Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Missouri (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Aberger (NPI 1346533924)

Field	Value
Entity Type	Individual
Organization	Michael Aberger
Address	901 Heartland Rd Ste 1800
City	Saint Joseph
State	MO
ZIP	64506
Taxonomy	Urology Physician
NPI Enumerated	May 16, 2011

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.2M and there is no Medicaid billing on file, so the practice’s revenue and utilization profile are driven entirely by Medicare patients and Medicare–payor dynamics. This concentration means Medicaid access patterns and state-level Medicaid reimbursements do not appear in the billing footprint for this provider.

Revenue is concentrated in a small number of services: the precomputed top-3 Medicare codes account for 40.1% of total Medicare revenue, led by 87798 at $208.5K (20.7% of Medicare revenue), followed by 99214 at $127.4K (12.7%), and J1952 at $67.7K (6.7%). This mix points to a few high-revenue code lines carrying a large share of income.

The code mix indicates a mixed urology practice with substantial office-based E/M, procedure, and medication management activity: 99214 (office E/M) is a top revenue generator and 52000, 52356, and 52601 show active endoscopic and transurethral surgical services (cystoscopy, ureteroscopy with lithotripsy and stent, and TURP). Concurrent use of J1952 (leuprolide) supports ongoing injectable therapy consistent with prostate cancer or hormonal management in urology.

There is an unusually large laboratory/testing footprint tied to infectious-agent nucleic acid testing and other lab assays: 87798 ($208.5K) is the single largest billed code and multiple NAAT codes (87491, 87653, 87481, 87640, 87591, 87661, 87651, 87641, 87500, 87563, 87511) appear across the top codes. High-volume lab measures such as (rank #4 of 72, 96th percentile) are described as "notably above typical national volume for this code," and (rank #3 of 70, 97th percentile) is labeled an "extreme outlier, far above typical national volume for this code," indicating the provider orders or bills an outsized volume of certain laboratory services relative to peers.

The provider exhibits distinct statistical outliers in service volume for several codes: 99214 is an "extreme outlier" (rank #3597 of 479517, 99th percentile) reflecting very high office E/M volume compared with national peers, while 52356 is "notably above typical national volume for this code" (rank #45 of 3090, 99th percentile) indicating elevated surgical stone-management activity. Other codes (e.g., 84311, 84580) are described as "notably above typical national volume for this code," showing pockets of high relative activity rather than uniform outlier status across all services.

Clinical care coordination services are an established part of the practice: 99490 (chronic care management) appears with 1.4K claims, $42 avg paid/claim, and $58K revenue (5.8% of Medicare revenue), suggesting ongoing management of patients with multiple chronic conditions and an infrastructure for provider-directed clinical staff time. This aligns with the high 99214 volume and supports a longitudinal outpatient care model for complex Medicare patients.

Dependence on a small set of codes creates revenue concentration risk: a single code, 87798, contributes $208.5K (20.7%) and the top three codes together represent 40.1% of Medicare revenue, so changes in pricing, coding rules, or utilization for those specific services would materially affect overall Medicare revenue. Payers and contracting analysts should monitor reimbursement or policy changes affecting NAAT testing, high-volume E/M visits, and injectable drug reimbursement.

The provider is an established enumerant (NPI enumerated 2011-05-16, ~15 years ago) which supports interpretation that the high E/M and procedural volumes represent a stable, longstanding practice rather than a short-term fluctuation. Combined with the absence of Medicaid billing, this tenure suggests a steady Medicare patient panel and practice focus that should be considered when assessing competitive positioning and network contracting strategies.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	6,130	$30	$208.5K
99214	The 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…	1,500	$90	$127.4K
J1952	Leuprolide injectable, camcevi, 1 mg	1,090	$60	$67.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,380	$40	$58K
J0897	Injection, denosumab, 1 mg	3,000	$20	$57K
81007	The analyst uses a nonculture, nondipstick method to determine whether bacteriuria is present or absent. The specimen typically would be from a random urine collection.	1,760	$30	$51.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	210	$160	$31.9K
84311	The lab analyst performs a test by spectrophotometry to measure an analyte not elsewhere specified in another code.	3,420	$10	$27.3K
88120	The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…	120	$230	$26.3K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	760	$30	$25.7K

Showing 1–10 of 65

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Michael Aberger — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

65 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	1	10	380	$30	$140.7K
J0897	69	210	2,400	$20	$82.4K
J0585	43	90	8,850	$1	$72.5K
J1952	1	10	1,110	$60	$65.5K
88305	120	290	540	$30	$30.7K
88120	1	10	50	$370	$28.6K
55874	16	10	30	$1,030	$25.8K
87563	1	10	280	$30	$22.4K
87481	4	10	130	$30	$21.6K
81007	1	10	160	$30	$20.6K

Showing 1–10 of 65

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0
Pavan Reddy	KS	Hematology & Oncology Physician	$6.7M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Thomas Finley	OK	Ophthalmology Physician	$4.8M	$0
Daniel Feiler	KS	Ophthalmology Physician	$4.8M	$0
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Christopher Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0
Stephen Wiles	MO	Ophthalmology Physician	$4.4M	$0
Shaker Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Kansas, Inc.	MO	Home Health Agency	$0	$64.8M
Choices Of St Joseph, Inc	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$64.3M
Family Guidance Center For Behavioral Healthcare	MO	Community/Behavioral Health Agency	$0	$63.4M
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Heartland Residential Care, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$49.1M
Peace Of Mind Home Care, LLC	MO	Home Health Agency	$0	$39.8M
Heartland Regional Medical Center	MO	General Practice Physician	$0	$20.4M
Progressive Community Services	MO	Case Management Agency	$0	$14M
United Cerebral Palsy Of Northwest Missouri	MO	Voluntary or Charitable Agency	$0	$12.2M
Regional Emergency Medical Services Authority	MO	Land Ambulance	$1.3M	$7.4M

Michael Aberger — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References