Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Clark
    Ask Trek AI about this page

    Michael Clark — Billing Profile & Reimbursement Data

    NPI 1457662280 · Fort Myers, FL · Diagnostic Radiology Physician

    Customize your policy alerts

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

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Clark is a diagnostic radiology physician provider located in Fort Myers, Florida. This profile covers 99 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Clark
    Address13813 Metro Pkwy
    CityFort Myers
    StateFL
    ZIP33912
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJune 26, 2010

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

    Payer SourceTotal Paid
    Medicare$1.2M
    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.

    99 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…310$1,170$363.9K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries330$400$132.9K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.600$100$58.7K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…230$240$55.9K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…160$270$43.1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.250$150$36.7K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…260$130$32.4K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.130$250$31.2K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.100$270$27.3K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…20$1,190$23.7K

    Showing 1–10 of 99

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 99 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    99 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    788156537070$740$121.8K
    A95522625070$390$56.4K
    788168712040$660$42.3K
    77067378960170$90$36.4K
    77063365910170$40$17.3K
    741776121,480100$100$14.4K
    7219719233040$190$13.5K
    705536176040$150$12.5K
    741837850040$190$11.9K
    721482161,09050$110$11.4K

    Showing 1–10 of 99

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pareena BilkooFLInterventional Cardiology Physician$2.9M$0
    Joy Pollard-stoiberAZFamily Nurse Practitioner$2.2M$0
    Lisa CampbellTXFamily Nurse Practitioner$1.9M$0
    Juan BustilloFLRheumatology Physician$1.5M$0
    Aleksandra GranathFLRheumatology Physician$1.3M$0
    Ricardo MartinezFLInterventional Cardiology Physician$1.3M$0
    Mark HilbornFLDiagnostic Radiology Physician$1.1M$190
    Steven HakeCODiagnostic Radiology Physician$982.7K$0
    Paul RatcliffFLDiagnostic Radiology Physician$906.6K$0
    Grygori GerasymchukFLDiagnostic Radiology Physician$844.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neogenomics Laboratories IncFLClinical Medical Laboratory$20.9M$2.3M
    Vip America Of Southwest Florida, LLCFLAttendant Care Provider$0$11.4M
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$11.1M
    Island Coast PediatricsFLPediatrics Physician$0$9.9M
    Paul RaskauskasFLRetina Specialist (Ophthalmology) Physician$5.2M$0
    St Marks Surgical Center LLCFLAmbulatory Surgical Clinic/Center$3.3M$0
    Avtar GhumanFLRetina Specialist (Ophthalmology) Physician$3.3M$0
    Yamil Fourzali SabbagFLNuclear Medicine Physician$2.4M$0
    Nisha WarrierFLOphthalmology Physician$2.2M$0
    Katrina MearsFLRetina Specialist (Ophthalmology) Physician$2M$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. Florida Distribution
    Michael Clark — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida