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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichelle Mcmahon
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    Michelle Mcmahon — Billing Profile & Reimbursement Data

    NPI 1174072318 · Cumberland, MD · Family Nurse Practitioner

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    Michelle Mcmahon is a family nurse practitioner provider located in Cumberland, Maryland. This profile covers 13 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
    OrganizationMichelle Mcmahon
    Address12500 Willowbrook Rd
    CityCumberland
    StateMD
    ZIP21502
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 29, 2016

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

    Payer SourceTotal Paid
    Medicare$130.9K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…1,910$40$78.1K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.130$140$17.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…150$80$11.4K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.130$40$5.1K
    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…80$50$4.3K
    0004AN/A110$40$4.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$30$3.5K
    G0008Administration of influenza virus vaccine160$20$3.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$110$1.8K
    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…10$80$1.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,05910,270150$90$24.1K
    9132224768090$140$19.4K
    G04392,1412,32090$130$16K
    992135,2399,280100$60$12.5K
    906942741,29060$70$7.7K
    904804781,080100$40$6.4K
    6921023935030$30$3.7K
    G00085782,79060$30$3.4K
    87811126050$40$3.3K
    992123692,36030$40$2.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Eddie FernandezMDEmergency Medical Services (Emergency Medicine) Physician$882.3K$0
    Alfred JumpMDEmergency Medicine Physician$709.3K$0
    Michael PerrautMDInternal Medicine Physician$479.5K$0
    Khanh NguyenMDEmergency Medicine Physician$357.3K$0
    Adam CormanGAEmergency Medicine Physician$39.9K$161.9K
    Cheri CartagenaMDMedical Physician Assistant$163.3K$0
    Mohammad MalikMDEmergency Medicine Physician$162.7K$0
    Patrick McginleyMDEmergency Medicine Physician$160.7K$0
    Mengyang LiuTXEmergency Medicine Physician$153.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Archway Station IncMDRehabilitation Psychologist$0$18.5M
    Board Of Education Of Allegany CountyMDAudiologist$0$17.2M
    Associated Catholic CharitiesMDMental Health Clinic/Center (Including Community Mental Health Center)$0$17M
    Allegany County Health Department/joseph S Massie UnitMDSubstance Abuse Rehabilitation Facility$0$16.3M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$13.3M
    Ats Of Cecil County, Inc.MDMethadone Clinic$0$11.9M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$10.2M
    Wmrs IncMDMethadone Clinic$230.8K$9M
    Upmc Western Maryland CorporationMDRadiology Clinic/Center$917.4K$7.3M
    Cumberland Covenant House LLCMDAdult Day Care Clinic/Center$0$8.2M

    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. Maryland Distribution
    Michelle Mcmahon — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland