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    OpenPayerNPI Medicare & MedicaidMichelle Pepper
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    Michelle Pepper — Billing Profile & Reimbursement Data

    NPI 1295881811 · Ogden, UT · Sports Medicine (Physical Medicine & Rehabilitation) Physician

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    Michelle Pepper is a sports medicine (physical medicine & rehabilitation) physician provider located in Ogden, Utah. This profile covers 16 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
    OrganizationMichelle Pepper
    Address6112 S 1550 E Ste 202
    CityOgden
    StateUT
    ZIP84405
    TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedJanuary 26, 2007

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

    Payer SourceTotal Paid
    Medicare$59.4K
    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.

    16 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…140$90$12.2K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).40$190$7.7K
    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…120$70$7.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…40$170$6K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…80$70$5.4K
    99203The provider sees a new 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 provider…50$70$3.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…70$50$3.3K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…20$150$3.1K
    95909In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…30$100$3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644835910050$190$16K
    992141,3404,08080$80$11.6K
    95886216050$70$6.4K
    992131,1123,68060$50$6.4K
    27096347030$130$6.3K
    95911214020$150$5.3K
    9922350676030$130$4.9K
    992041,4051,79030$100$4.1K
    2061015043050$40$3.4K
    992033081,36030$70$2.7K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbia Ogden Medical Center, Inc.UTGeneral Acute Care Hospital$0$17.6M
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Amer HomsiUTVascular Surgery Physician$3.9M$0
    Ihc Health Services IncUTHome Health Agency$0$2.4M
    Weber School DistrictUTLocal Education Agency (LEA)$0$2.4M
    Applegate Homecare & Hospice, LLCUTHome Health Agency$0$2.3M
    Associates Of Pathology, P.C.UTAnatomic Pathology & Clinical Pathology Physician$0$1M
    Mountainstar Ogden Pediatrics LLCUTPediatrics Physician$0$1M
    Connect2kidsUTFoster Care Agency$0$986.4K
    Apria Healthcare LLCUTDurable Medical Equipment & Medical Supplies$0$905K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Utah Distribution
    Michelle Pepper — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah