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 Dumars
    Ask Trek AI about this page

    Michael Dumars — Billing Profile & Reimbursement Data

    NPI 1154345239 · Modesto, CA · Diagnostic Radiology Physician

    Customize your policy alerts

    Sign up for Michael Dumars — 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 Dumars is a diagnostic radiology physician provider located in Modesto, California. This profile covers 48 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

    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 Dumars
    Address1239 Mchenry Ave Ste A
    CityModesto
    StateCA
    ZIP95350
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 26, 2006

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

    Payer SourceTotal Paid
    Medicare$56.3K
    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…240$40$8.7K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…230$30$6.6K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.80$50$4K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.70$50$3.6K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…60$50$3.1K
    70551The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.50$50$2.3K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…80$30$2.2K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.40$50$1.9K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…20$90$1.8K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…20$80$1.6K

    Showing 1–10 of 48

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    48 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    770675801,290170$90$34.5K
    77063532960280$40$19.3K
    705537601,00050$150$13K
    721486011,35060$110$11.5K
    7372130293050$120$11.1K
    741786601,06030$190$8.8K
    7322125379040$130$8.7K
    7688119926060$50$8.7K
    705517641,33060$90$7.5K
    7664122247050$80$7.3K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kern Radiology Medical Group, IncCADiagnostic Radiology Physician$0$38.7M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Amar AminCADiagnostic Radiology Physician$3.6M$6.5K
    Salar HakhamCAVascular & Interventional Radiology Physician$2.6M$350
    Aron Gould-simonCANuclear Radiology Physician$2.3M$0
    Dalia ArtalCADiagnostic Radiology Physician$2M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Rafal SosnowskiILDiagnostic Radiology Physician$1.7M$75.2K
    Eric KovalskyAZDiagnostic Radiology Physician$1.5M$0
    Muhammad ChaudhriCADiagnostic Radiology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors Medical Center Of Modesto, Inc.CAGeneral Acute Care Hospital$0$101.2M
    Golden Valley Health CentersCAInternal Medicine Physician$0$79.4M
    Valley Children's Medical GroupCAPediatrics Physician$0$65M
    Northern California Cancer CenterCAMedical Oncology Physician$0$40M
    County Of StanislausCAClinic/Center$0$27.4M
    Cep America - CaliforniaCAEmergency Medicine Physician$0$26.1M
    Modesto Radiology Imaging, Inc.CADiagnostic Radiology Physician$2.3M$10.7M
    Khosrow MehranyCASpecialist$7.7M$0
    Aegis Treatment Centers, LLCCAMethadone Clinic$780.3K$23.7K
    Thomas WallaceCACritical Care Medicine (Internal Medicine) Physician$634.3K$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. California Distribution
    Michael Dumars — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California