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 & MedicaidMichael Benedict
    Ask Trek AI about this page

    Michael Benedict — Billing Profile & Reimbursement Data

    NPI 1639134943 · Richland, WA · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Michael Benedict — 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.

    Michael Benedict is a internal medicine physician provider located in Richland, Washington. This profile covers 13 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
    OrganizationMichael Benedict
    Address945 Goethals Dr Ste 300
    CityRichland
    StateWA
    ZIP99352
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 19, 2006

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

    Payer SourceTotal Paid
    Medicare$68.4K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…400$90$34.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit110$130$14.1K
    90671This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…20$240$4.3K
    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…70$60$4K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…30$120$3.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…300$10$3K
    0124AN/A30$40$1.2K
    G0009Administration of pneumococcal vaccine50$20$900
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…10$60$730
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…60$10$550

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,00810,860100$80$13.6K
    G04394812,39050$130$9.7K
    992134,2749,69060$60$6.5K
    906629071,00030$70$5.5K
    9067111020$230$3.5K
    9073232020$130$2.9K
    G00081,9432,28030$30$2.6K
    830363141,15040$10$1.9K
    0124A28662030$40$1.7K
    9300044881030$10$890

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kadlec Regional Medical CenterWAGeneral Acute Care Hospital$0$151.5M
    Guy JonesNVRadiation Oncology Physician$2.5M$0
    Kadlec Regional Medical CenterWAAmbulatory Surgical Clinic/Center$571.3K$815.5K
    Sherry ZhaoWARadiation Oncology Physician$1.3M$0
    Kadlec Regional Medical CenterWAAmbulatory Surgical Clinic/Center$231.7K$158.7K
    Glen ZuroskeWACardiovascular Disease Physician$372.5K$0
    Fareed ArifWANephrology Physician$369.2K$0
    Melvin WahlWAOrthopaedic Surgery of the Spine Physician$327.4K$0
    Sarena SlootWANurse Practitioner$307.9K$0
    Joshua BalesWAOrthopaedic Surgery Physician$304.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gill, Ritchie, Walker PLLCWAAmbulatory Surgical Clinic/Center$0$10.7M
    City Of RichlandWAAmbulance$679.8K$7.8M
    Ortc, LLCWAMethadone Clinic$0$6.2M
    Health First Urgent Care, PLLCWAUrgent Care Clinic/Center$0$5.2M
    American Medical Response Ambulance Service IncWAAmbulance$1.1M$3M
    Total Renal Care IncWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.8M
    Tri-city Orthodontics, LLCWAOrthodontics and Dentofacial Orthopedics Dentistry$0$2.9M
    Alexey RyskinWAPain Medicine (Anesthesiology) Physician$2.3M$990
    Sidney SmithWADermatology Physician$2.1M$0
    Cheryl LeeWAOphthalmology Physician$1.5M$0

    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. Washington Distribution
    Michael Benedict — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington