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    OpenPayerNPI Medicare & MedicaidMichael Kennedy
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    Michael Kennedy — Billing Profile & Reimbursement Data

    NPI 1558351445 · St Albans, VT · Specialist

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    Michael Kennedy is a specialist provider located in St Albans, Vermont. This profile covers 15 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 Kennedy
    Address148 Fairfield St
    CitySt Albans
    StateVT
    ZIP05478
    TaxonomySpecialist
    NPI EnumeratedOctober 24, 2005

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

    Payer SourceTotal Paid
    Medicare$78.2K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…110$190$20.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…110$100$10.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.100$90$8.4K
    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…90$80$7.4K
    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$70$6.8K
    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,…140$40$5.9K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.10$380$5.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$170$4.3K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$2.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538593060$230$19.6K
    9921492996090$70$10.6K
    G0121132020$220$6.9K
    4538043040$120$6.7K
    9921336691080$50$6.7K
    G0105102030$220$6.3K
    4323973040$100$5.7K
    4324961020$210$5.5K
    4950511010$380$5K
    9922216223020$100$3.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Larry KarpVTClinical Psychologist$0$452.3K
    Edna Laclair-petitVTClinical Social Worker$0$303.7K
    Andrew MahoneyVTUrology Physician$74.6K$0
    Linn LarsonVTFamily Medicine Physician$74.4K$0
    Brian MawhinneyVTOptometrist$34.5K$22.4K
    Christopher BartelsVTSurgery Physician$36.1K$0
    Richard LovettVTRadiation Oncology Physician$15K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwestern Counseling & Support ServicesVTCommunity/Behavioral Health Agency$0$129.9M
    Northwestern Counseling & Support Services IncVTCommunity/Behavioral Health Agency$0$70.4M
    Amcare Medical Systems, Inc.VTLand Ambulance$576.2K$2.2M
    Baart Behavioral Health Services, Inc.VTSubstance Use Disorder Rehabilitation Clinic/Center$180.2K$2.5M
    Northwestern Medical Center, Inc.VTPediatrics Physician$0$1.4M
    Northwestern Medical Center, Inc.VTGeneral Acute Care Hospital$0$1.1M
    Remy Vallee Dmd IncVTDentist$0$1.1M
    Calm Reflections Psychotherapy, LLCVTClinical Social Worker$0$840.8K
    Northwestern Medical Center, Inc.VTUrgent Care Clinic/Center$0$757.2K
    Northern Valley Eyecare, Inc.VTOptometrist$0$703.1K

    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. Vermont Distribution
    Michael Kennedy — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont