8K$0
    Frederick MarcianoAZNeurological Surgery Physician$244.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthAZGeneral Acute Care Hospital$0$126.1M
    Sjhmc Physician ServicesAZMulti-Specialty Clinic/Center$0$46.6M
    Circle The CityAZFederally Qualified Health Center (FQHC)$0$30.7M
    Empower Emergency Physicians, PCAZEmergency Medicine Physician$0$25M
    Circle The CityAZFederally Qualified Health Center (FQHC)$0$20M
    St. Joseph's Outpatient Surgery Center, LLCAZAmbulatory Surgical Clinic/Center$2.9M$14.5M
    Windsor Maryland Gardens, LLCAZAlzheimer Center (Dementia Center)$0$9.5M
    Solterra 3rd Indian School Operations, LLCAZAssisted Living Facility$0$8.2M
    Az Center For ChangeAZCommunity/Behavioral Health Agency$0$7.2M
    Crossroads MidtownAZSubstance Abuse Rehabilitation Facility$0$7M

    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. Arizona Distribution
    Michael Lawton — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona