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

    NPI 1336580471 · Loveland, CO · Dermatopathology (Pathology) Physician

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    Michael Mcfall is a dermatopathology (pathology) physician provider located in Loveland, Colorado. This profile covers 20 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 Mcfall
    Address5802 Wright Dr
    CityLoveland
    StateCO
    ZIP80538
    TaxonomyDermatopathology (Pathology) Physician
    NPI EnumeratedJuly 16, 2013

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

    Payer SourceTotal Paid
    Medicare$120.2K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,530$30$75.9K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…440$30$11K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…230$30$7.7K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.50$70$3.9K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…50$70$3.5K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…90$40$3.1K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.50$60$2.5K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.40$60$2.3K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method10$140$1.9K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…120$10$1.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830524230580$40$39.1K
    8834133150200$30$8.8K
    8834230170120$40$8K
    G0416344030$160$7.9K
    8830796120100$70$7.9K
    88189193070$60$4.7K
    8832361030$80$4.2K
    883123211040$50$3.8K
    88313509070$30$3.8K
    88360799060$40$3.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Pathologists, LLCTNAnatomic Pathology & Clinical Pathology Physician$0$61.2M
    Associated Pathologists LLCTNClinical Medical Laboratory$2.7M$27.8M
    Summit PathologyCOClinical Medical Laboratory$670.1K$4.3M
    Summit PathologyCOAnatomic Pathology & Clinical Pathology Physician$0$4.4M
    Derek WelchTNAnatomic Pathology & Clinical Pathology Physician$4.1M$99K
    Jeremiah WatkinsTXAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Grant EudyALDermatopathology (Pathology) Physician$912K$0
    Blazej ZbytekARDermatopathology (Pathology) Physician$828.2K$590
    Heather RietzTNAnatomic Pathology & Clinical Pathology Physician$524.7K$0
    Jeremiah PasionALDermatopathology Physician$502.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tender Care Pediatric Services, IncCODurable Medical Equipment & Medical Supplies$0$38.3M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$30.4M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    North Colorado Medical CenterCOGeneral Acute Care Hospital$0$8.2M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Medical Center Of The RockiesCOGeneral Acute Care Hospital$0$4.8M
    Ryan WolfCOPhysician Assistant$4.6M$0
    Thompson Valley Emergency Medical Services IncCOLand Ambulance$1.1M$3.3M
    Kidstuff Child & Family Counseling, P.C.COProfessional Counselor$0$4.2M
    Ocr Loveland Asc & Ccc LLCCOAmbulatory Surgical Clinic/Center$3.2M$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. Colorado Distribution
    Michael Mcfall — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado