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

    NPI 1316029341 · Newport Beach, CA · Plastic Surgery Physician

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    Michael Bain is a plastic surgery physician provider located in Newport Beach, California. This profile covers 19 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 Bain
    Address1 Hoag Dr
    CityNewport Beach
    StateCA
    ZIP92663
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedOctober 19, 2006

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

    Payer SourceTotal Paid
    Medicare$360.1K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.910$70$61.9K
    15002The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…300$180$54.8K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…490$90$42.7K
    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…690$60$37.8K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.740$50$36.5K
    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…270$110$29.7K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…520$40$18.8K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…120$130$15.2K
    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…170$80$13.5K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…60$220$12.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043181370120$170$52.1K
    11046158160270$50$24.2K
    9921415,21737,970120$90$23.2K
    991838110120$90$18.8K
    152714170110$110$18.6K
    11042481,030100$80$18.1K
    1500496030$280$14.5K
    1500223030$230$14.5K
    1312114743030$270$14.3K
    992132,02934,66080$70$13.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph SedrakTXMOHS-Micrographic Surgery Physician$4.4M$0
    John HwangCARetina Specialist (Ophthalmology) Physician$1.9M$1.7M
    Charles EifrigCARetina Specialist (Ophthalmology) Physician$2.6M$885K
    Kourosh DastgheibCAOphthalmology Physician$210.8K$3.1M
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Desmond McguireCARetina Specialist (Ophthalmology) Physician$1.4M$1.1M
    Hema RamkumarCARetina Specialist (Ophthalmology) Physician$2M$54.9K
    Vivian LaquerCADermatology Physician$94.8K$1.7M
    Tiffany VoCAPhysician Assistant$1.6M$0
    Andrew BreithauptCAMOHS-Micrographic Surgery Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport Bay Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.8M$242.6K
    David NabiCAVascular Surgery Physician$1.4M$0
    Ryan KleinCAInternal Medicine Physician$1.3M$0
    Hoag Outpatient Centers, LLCCAAmbulatory Surgical Clinic/Center$1.2M$0
    Howard MangoCAAudiologist$1M$148K
    Rafael PenunuriCAInternal Medicine Physician$1.1M$0
    Melissa SmithCAPlastic Surgery Physician$754.8K$255K
    Newport Beach Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$967.7K$0
    George SiegelCAOccupational Therapist$891.6K$0
    Christopher O'carrollCANeurology Physician$655.3K$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. California Distribution
    Michael Bain — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California