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

    NPI 1467554808 · Mt Washington, KY · Family Medicine Physician

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    Michael Payne is a family medicine physician provider located in Mt Washington, Kentucky. This profile covers 21 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 Payne
    Address532 N Bardstown Rd
    CityMt Washington
    StateKY
    ZIP40047
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$136.2K
    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.

    21 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…710$60$41.7K
    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…470$80$35.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit170$120$20K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…90$130$12.2K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$150$5.7K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$4.8K
    G0009Administration of pneumococcal vaccine110$30$3.2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…30$80$2.1K
    G0008Administration of influenza virus vaccine60$30$1.7K
    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,…60$30$1.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146727,230110$70$14.1K
    G04392121,57060$110$9.3K
    992131687,25080$50$7.7K
    9067746884020$280$6.7K
    9069441261040$70$4.9K
    992031,7802,38030$70$2.9K
    G04381825020$130$2.9K
    9073214020$130$2.7K
    G00087751,91050$30$2K
    992124131,52030$30$1.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Victor NeamtuKYOphthalmology Physician$1.5M$980
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Harpal SandhuORRetina Specialist (Ophthalmology) Physician$1.4M$4.5K
    Shailendra ChopraKYBody Imaging Physician$876.7K$0
    Mark HaeberleKYDermatology Physician$651.4K$23K
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K
    John FlemingCAOrthopaedic Surgery of the Spine Physician$618.3K$0
    Wei WangKYOphthalmology Physician$497.1K$38.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bluewater Toxicology LLCKYClinical Medical Laboratory$0$28.1M
    Sunrise Children's Services, Inc.KYMental Health Counselor$0$8.6M
    Mt. Washington Fire Protection District Ems, Inc.KYLand Ambulance$335.3K$255K
    Brandon SamuelsKYPhysical Therapist$50.5K$0
    Shane KibbeKYOrthopaedic Surgery Physician$47.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Michael Payne — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky