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 & MedicaidMichelle Scanlon
    Ask Trek AI about this page

    Michelle Scanlon — Billing Profile & Reimbursement Data

    NPI 1518286301 · Kahului, HI · Anesthesiology Physician

    Customize your policy alerts

    Sign up for Michelle Scanlon — 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.

    Michelle Scanlon is a anesthesiology physician provider located in Kahului, Hawaii. This profile covers 9 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
    OrganizationMichelle Scanlon
    Address33 Lono Ave Ste 305
    CityKahului
    StateHI
    ZIP96732
    TaxonomyAnesthesiology Physician
    NPI EnumeratedMay 19, 2010

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

    Payer SourceTotal Paid
    Medicare$28.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00537The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…30$340$8.4K
    00567The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.10$570$7.4K
    93312In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…50$80$4K
    01926The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…10$300$3.3K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…60$30$2K
    93503The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…20$70$1.5K
    93319At the same session as a primary echocardiography service, the provider uses a 3D–capable machine to perform 3D imaging. The provider can see the images in real–time and also can use postprocessing…50$20$830
    93320The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…50$10$690
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.20$10$260

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0056711010$620$8.1K
    0053711020$330$6.4K
    0192621010$290$3.5K
    9331222020$80$2.3K
    9350311020$70$1.5K
    3662013020$30$630
    9331911030$20$590
    9332022020$10$400
    76937173030$10$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trinity Regional Medical CenterIAEmergency Medicine Physician$0$4.6M
    Naumit BhandariTXPain Medicine Physician$1.1M$90
    Richard UrsoneTXOrthopaedic Surgery Physician$562.7K$0
    Bryan KaiserTXOrthopaedic Surgery Physician$423.6K$0
    Sarah TrampotaTXInterventional Pain Medicine Physician$301.6K$57.1K
    John CliftonTXPain Medicine (Anesthesiology) Physician$317.5K$0
    Charles BryantTXPain Medicine (Anesthesiology) Physician$317.4K$0
    Ephraim BrenmanTXPain Medicine (Physical Medicine & Rehabilitation) Physician$307.4K$0
    Casey TaberTXOrthopaedic Surgery Physician$296.7K$0
    Randall MarxTXOrthopaedic Surgery Physician$284K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Americare Hawaii, IncorporatedHIIn Home Supportive Care Agency$0$4.7M
    Aloha House, Inc.HIMental Health Counselor$0$4.5M
    Hale MahaoluHIHome Delivered Meals$0$3.7M
    Americare Hawaii, LLCHIHome Health Agency$0$3.2M
    Maui Cardiology, Ltd.HICardiovascular Disease Physician$0$2.3M
    Gammie Homecare, Inc.HIDurable Medical Equipment & Medical Supplies$0$1.8M
    Pedodontic Associates IncHIPediatric Dentistry$0$1.4M
    Pediatric Therapies HawaiiHIPediatric Physical Therapist$0$1.4M
    Aloha Dermatology And Laser Center LLCHIDermatology Physician$0$1.3M
    Anamcara Care Hawaii IncHIIn Home Supportive Care Agency$0$1.3M

    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. Hawaii Distribution
    Michelle Scanlon — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii