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

    NPI 1457357865 · Bowling Green, KY · Sleep Medicine (Internal Medicine) Physician

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    Michael Zachek is a sleep medicine (internal medicine) physician provider located in Bowling Green, Kentucky. This profile covers 18 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 Zachek
    Address1325 Andrea St
    CityBowling Green
    StateKY
    ZIP42104
    TaxonomySleep Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 22, 2005

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

    Payer SourceTotal Paid
    Medicare$214.5K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,120$90$95.5K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…100$370$37.6K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.90$350$30.1K
    99204The provider sees a new 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 provider…240$120$28.6K
    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…130$60$7.4K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.50$100$4.6K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation40$70$3K
    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…40$70$2.7K
    95976The provider, a physician or other qualified healthcare professional, analyzes the function of a cranial nerve neurostimulator system and makes simple or minor programming adjustments.60$30$1.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$800

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214667,230110$70$14.1K
    992132,5567,25080$50$7.7K
    95811105030$130$6K
    G0399123030$60$4.9K
    99204323,20030$100$4.8K
    9581046030$120$4.5K
    992038742,38030$70$2.9K
    9580011040$70$2.4K
    82728617050$10$2.1K
    992121,0381,52030$30$1.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Graves Gilbert Clinic PLLCKYSpecialist$0$78M
    Ohio County Hospital CorporationKYCritical Access Hospital$0$34.6M
    Oh Muhlenberg, LLCKYGeneral Acute Care Hospital$0$19.9M
    Owensboro Health Medical Group, IncKYFamily Medicine Physician$0$10.6M
    Owensboro Health Medical Group, IncKYPediatrics Physician$0$7.4M
    Owensboro Health Medical Group, Inc.KYSpecialist$0$3.9M
    Owensboro Health Medical Group, Inc.KYFamily Medicine Physician$0$3M
    Kishor VoraKYCardiovascular Disease Physician$2M$334.5K
    Vidya SeshadriKYHematology & Oncology Physician$2.1M$0
    Oh Muhlenberg, LLCKYLand Ambulance$530.1K$1.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greenview Hospital, Inc.KYGeneral Acute Care Hospital$0$49.1M
    Advantage Health ClubKYAdult Day Care Clinic/Center$0$20.6M
    Faith HarborKYDevelopmentally Disabled Services Day Training Agency$0$20.1M
    Marpe' Therapy ServicesKYMental Health Counselor$0$11.5M
    Positive Directions Support Services, PLLCKYCommunity/Behavioral Health Agency$0$9.9M
    Dungarvin Kentucky, LLC - Bowling GreenKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Destiny Adult, Child & Family Services LLCKYCommunity/Behavioral Health Agency$0$7.1M
    Familyworks Therapy, LLCKYCommunity/Behavioral Health Agency$0$7M
    Zipclinic, PscKYPrimary Care Clinic/Center$0$4.4M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$4.3M

    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. Kentucky Distribution
    Michael Zachek — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky