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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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 Kody (NPI 1407825599)

Field	Value
Entity Type	Individual
Organization	Michael Kody
Address	601 W 5th Ave Ste 400
City	Spokane
State	WA
ZIP	99204
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$127.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	60	$970	$56.1K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$840	$21.8K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	40	$280	$9.7K
99213	The 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…	130	$60	$7.8K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,010	$10	$7.1K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	10	$380	$5.3K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	40	$130	$5.1K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	90	$30	$2.9K
99203	The 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…	40	$70	$2.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	50	$60	$2.6K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Kody — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	59	320	30	$1,190	$46.3K
29828	15	30	20	$1,240	$28.4K
29827	19	90	20	$1,130	$26.1K
J7325	58	90	1,390	$10	$11.1K
29824	7	30	20	$340	$8.8K
29823	20	40	20	$350	$6.7K
99213	2,421	9,690	60	$60	$6.5K
73221	168	180	30	$90	$4.7K
20610	388	790	50	$50	$3.3K
99203	1,112	3,140	30	$70	$3.3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chelan County Public Hospital District No 2	WA	Critical Access Hospital	$0	$9.6M
Northwest Orthopaedic Specialists, P.s.	WA	Ambulatory Surgical Clinic/Center	$4.1M	$252.1K
Chelan County Public Hospital District No 2	WA	Rural Health Clinic/Center	$0	$2.8M
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Maximilian Psolka	UT	Ophthalmology Physician	$352.1K	$0
Sonya Kella	MN	Diagnostic Radiology Physician	$301.4K	$50.4K
Khasha Touloei	CA	Dermatology Physician	$351.4K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Renata Kesala	MN	Diagnostic Radiology Physician	$226.6K	$0
Alexander Reichard	WA	Adult Reconstructive Orthopaedic Surgery Physician	$199K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Wa	WA	General Acute Care Hospital	$0	$78.7M
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
New Horizon Care Center, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$20.2M
Spokane Addiction Recovery Centers	WA	Substance Abuse Rehabilitation Facility	$0	$19M
Spokane Emergency Care Physicians PLLC	WA	Emergency Medicine Physician	$0	$13.9M
Spokane Emergency Physicians, Ps	WA	Emergency Medicine Physician	$0	$13.1M
Providence Health & Services Washington	WA	Clinical Medical Laboratory	$1.6M	$9.3M
Spokane Eye Clinic Ps	WA	Multi-Specialty Clinic/Center	$0	$8M
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$1.6M	$6.1M

Michael Kody — Billing Profile & Reimbursement Data

Sign up for Michael Kody — Billing Profile & Reimbursement Data policy alerts

Michael Kody — Billing Profile & Reimbursement Data

Sign up for Michael Kody — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References