Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Henry (NPI 1558685198)

Field	Value
Entity Type	Individual
Organization	Michael Henry
Address	4409 Nw Anderson Hill Rd
City	Silverdale
State	WA
ZIP	98383
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	March 25, 2010

Payer Source	Total Paid
Medicare	$37.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27236	In 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…	20	$940	$19.6K
27245	In 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	$960	$12.5K
99222	The 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…	30	$100	$3.1K
99204	The provider sees a new 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 provider…	10	$100	$1.1K
99213	The 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…	20	$50	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Henry — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	25	40	20	$880	$14.1K
27236	2	30	10	$720	$10.8K
99213	8,437	9,690	60	$60	$6.5K
99204	4,532	4,750	30	$110	$5.2K
99222	518	1,690	20	$100	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 1 Of Mason County	WA	Critical Access Hospital	$0	$72.3M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$35.5M
Whidbey Island Public Hospital District	WA	Critical Access Hospital	$0	$31.5M
Olympia Orthopaedic Associates PLLC	WA	Ambulatory Surgical Clinic/Center	$6M	$6.8M
Bay Area Hospital District	OR	General Acute Care Hospital	$0	$8.7M
Intermountain Medical Group Grand Junction, LLC	CO	Orthopaedic Surgery Physician	$0	$4M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.9M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.8M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$3M
Country Roads Physical Therapy And Rehabilitation	WV	Physical Therapist	$0	$3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Washington Community Care	WA	General Acute Care Hospital	$0	$66.2M
Central Kitsap Fire & Rescue 1	WA	Land Ambulance	$727.8K	$11M
West Sound Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$8.3M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
David Spinak	WA	Ophthalmology Physician	$4.1M	$0
Mark Heinemann	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.3M
Easter Seals Washington	WA	Community/Behavioral Health Agency	$0	$3.3M
Adrian Omalley	WA	Ophthalmology Physician	$3M	$0
Salmon Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$2.3M	$44.3K
Todd Schneiderman	WA	Ophthalmology Physician	$2.3M	$0

Michael Henry — Billing Profile & Reimbursement Data

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Michael Henry — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References