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

    NPI 1194810796 · Columbus, OH · Diagnostic Radiology Physician

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    Michael Macatol is a diagnostic radiology physician provider located in Columbus, Ohio. This profile covers 32 Medicare and 1 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 Macatol
    Address100 E Campus View Blvd
    CityColumbus
    StateOH
    ZIP43235
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicare$64.9K
    Medicaid$160

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.110$80$9.2K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…650$10$5.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…80$60$4.8K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.60$80$4.8K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.90$50$4.4K
    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…130$40$4.4K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…50$90$4.3K
    49083In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…50$80$4K
    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…120$30$3.5K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.40$90$3.4K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7706771440360$40$21.3K
    7706366430330$30$13.3K
    784523052060$100$8.1K
    72197113040$100$5.9K
    74183319040$90$5.8K
    7125013279060$40$4K
    75574412030$90$3.6K
    71045131920320$10$3.3K
    71271629040$60$3.2K
    939707952040$40$3.1K

    Showing 1–10 of 32

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$10$160

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…378420920$10$75.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    Sathyanarayan ReddyWVCardiovascular Disease Physician$521.3K$0
    Matthew MacatolOHAnatomic Pathology & Clinical Pathology Physician$348.7K$470
    Barrett LoudenWVDermatology Physician$259.2K$0
    Karl FanTXDiagnostic Radiology Physician$254.3K$0
    James MinILDiagnostic Radiology Physician$232.5K$0
    Philip ZambosKYDiagnostic Radiology Physician$98.3K$64.5K
    John MasonWVCardiovascular Disease Physician$149.2K$0
    Charles MooreWVOphthalmology Physician$145.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pinnacle Treatment Centers Oh-i, LLCOHSubstance Abuse Rehabilitation Facility$0$96.1M
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$36.6M
    Phoenix Home Health Care Of Central Ohio LLCOHHome Health Agency$0$35.1M
    Ohio Medical Transportation, Inc.OHAir Ambulance$4.3M$12.1M
    Worthington Pediatric Dentists Inc.OHDentist$0$7M
    Parveenco International LLCOHCommunity/Behavioral Health Agency$0$6.8M
    Aaron BosterOHNeurology Physician$968.7K$0
    Andrew QuillinOHDermatology Physician$224.7K$0
    Julia Cameron-morrisonOHDiagnostic Radiology Physician$174.1K$0
    Kyle WilliamsonOHDiagnostic Radiology Physician$169.7K$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. Ohio Distribution
    Michael Macatol — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Michael Macatol — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio