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

    NPI 1225053622 · Dallas, TX · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Michael Carley is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Dallas, Texas. This profile covers 28 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 Carley
    Address4501 Swiss Ave
    CityDallas
    StateTX
    ZIP75204
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$521.8K
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit18,700$10$93.5K
    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…670$90$57.9K
    51792This procedure measures the electrical activity in the anal or urethral sphincter muscles.240$210$49.7K
    57265In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…90$530$48.5K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…150$280$42.5K
    99204The 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…320$110$34.8K
    58262In this procedure, the provider surgically removes the uterus, cervix, fallopian tubes, and ovaries using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which…40$740$32.6K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…90$300$26.9K
    57283The provider pulls up the vaginal vault that is prolapsing using a vaginal approach and attaches it to a ligament inside the peritoneal lining.100$280$26.5K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…70$370$23.7K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590216020$6,710$134.3K
    64561374030$2,040$73.3K
    J0585342007,900$1$56.4K
    6458121010$1,520$21.3K
    5726511040$460$20.1K
    992142,08432,500110$80$17.6K
    5179221020$180$15.7K
    5826211020$680$14.3K
    5200017660060$160$12K
    51715133020$610$11.5K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Peninsula General Hospital Inc.AKRural Acute Care Hospital$0$58.4M
    Baylor University Medical CenterTXGeneral Acute Care Hospital$0$14.7M
    Robyn OlneyTXAnatomic Pathology & Clinical Pathology Physician$7.7M$0
    Central Peninsula General Hospital, IncAKCommunity/Behavioral Health Agency$0$5.9M
    Central Peninsula General Hospital, IncAKCommunity/Behavioral Health Agency$0$5M
    Emanuela BerariTXFamily Nurse Practitioner$2.8M$0
    Musaberk GokselILMedical Oncology Physician$2.1M$67.1K
    Central Peninsula General Hospital IncAKRural Acute Care Hospital$0$1.2M
    Armine TumyanTXRheumatology Physician$1.2M$0
    Sean MazloomFLMOHS-Micrographic Surgery Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory KozielecTXRetina Specialist (Ophthalmology) Physician$4.5M$0
    Maurice SyrquinTXRetina Specialist (Ophthalmology) Physician$3.2M$0
    Marcus AllenTXRetina Specialist (Ophthalmology) Physician$2.5M$0
    Scott WitherspoonTXRetina Specialist (Ophthalmology) Physician$2.5M$0
    Dallas Nephrology AssociatesTXAmbulatory Surgical Clinic/Center$2.3M$62.4K
    Diagnostic Laboratory SolutionsTXClinical Medical Laboratory$424.5K$12.3K
    Muriel BorehamTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$310.7K$0
    David NesserTXNephrology Physician$191.5K$0
    Jeffrey SiegelTXDiagnostic Radiology Physician$110K$0
    Jennifer RodneyTXOtolaryngology Physician$105.3K$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. Texas Distribution
    Michael Carley — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas