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

    NPI 1316012305 · Murfreesboro, TN · Family Medicine Physician

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    Michael Seibert is a family medicine physician provider located in Murfreesboro, Tennessee. This profile covers 2 Medicare and 2 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 Seibert
    Address211 Heritage Park Drive
    CityMurfreesboro
    StateTN
    ZIP37129
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$58.5K
    Medicaid$6.4K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…330$100$31.6K
    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…210$130$26.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992231163,13040$120$8K
    99222102,63030$90$3.9K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$20$6.3K
    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…20$10$170

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…188480160$50$46.3K
    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…296350110$40$25.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    App Of Tennessee Hm, PLLCTNHospitalist Physician$0$2.8M
    Jeffrey SummersTNInternal Medicine Physician$624.1K$0
    Sriram KrishnasamyTNPulmonary Disease Physician$134.5K$3.9K
    Susannah JohnsonNCInternal Medicine Physician$116K$0
    Matthew JosephTNHospitalist Physician$108.9K$0
    Jack CareyTNInternal Medicine Physician$92.5K$13K
    William BellMSInternal Medicine Physician$96.7K$0
    Rebekah SprouseTNHospitalist Physician$95.5K$0
    Warren BotnickLAPulmonary Disease Physician$88K$0
    Justin TomalIDGastroenterology Physician$61.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volunteer Behavioral Health Care SystemTNCounselor$0$168M
    Twelvestone Medical, Inc.TNHome Infusion Therapy Pharmacy$0$52.7M
    Crossroads Urgent Care PLLCTNFamily Medicine Physician$0$21.6M
    Murfreesboro Medical Clinic, P.A.TNSpecialist$0$19.7M
    Jones Therapy Services LLCTNPediatric Rehabilitation Medicine Physician$0$19.3M
    Saint Thomas Rutherford HospitalTNGeneral Acute Care Hospital$0$16.2M
    Charis Hearts Inc.TNHome Health Agency$0$8.2M
    Gateway Healthcare, PCTNUrgent Care Clinic/Center$0$3.9M
    Duratech Medical, Inc.TNProsthetic/Orthotic Supplier$0$3.3M
    Trustpoint Hospital LLCTNPsychiatry Physician$0$3.2M

    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. Tennessee Distribution
    Michael Seibert — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Michael Seibert — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee