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

    NPI 1154390193 · Hoffman Estates, IL · Internal Medicine Physician

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    Michael Appiagyei is a internal medicine physician provider located in Hoffman Estates, Illinois. This profile covers 10 Medicare and 63 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Appiagyei
    Address1585 Barrington Rd Ste 505
    CityHoffman Estates
    StateIL
    ZIP60169
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicaid$5.1M
    Medicare$52.7K

    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.

    10 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…310$100$30.1K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…80$100$7.6K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…50$150$7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$130$4K
    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$60$1.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$70$1.1K
    G0008Administration of influenza virus vaccine30$30$800
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.30$10$440
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…30$10$300
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.40$1$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99349408730100$90$20.7K
    9935019334060$140$18.3K
    992143,85218,540110$80$17.1K
    G04393,0154,03070$130$13.6K
    80061423570100$10$10.1K
    9921315,12317,39070$60$8.8K
    906622,7003,06050$70$4.9K
    G00083,3784,59050$30$2.8K
    830369871,51050$10$2.3K
    829476813040$1$540

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    63 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…29,230$70$1.9M
    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…23,670$50$1.1M
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.3,780$80$306.1K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.4,050$70$291.4K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…3,000$70$222.3K
    0241UN/A1,470$140$209.8K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1,960$70$131K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…5,800$20$92.8K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…1,100$60$70.3K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…5,780$10$69.4K

    Showing 1–10 of 63

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    63 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0241UN/A32260120$100$91.8K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source81400550$20$90.8K
    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…2914,680300$50$48.7K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…1351,380370$40$46.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…2131,270370$40$40.8K
    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…14314,190280$20$38.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…150190160$60$37.3K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…17289090$40$35K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.471,670160$40$26.4K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.371,590110$40$21.4K

    Showing 1–10 of 63

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$28.9M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$16.5M
    Nada AldallalILPediatrics Physician$0$9.5M
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    James UrbanILAnatomic Pathology & Clinical Pathology Physician$204.1K$4.5M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$4.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bvm Healthcare IncILDurable Medical Equipment & Medical Supplies$0$17.3M
    Medex Medical Supplies IncILClinical Medical Laboratory$372.8K$9.9M
    Home Life Healthcare, Corp.ILHome Health Agency$0$3.4M
    Hoffman Estates Surgery Center, LLCILAmbulatory Surgical Clinic/Center$2.2M$0
    Access Lab IncILClinical Medical Laboratory$1.9M$10.5K
    Rajiv SoodILInternal Medicine Physician$616.4K$276.1K
    Robert MackILOphthalmology Physician$550.2K$306.8K
    Sonali MajmudarILAllergy & Immunology Physician$94.8K$656.4K
    S & T Medical Group LtdILClinical Medical Laboratory$707.2K$0
    Yelena ShanchukILInternal Medicine Physician$314.2K$154.9K

    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. Illinois Distribution
    Michael Appiagyei — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Michael Appiagyei — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois