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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Eddy
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    Michael Eddy — Billing Profile & Reimbursement Data

    NPI 1386757508 · Loveland, CO · Urology Physician

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    Michael Eddy is a urology 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 Eddy
    Address3520 E 15th St
    CityLoveland
    StateCO
    ZIP80538
    TaxonomyUrology Physician
    NPI EnumeratedAugust 15, 2006

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

    Payer SourceTotal Paid
    Medicare$114.9K
    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
    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…340$60$21.5K
    52000In 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…110$180$20.6K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…30$370$10.7K
    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…90$100$8.6K
    55700Code deleted December 31, 2025.40$180$7.9K
    99203The provider sees a new 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 provider…100$80$7.4K
    55867The provider excises part of the prostate gland using a laparoscopic approach. The provider also performs a vasectomy, incises and enlarges the urethra, and takes measures to prevent blood loss after…20$340$7.1K
    50543The provider uses a surgical laparoscopic technique to remove part of a kidney.10$510$6.1K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$350$5.9K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.50$120$5.2K

    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
    52356225020$790$16.5K
    520003515070$150$15.6K
    5586631020$690$15.1K
    992143,8468,16080$80$11.3K
    5586731020$520$9.9K
    55700148030$270$9.2K
    992152,8303,23040$110$8.1K
    992134437,20070$60$6.6K
    5233286020$270$5.6K
    992043,4703,67030$110$4.7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    James LevineCORheumatology Physician$1.7M$0
    Laura HoweCORheumatology Physician$701.3K$0
    Arthur LiuCORadiation Oncology Physician$491.8K$0
    Joshua PetitCORadiation Oncology Physician$443.5K$0
    Bradley MikaelianCOClinical Cardiac Electrophysiology Physician$368.2K$0
    Jacob WhitsittCODermatology Physician$338.8K$0
    Christy YoungCONeurology Physician$323.7K$0
    William HowarthCOOrthopaedic Surgery Physician$296.3K$0
    Ariadne EbelCORheumatology Physician$290.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Michael Eddy, 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
    Summit PathologyCOClinical Medical Laboratory$670.1K$4.3M
    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
    Summit PathologyCOAnatomic Pathology & Clinical Pathology Physician$0$4.4M

    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 Eddy — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado