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

    NPI 1396744249 · Scottsdale, AZ · Allergy & Immunology Physician

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    Michael Manning is a allergy & immunology physician provider located in Scottsdale, Arizona. This profile covers 27 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 Manning
    Address7514 E Monterey Way
    CityScottsdale
    StateAZ
    ZIP85251
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedJuly 21, 2005

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

    Payer SourceTotal Paid
    Medicare$4.6M
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue: $4.6M and Total Medicaid revenue: none (no Medicaid billing on file), making the practice effectively single‑payer in the available dataset and heavily Medicare‑dependent rather than Medicaid‑participating. The absence of any Medicaid billing on file suggests the practice’s patient mix or contracting is oriented toward Medicare beneficiaries and commercially insured patients rather than state Medicaid programs.

    Revenue concentration is high: the precomputed top 3 Medicare codes (J1561, J1556, J2357) account for 75.6% of this provider's total Medicare revenue. Those three codes are each material contributors — J1561 $1.4M (30.2%), J1556 $1.1M (23.7%), and J2357 $1M (21.7%) — indicating most Medicare dollars flow through a narrow set of drug/product lines.

    The code mix indicates an allergy/immunology practice built around high‑volume biologic and immune globulin administration. Dominant codes are J1561 and J1556 (immune globulin products) and J2357 (omalizumab), while additional biologics appear in the tail (J1599, J2182, J2356, J0517), signaling routine in‑office administration of specialty injectables and likely an infusion/administration workflow rather than only cognitive office visits.

    Administration and infusion activity is materially above peers, supporting an infusion‑center or treatment suite model within the practice: 96365 is noted as notably above typical national volume (98th percentile), 96366 is an extreme outlier (99th percentile), and 96372 is an extreme outlier (100th percentile). The presence of both high drug billing and high infusion/administration ranks is consistent with frequent in‑office delivery of IV or subcutaneous biologic therapies.

    Competitive standing is mixed by product line: J2357 (omalizumab) is an extreme outlier at the 99th percentile (rank #8 of 581), indicating nationally prominent volume for that specific biologic, while J1561 (rank #6 of 180, 97th percentile) and J1556 (rank #8 of 46, 84th percentile) are high‑ranking but described as typical or unremarkable in volume for their code categories. In short, the provider appears nationally significant for omalizumab and a strong participant for immune globulin products, though labels suggest varying degrees of typicality across codes.

    The practice also maintains robust conventional allergy services alongside biologics: allergen immunotherapy and testing codes such as 95117 (extreme outlier, 99th percentile), 95165 (92th percentile, typical), 95004 (92th percentile, typical) and 95012 (84th percentile, typical) show substantial activity. This mix indicates the clinic delivers both procedural allergy care (skin testing and extract preparation) and higher‑acuity biologic treatments, implying a vertically integrated allergy/immunology service line.

    Business sensitivity is notable because a small group of product codes drives most revenue: with J1561, J1556, and J2357 comprising 75.6% of Medicare revenue, the practice’s financial performance is highly concentrated in a few drug/biologic lines. That concentration makes revenue performance especially tied to prescribing/administration volumes and reimbursement patterns for these specific products.

    Provider tenure is long: NPI enumerated (registered) 2005-07-21 (~21 years ago), indicating an established presence in Scottsdale, AZ. The combination of long tenure, concentrated biologic throughput, and high infusion/administration ranks suggests an experienced, procedure‑oriented allergy/immunology practice focused on in‑office delivery of specialty injectables and immunotherapies.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg35,840$40$1.4M
    J1556Injection, immune globulin (bivigam), 500 mg19,610$60$1.1M
    J2357Injection, omalizumab, 5 mg33,530$30$1M
    J1599Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg670$450$299.3K
    J2182Injection, mepolizumab, 1 mg10,200$20$234.6K
    J2356Injection, tezepelumab-ekko, 1 mg13,440$10$188.2K
    J0517Injection, benralizumab, 1 mg1,200$130$159.6K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.4,650$10$51.1K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.830$50$40.7K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.4,250$10$34K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J155621032,030$60$1.8M
    J156111026,980$40$1M
    J1599110670$450$299.4K
    J23571307,480$30$297.1K
    J21824108,300$20$270.9K
    J235631013,440$10$214.7K
    J0517510950$130$183.4K
    9516515901,520$10$33.2K
    992148,00110,410120$80$20.6K
    992135629,60080$60$9.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aaron DavisAZAllergy & Immunology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Smi Imaging, LLCAZDiagnostic Radiology Physician$0$90.4M
    HonorhealthAZGeneral Acute Care Hospital$0$47M
    Southwest Diagnostic Imaging LLCAZDiagnostic Radiology Physician$0$23.8M
    Kssw IncAZIn Home Supportive Care Agency$0$17.9M
    Head To Toe Therapy IncAZChildren's Hospital$0$11.6M
    Ch Mh Services (az), LLCAZAdolescent and Children Mental Health Clinic/Center$0$10.1M
    Circular Valley Care LLCAZPrivate Vehicle$0$9M
    Hope Light Homecare LLCAZPACE Provider Organization$0$7.9M
    New Horizons Behavioral HealthAZMulti-Specialty Clinic/Center$0$7.3M
    Brian LeeAZOtolaryngology/Facial Plastic Surgery Physician$1.6M$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. Arizona Distribution
    Michael Manning — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona