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    OpenPayerNPI Medicare & MedicaidMatthew Kassel
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    Matthew Kassel — Billing Profile & Reimbursement Data

    NPI 1215959069 · Cheyenne, WY · Family Medicine Physician

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    Matthew Kassel is a family medicine physician provider located in Cheyenne, Wyoming. This profile covers 57 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
    OrganizationMatthew Kassel
    Address5050 Powderhouse Rd
    CityCheyenne
    StateWY
    ZIP82009
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$355.4K
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: Total Medicare revenue: $355.4K and Total Medicaid revenue: none (no Medicaid billing on file), so all billed activity on record comes through Medicare rather than state Medicaid. Analysts should treat this profile as Medicare‑centric when assessing payer mix and population reach.

    Revenue is highly concentrated in a small set of services: precomputed data show the top 3 Medicare codes account for 54.9% of this provider's total Medicare revenue. The three revenue leaders are 99214 ($91.1K revenue, 27.0% of total Medicare revenue), G0439 ($48.9K revenue, 14.5% of total Medicare revenue), and J0897 ($45.4K revenue, 13.4% of total Medicare revenue), indicating a narrow set of high‑value services driving more than half of Medicare receipts.

    The code mix points to a primary care practice that pairs high‑complexity office visits and annual preventive care with regular in‑office therapeutics. High revenue shares for 99214 and G0439 together imply a strong focus on established patient office visits and Annual Wellness Visits, while J0897 (injection, denosumab) and multiple vaccine codes (90662 $17.6K, 90677 $14.9K, G0008 $8.1K, 91320 $7.1K) indicate routine administration of injections and immunizations as a material part of operations.

    Competitive standing varies by service: 99214 ranks #9629 of 479517 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code) and G0439 ranks #1995 of 105855 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), so this provider is an unusually high national performer for both mid‑to‑high complexity office visits and Annual Wellness Visits. By contrast, J0897 ranks #5193 of 10057 providers nationally (47th percentile; typical, unremarkable volume for this code), meaning denosumab injections are routine rather than exceptional compared with peers.

    In‑office diagnostics and procedural throughput are prominent but described as typical relative to peers: high counts for phlebotomy and lab panels appear in the top 25 (36415 1.5K claims, 84443 725 claims, 80053 1K claims, 85025 1K claims) and these codes are reported at high national percentiles while being labeled "typical, unremarkable volume for this code." This suggests substantial on‑site specimen collection and lab ordering that supports a primary care workflow rather than a pathology laboratory specialty.

    The practice supports ongoing chronic disease and post‑discharge management services in addition to preventive care: codes such as 99495 (24 claims, $3.8K revenue, 1.1% of total Medicare revenue) for transitional care, 93793 (281 claims, $2K revenue, 0.6%) for anticoagulation monitoring, and 83036 (584 claims, $5.8K revenue, 1.7%) for A1C testing appear in the top 25, indicating routine management of chronic conditions like diabetes and anticoagulation. These items align with a family medicine physician role that manages longitudinal care.

    The provider has long tenure in the Medicare program, with NPI enumerated 2006-07-24 (~20 years ago). This extended enumeration period supports interpretation of observed patterns as established practice behavior rather than a short‑term billing artifact.

    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.

    57 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…1,070$90$91.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit380$130$48.9K
    J0897Injection, denosumab, 1 mg2,520$20$45.4K
    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…420$60$23.8K
    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…250$70$17.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…50$280$14.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…730$20$11.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,460$10$10.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,010$10$10.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,010$10$8.1K

    Showing 1–10 of 57

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 57 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    57 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089717501,800$20$51.1K
    9921411780100$80$14.8K
    91320286050$120$13.9K
    G0439517070$120$13.1K
    9921386850110$60$9.9K
    906771611020$280$8.9K
    906622314070$70$8.6K
    992158622040$120$8.3K
    77080253090$30$4.2K
    9048066110100$30$4K

    Showing 1–10 of 57

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Jodie GallegosCOFamily Nurse Practitioner$2.8M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    James LevineCORheumatology Physician$1.7M$0
    John WatkinsNDRadiation Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Dentistry LLCWYPediatric Dentistry$0$8M
    Emg Cheyenne Sh LLCWYAssisted Living Facility$0$5.8M
    Liv In-home Counseling & Care Management, LLCWYPrimary Care Clinic/Center$0$5.7M
    Lucy RussellWYDevelopmentally Disabled Services Day Training Agency$0$5.4M
    Pediatric Dentistry LLCWYPediatric Dentistry$0$4.1M
    Bridges Of Wyoming, IncWYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.2M
    Renee DreherWYClinical Social Worker$0$817.9K
    Breanna BarnesWYPediatric Dentistry$0$794.4K
    College Drive Urgent Care LLCWYUrgent Care Clinic/Center$0$770.4K
    Sandra SurbruggWYDermatology Physician$664.9K$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. Wyoming Distribution
    Matthew Kassel — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming