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 Schiferl
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    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

    Michael Schiferl — Billing Profile & Reimbursement Data

    NPI 1497725691 · Madison, WI · Family Medicine Physician

    Customize your policy alerts

    Sign up for Michael Schiferl — 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 Schiferl is a family medicine physician provider located in Madison, Wisconsin. This profile covers 14 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Schiferl
    Address7102 Mineral Point Rd
    CityMadison
    StateWI
    ZIP53717
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$15.8K
    Medicaid$11.4K

    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.

    14 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…100$60$6.1K
    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…50$90$4.5K
    0241UN/A20$140$3.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.30$20$400
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$10$230
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30$10$210
    87086Culture, bacterial; quantitative, colony count, urine.20$10$150
    87077The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.20$10$140
    87186The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…20$10$140
    85379The lab analyst performs a test using patient plasma to measure the level of D–dimer in the specimen.10$10$130

    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

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87186122030$10$11.4K
    87077122040$10$10.4K
    992146,4689,80080$70$9.2K
    0241U166020$140$7.5K
    8005343645040$10$6.3K
    87086336020$10$6.1K
    992132,5219,38060$50$4.7K
    8502553287030$10$2.4K
    364151,7292,30070$10$2.3K
    8004849653040$10$2.1K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 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…310$40$10.9K
    0241UN/A10$40$470
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10$20$190
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…8331,760250$40$173.2K
    0241UN/A96100990$40$92.2K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.279290240$20$20K
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.436090$1$760

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Santiam Memorial HospitalORGeneral Acute Care Hospital$5K$12.5M
    Cynthia Gulick, PCORFamily Medicine Physician$0$3.9M
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Jan KimMDDiagnostic Radiology Physician$531.9K$0
    Wesley PruettMNDiagnostic Radiology Physician$441.3K$770
    Scott SullivanCTDiagnostic Radiology Physician$219K$0
    Lina DorfmeisterORPain Medicine Physician$211K$0
    Richard NeahringOROphthalmology Physician$208.6K$0
    James RickardsMNDiagnostic Radiology Physician$177.2K$970
    Kevin McdonnellMNDiagnostic Radiology Physician$140.1K$17K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lumicera Health Services, LLCWISpecialty Pharmacy$0$9.4M
    Janice ScholzWIBehavior Analyst$0$5.7M
    Bright Dental Madison LLCWIDental Clinic/Center$0$5.6M
    Brittany SchumacherWIBehavior Analyst$0$2.8M
    Erin JunemannWIBehavior Analyst$0$2.4M
    Joseph PerronWIClinical Psychologist$0$1.9M
    Jodie DeruyterWIBehavior Analyst$0$1.9M
    Crystal HeldWIBehavior Analyst$0$1.7M
    Michelle ShermanWISocial Worker$0$1.6M
    Kimberly KnippelWIBehavior Analyst$0$1.4M

    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. Wisconsin Distribution
    Michael Schiferl — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Michael Schiferl — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin