Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Franz Michel (NPI 1124176417)

Field	Value
Entity Type	Individual
Organization	Franz Michel
Address	2239 Michael Dr
City	Newbury Park
State	CA
ZIP	91320
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicare	$48.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	20	$1,240	$21.1K
65782	In this procedure, the provider uses a limbal conjunctival autograft from one of the patient’s eyes and transplants it to the other eye to reconstruct the surface of a patient’s eye that injury or…	20	$980	$15.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	40	$120	$4.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	40	$110	$4K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	30	$80	$2.1K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	30	$20	$590
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	10	$30	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Franz Michel — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	77	90	40	$1,190	$104.6K
92014	2,178	2,890	110	$100	$28.7K
92012	1,384	1,620	150	$70	$23.6K
65782	2	10	20	$1,050	$20K
92004	1,079	1,950	50	$110	$9.7K
92025	433	460	50	$30	$2.9K
92285	227	400	40	$20	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unicare Diagnostics LLC	CA	Oxygen Equipment & Supplies (DME)	$0	$22.9M
Navid Ezra	CA	Dermatology Physician	$1.8M	$975.2K
Erik Spayde	CA	Orthopaedic Surgery Physician	$2.2M	$0
Thousand Oaks Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Michael Papanicolaou	CA	Cardiovascular Disease Physician	$1.4M	$0
Ilze Mungovan	CA	Family Nurse Practitioner	$1.3M	$0
Nicola Azar	CA	Family Medicine Physician	$922.9K	$309K
Garry Forkosh	CA	Internal Medicine Physician	$350.7K	$0
Lawrence Lin	CA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$350K	$0
Roee Rubinstein	CA	Surgery of the Hand (Plastic Surgery) Physician	$233.5K	$0

Franz Michel — Billing Profile & Reimbursement Data

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Franz Michel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References