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

    NPI 1538292883 · Mason City, IA · Orthopaedic Surgery Physician

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    Michael Scherb is a orthopaedic surgery physician provider located in Mason City, Iowa. 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 Scherb
    Address250 S Crescent Dr
    CityMason City
    StateIA
    ZIP50401
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedMarch 14, 2007

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

    Payer SourceTotal Paid
    Medicare$95K
    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
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$920$33.2K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…10$930$13K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…10$860$12K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$890$9.7K
    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…110$50$5.1K
    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…80$60$5.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…150$30$4.8K
    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…60$50$3.4K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…20$100$2K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.20$100$2K

    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
    274479919040$870$41.7K
    2713012014030$790$25.4K
    992142,6044,690100$70$14.4K
    27245162020$710$12.7K
    2723682010$610$11K
    992132,1704,740100$50$8K
    2061011252050$40$4.2K
    73721609030$70$3.8K
    73221518020$70$3.3K
    992034081,60030$60$3.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ogden Clinic PCUTFamily Medicine Physician$0$8.3M
    Carl GrayUTHematology & Oncology Physician$3.9M$1.7M
    Ottumwa Health Group LLCIAGynecology Physician$0$2.2M
    Ogden Clinic Specialty Services LLCUTSports Medicine (Family Medicine) Physician$0$1.7M
    Ottumwa Health Group LLCIARural Health Clinic/Center$0$1.2M
    Mason City Clinic PCIAOtolaryngology Physician$0$1.1M
    Aneley HundaeFLCardiovascular Disease Physician$604.9K$0
    Amad ZineldineAZCardiovascular Disease Physician$587K$0
    Chad TingeyUTDermatology Physician$491.3K$0
    Jonathon HenningsIANurse Practitioner$483.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Health Services-iowa CorpIARural Acute Care Hospital$0$45.7M
    Prairie Ridge Integrated Behavioral HealthcareIASubstance Abuse Rehabilitation Facility$0$24.2M
    North Iowa Vocational CenterIADevelopmentally Disabled Services Day Training Agency$0$15.3M
    Mason City Community School DistrictIALocal Education Agency (LEA)$0$6.8M
    Community Health Center Of Fort Dodge, Inc.IAFederally Qualified Health Center (FQHC)$0$6.4M
    City Of Mason CityIALand Ambulance$616.5K$4.3M
    Todd HoeppnerIAPediatric Dentistry$0$4.8M
    North Iowa Mercy ClinicsIAEmergency Medicine Physician$0$3.9M
    North Iowa Transition CenterIACommunity/Behavioral Health Agency$0$3.7M
    North Iowa Mercy ClinicsIACardiovascular Disease Physician$0$2.7M

    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. Iowa Distribution
    Michael Scherb — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa