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    OpenPayerNPI Medicare & MedicaidDaniel Maxwell
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    Daniel Maxwell — Billing Profile & Reimbursement Data

    NPI 1093752156 · Alpena, MI · Pulmonary Disease Physician

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    Daniel Maxwell is a pulmonary disease physician provider located in Alpena, Michigan. This profile covers 15 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
    OrganizationDaniel Maxwell
    Address1501 W Chisholm Street
    CityAlpena
    StateMI
    ZIP49707
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 31, 2006

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

    Payer SourceTotal Paid
    Medicare$118.6K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…870$70$60K
    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…280$90$24.8K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.80$90$6.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…70$90$5.8K
    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…460$10$3.7K
    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.220$20$3.5K
    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…430$10$3K
    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.460$10$2.8K
    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…10$170$2K
    31628The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.20$110$1.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420315,47080$80$11.4K
    958112112040$220$10K
    958102011030$190$7.7K
    9921311,11214,81060$60$6.6K
    9920486,28030$110$4.2K
    31652122010$130$2.3K
    94729333060$20$1.8K
    G0399136020$50$1.6K
    94726226050$20$1.4K
    94060533040$20$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mymichigan Medical Center MidlandMIGeneral Acute Care Hospital$0$50M
    Mymichigan Medical Center SaginawMIGeneral Acute Care Hospital$0$38.7M
    Mymichigan Medical Center MidlandMIMulti-Specialty Clinic/Center$0$24.3M
    Mymichigan Medical Center AlpenaMIRural Acute Care Hospital$0$21.2M
    St Francis HospitalMICritical Access Hospital$0$14.4M
    Mymichigan Medical Center SaultMIGeneral Acute Care Hospital$0$13.5M
    Henry Ford Health Rochester HospitalMIGeneral Acute Care Hospital$0$12M
    Mymichigan Medical Center West BranchMIGeneral Acute Care Hospital$0$10.4M
    Mymichigan Medical Center MidlandMIGeneral Acute Care Hospital$0$9.9M
    Mymichigan Medical Center TawasMIGeneral Acute Care Hospital$0$9.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Michigan Community Mental Health AuthorityMICommunity/Behavioral Health Agency$0$128.1M
    Northeast Michigan Community Service Agency, Inc.MICase Management Agency$0$19.4M
    Sunrise Centre IncMISubstance Abuse Rehabilitation Facility$0$11.7M
    Catholic Human Services Inc.MICommunity/Behavioral Health Agency$0$8.2M
    Northeast Michigan Home Health CareMIHome Health Agency$0$7.6M
    City Of AlpenaMILand Ambulance$428.6K$1.2M
    Mario LacernaMIRadiation Oncology Physician$715.7K$0
    David DargisMIFamily Medicine Physician$455.5K$73.9K
    Rajabhau ChhapamohanMIPhysical Therapist$75.7K$419.7K
    Robert CurrierMIOphthalmology Physician$445.9K$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. Michigan Distribution
    Daniel Maxwell — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan