Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Jakob
    Ask Trek AI about this page

    Michael Jakob — Billing Profile & Reimbursement Data

    NPI 1104268051 · London, XX · Emergency Medicine Physician

    Customize your policy alerts

    Sign up for Michael Jakob — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Jakob is a emergency medicine physician provider located in London, Unspecified Location. This profile covers 3 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Jakob
    Address339 Windermere Rd
    CityLondon
    StateXX (Unspecified Location)
    ZIPN6A 5
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJuly 20, 2013

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

    Payer SourceTotal Paid
    Medicare$7.1K
    Medicaid$0

    Key Findings

    Provider MICHAEL JAKOB is an Emergency Medicine Physician who has been NPI-enumerated since 2013-07-20 (~13 years), indicating long-standing Medicare billing activity and an established practice presence in emergency care.

    Medicare is the sole payer on file for this provider: total Medicare revenue is $7.1K while there is no Medicaid billing on file, so the provider’s billing profile is effectively single-payer (Medicare) for the available data.

    Revenue concentration is high within a narrow set of services: the precomputed top 3 Medicare codes (99285, 99291, 99284) account for 100.0% of the provider’s reported Medicare revenue, indicating almost all Medicare dollars come from high-acuity ED and critical-care E/M services.

    Clinical/service-line implication: the top codes—99285 (high-complexity ED visit), 99284 (moderate-complexity ED visit), and 99291 (critical care)—describe an emergency-focused practice that performs both high-acuity emergency department evaluations and critical care time, suggesting the provider sees seriously ill patients and bills for time-intensive critical care when clinically indicated.

    Competitive standing on Medicare is modest: for 99285 the provider ranks #54138 of 61347 (11th percentile), for 99284 ranks #57539 of 64306 (9th percentile), and for 99291 ranks #68371 of 71290 (2th percentile). These percentiles indicate unremarkable, typical volumes nationally rather than dominant market share in any of the top codes.

    Claim and payment profile: the three top codes show relatively small claim counts and average paid amounts (23 claims at $146 avg for 99285; 18 claims at $94 avg for 99284; 12 claims at $175 avg for 99291) which together produce a modest lifetime Medicare revenue of $7.1K, consistent with a low-volume Medicare billing footprint.

    Given the absence of Medicaid billing on file, analysts should treat this profile as focused on Medicare emergency services and should not infer activity in state Medicaid programs; any assessment of Medicaid competitiveness or market share is not supported by the available data.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.20$150$3.4K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…10$180$2.1K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.20$90$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99291710180$180$31.7K
    9928460N/A$N/A$N/A
    9928560N/A$N/A$N/A

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Henry Ford Health Providence HospitalMIGeneral Acute Care Hospital$0$72.8M
    Emergency Department Physicians, P.C.MIEmergency Medicine Physician$0$41.2M
    Independent Emergency Physicians, P.C.MIEmergency Medical Services (Emergency Medicine) Physician$0$39M
    Covenant Medical Center, Inc.MIFamily Medicine Physician$0$6M
    Tareq BaghalMICardiovascular Disease Physician$1M$0
    John IrwinGAEmergency Medicine Physician$16.8K$227.5K
    Fadi DaoukMIEmergency Medicine Physician$129.1K$0
    John BauerMIEmergency Medicine Physician$125.3K$0
    Reem AlsabtiMIInternal Medicine Physician$116.3K$2.5K
    Rhett BrandenburgMIEmergency Medicine Physician$95.5K$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. Unspecified Location Distribution
    Michael Jakob — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location