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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Spooner
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    Michael Spooner — Billing Profile & Reimbursement Data

    NPI 1225018013 · Mason City, IA · Cardiovascular Disease Physician

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    Michael Spooner is a cardiovascular disease physician provider located in Mason City, Iowa. This profile covers 40 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
    OrganizationMichael Spooner
    Address250 S Crescent Dr
    CityMason City
    StateIA
    ZIP50401
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$175.2K
    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.

    40 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…500$70$32.2K
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…30$660$17.9K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.50$340$17.2K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…20$650$12.3K
    33225In this add–on procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle at the same time as he inserts an…30$330$8.5K
    93653A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…10$590$7.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$6.9K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…10$530$6.9K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…270$30$6.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$60$6.1K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306138160290$70$21.2K
    93656132030$670$20.7K
    33340121040$510$18.9K
    992144934,690100$70$14.4K
    93653112020$570$9.7K
    3320823030$360$9.7K
    3324911010$640$9.6K
    992327351,74080$60$9.3K
    992132,3134,740100$50$8K
    992155841,22030$110$6.4K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    North Iowa Mercy ClinicsIAEmergency Medicine Physician$0$3.9M
    North Iowa Mercy ClinicsIACardiovascular Disease Physician$0$2.7M
    North Iowa Mercy ClinicsIAPediatric Adolescent Medicine Physician$0$2.4M
    Mason City Clinic PCIAOtolaryngology Physician$0$1.1M
    Amad ZineldineAZCardiovascular Disease Physician$587K$0
    Yen Chen LiuIADermatology Physician$403.4K$0
    Kyle UlvelingIACardiovascular Disease Physician$325.1K$0
    Rakshak SardaIACardiovascular Disease Physician$320.7K$0
    Kevin OrcuttIARadiation Oncology Physician$297.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Services-iowa CorpIARural Acute Care Hospital$0$45.7M
    Prairie Ridge Integrated Behavioral HealthcareIASubstance Abuse Rehabilitation Facility$0$24.2M
    North Iowa Vocational CenterIADevelopmentally Disabled Services Day Training Agency$0$15.3M
    Mason City Community School DistrictIALocal Education Agency (LEA)$0$6.8M
    Community Health Center Of Fort Dodge, Inc.IAFederally Qualified Health Center (FQHC)$0$6.4M
    City Of Mason CityIALand Ambulance$616.5K$4.3M
    Todd HoeppnerIAPediatric Dentistry$0$4.8M
    North Iowa Transition CenterIACommunity/Behavioral Health Agency$0$3.7M
    Mason City Ambulatory Surgery Center, LLCIAAmbulatory Surgical Clinic/Center$2.2M$422.9K
    Good Shepherd Geriatric Center, Inc.IAAssisted Living Facility$0$2.5M

    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. Iowa Distribution
    Michael Spooner — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa