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

    NPI 1386399830 · Ellsworth, ME · Acute Care Nurse Practitioner

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    Michael Oneal is a acute care nurse practitioner provider located in Ellsworth, Maine. This profile covers 9 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 Oneal
    Address50 Union St
    CityEllsworth
    StateME
    ZIP04605
    TaxonomyAcute Care Nurse Practitioner
    NPI EnumeratedFebruary 14, 2022

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

    Payer SourceTotal Paid
    Medicare$124.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…770$70$51.8K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…730$40$30.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…570$50$26.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…70$80$5.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…70$60$4.2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…40$80$3.4K
    99342The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…40$40$1.3K
    99347The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…40$30$1.1K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.20$50$940

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993097140160$70$15.8K
    99308410060$50$6.5K
    9930583040$100$6.1K
    99349236050$80$5.7K
    9934816060$50$4.6K
    9934241080$50$3.2K
    9934411020$90$1.9K
    99347164030$30$1.5K
    9931511020$50$930

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Akindele MajekodunmiMAInternal Medicine Physician$404.3K$730.9K
    Marie-paule HeylenNYAdult Health Nurse Practitioner$348.2K$0
    Nelson LeachCTFamily Nurse Practitioner$254.3K$0
    Jose VenturaMEFamily Medicine Physician$50.9K$197.8K
    Jillian ReidCTAdult Health Nurse Practitioner$157.2K$0
    Linda CappielloNCNurse Practitioner$123.3K$0
    Julie QuinnMEPhysician Assistant$110.6K$0
    Michael DavisMEFamily Nurse Practitioner$109.4K$0
    Deborah PitchforthMEFamily Nurse Practitioner$108.7K$0
    Carissa KellyMAAdult Health Nurse Practitioner$100.8K$770

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maine Coast Regional Health FacilitiesMEGeneral Acute Care Hospital$0$24.8M
    Kidspeace National Centers Of New England IncMEEmotionally Disturbed Childrens' Residential Treatment Facility$0$16.8M
    Kidspeace National Centers Of New England, Inc.MECommunity/Behavioral Health Agency$0$15M
    Kidspeace National Centers Of New England IncMEPsychiatric Residential Treatment Facility$0$8.6M
    Special Children's Friends, Inc.MEEarly Intervention Provider Agency$0$8.1M
    Emergency Medicine Services Of Maine, LLCMEEmergency Medicine Physician$0$5.4M
    Coastal Med-tech Corp.MECustomized Equipment (DME)$0$2.4M
    Total Renal Care IncMEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Caring Hands Of MaineMEDentist$0$1.3M
    Cesc, LLCMEAmbulatory Surgical Clinic/Center$617.6K$534.5K

    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. Maine Distribution
    Michael Oneal — 4 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine