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NPI 1609239607 · Worcester, MA · Emergency Medicine Physician
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Michael Hill is a emergency medicine physician provider located in Worcester, Massachusetts. This profile covers 10 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Hill |
| Address | 55 Lake Ave N |
| City | Worcester |
| State | MA |
| ZIP | 01655 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | March 29, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $60.2K |
| Medicaid | $8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 210 | $150 | $31.2K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 130 | $100 | $12.1K |
| 99291 | Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is… | 40 | $190 | $7.4K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 30 | $140 | $3.7K |
| 93308 | The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused… | 80 | $20 | $1.6K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 20 | $60 | $1.2K |
| 76604 | The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum. | 50 | $20 | $1.1K |
| 76705 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 40 | $20 | $950 |
| 76775 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the… | 30 | $20 | $570 |
| 76882 | The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the… | 20 | $30 | $410 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 100 | $80 | $8K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 457 | 830 | 130 | $120 | $671K |
Other providers in the same ZIP code as Michael Hill, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Umass Memorial Medical Center, Inc. | MA | General Acute Care Hospital | $0 | $490.8M |
| Umass Memorial Medical Group Inc | MA | Internal Medicine Physician | $0 | $98.5M |
| Hesham Malik | MA | Diagnostic Radiology Physician | $3.9M | $0 |
| Bradley Switzer | MA | Internal Medicine Physician | $524.2K | $0 |
| Ilsa Grunder | MA | Nurse Practitioner | $419.2K | $0 |
| Erica Ghosh | MA | Diagnostic Radiology Physician | $286.3K | $110K |
| Matthew Peckham | MA | Diagnostic Radiology Physician | $348.3K | $1.1K |
| Umass Memorial Mri & Imaging Center, LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $102.9K | $216.4K |
| Thomas Fitzgerald | MA | Radiation Oncology Physician | $293.9K | $0 |
| Ryan Holstead | MA | Hematology & Oncology Physician | $270.2K | $7.6K |
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