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 South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Christopher Michaelis (NPI 1174715809)

Field	Value
Entity Type	Individual
Organization	Christopher Michaelis
Address	180 Wingo Way Ste 101
City	Mount Pleasant
State	SC
ZIP	29464
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 16, 2007

Payer Source	Total Paid
Medicare	$3.3M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole payer exposure on file: total Medicare revenue is $3.3M while Medicaid revenue is listed as none, indicating an effectively single‑payer Medicare practice profile rather than a mixed Medicaid/Medicare operation. Analysts should treat Medicare as the primary revenue stream when modeling this provider’s contracting or population coverage impact.

Revenue concentration is extremely high: the precomputed top three Medicare codes account for 93.3% of total Medicare revenue, driven by A2001 ($2.5M, 76.1%), Q4194 ($462.4K, 14.0%), and 11042 ($107.9K, 3.3%). This pattern indicates that a very small set of procedure codes dominates the provider’s billings and revenue.

The CPT/HCPCS mix points to a procedural wound‑care and skin‑substitute practice profile embedded within an Emergency Medicine taxonomy: large revenue and claim counts for A2001 (Innovamatrix) and Q4194 (Novachor), substantial use of debridement codes such as 11042, and additional skin substitute/grafting codes (15271, 15275, 15004) together suggest frequent application of biologic skin products and surgical wound management rather than purely routine office visits. This aligns with an EM physician who performs procedural wound care as a primary service line.

Competitive standing is uneven by code: A2001 ranks #1 of 37 providers nationally (100th percentile, labeled an extreme outlier), signaling national‑level dominance in billing that add‑on product. 11042 also appears as an extreme outlier (rank #102 of 10,712, 99th percentile), while Q4194 sits at a middling peer position (rank #28 of 69, 60th percentile). These rank/percentile positions indicate exceptional specialization and volume on a narrow set of codes compared with most peers.

Beyond the top two add‑on products, several other procedural codes report notably above‑typical volumes: 15271 ($41.3K, rank #33 of 1,157, 97th percentile), 15275 ($30.9K, rank #31 of 888, 97th percentile), and 11045 ($23.4K, rank #49 of 1,905, 97th percentile). At the same time, commonly reported E/M code 99213 ($46K, rank #14409 of 457,151, 97th percentile) shows the provider also generates meaningful outpatient evaluation volume, indicating the practice combines device/product use with routine visit activity.

The payment profile shows high average paid/claim for the two principal skin substitute add‑ons (A2001 and Q4194 listed with $807 avg paid/claim each), contrasting with much lower average payments on debridement and E/M codes (for example 11042 $87 avg paid/claim and 99213 $66 avg paid/claim). This split underscores that most dollar value is concentrated in the skin substitute products rather than time‑based evaluation or basic procedural units.

Concentration presents operational and reimbursement risk: because A2001 and Q4194 together produce the bulk of revenue, any change in coverage, product use patterns, or supplier pricing for those skin substitute add‑ons could disproportionately affect the provider’s Medicare revenue. Conversely, the provider’s national ranks on those codes suggest it has established workflows and volume to deliver these services at scale today.

The provider has an established NPI tenure (enumerated 2007‑08‑16, ~19 years ago), indicating a long active presence in the market. Combined with the code‑level outlier status and the absence of Medicaid billing on file, this tenure and payer mix suggest a stable, Medicare‑focused procedural niche rather than a broad multisource payer practice model.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A2001	Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)	3,120	$810	$2.5M
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	570	$810	$462.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,240	$90	$107.9K
99213	The 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…	700	$70	$46K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	380	$110	$41.3K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	260	$120	$30.9K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	810	$30	$23.4K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	420	$60	$22.8K
99204	The provider sees a new 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 provider…	190	$120	$21.3K
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	40	$290	$11.7K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Christopher Michaelis — 8 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A2001	1	10	560	$800	$1.1M
Q4194	2	10	410	$810	$328.5K
99214	5,242	7,860	160	$80	$23.2K
11043	19	30	60	$130	$18.2K
29581	2	10	100	$80	$15.1K
99213	401	7,690	100	$60	$10.8K
15275	1	20	50	$100	$9K
11042	1	170	70	$60	$8.4K
15271	1	20	60	$80	$6.9K
15004	1	10	30	$260	$6.8K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Lazar	SC	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
David Chetrit	SC	Rheumatology Physician	$2.3M	$0
Rabih Nayfe	SC	Rheumatology Physician	$2M	$0
Gerald Larochelle	SC	Rheumatology Physician	$1.9M	$0
Zia Khan	NV	Cardiovascular Disease Physician	$732.9K	$24.7K
Donald Eagerton	SC	Endocrinology, Diabetes & Metabolism Physician	$734.8K	$0
Douglas Conaway	SC	Rheumatology Physician	$678.8K	$0
Chad Huberty	SC	Family Medicine Physician	$510.3K	$0
Lisa Mount	SC	Internal Medicine Physician	$444K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Therapy Services, Inc.	SC	Speech-Language Pathologist	$0	$6.8M
The Southeastern Spine Institute Ambulatory Surgery Center, LLC	SC	Ambulatory Surgical Clinic/Center	$4M	$0
Bloom Children's Therapy	SC	Pediatric Occupational Therapist	$0	$3.5M
Carolina Family Care, Inc	SC	Clinical Medical Laboratory	$1.8M	$1.3M
East Cooper Community Hospital, Inc.	SC	General Acute Care Hospital	$0	$3M
Allergy & Asthma Consultants, LLP	SC	Allergy & Immunology Physician	$0	$2.6M
Francisco Folgar	SC	Ophthalmology Physician	$2.3M	$0
Amanda Acree	SC	Clinical Social Worker	$0	$2.3M
Charleston Radiologists PA	SC	Diagnostic Radiology Physician	$0	$2M
Path Finders Team Services	SC	Early Intervention Provider Agency	$0	$2M

Christopher Michaelis — Billing Profile & Reimbursement Data

Sign up for Christopher Michaelis — Billing Profile & Reimbursement Data policy alerts

Christopher Michaelis — Billing Profile & Reimbursement Data

Sign up for Christopher Michaelis — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References