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NPI 1639191737 · Van Nuys, CA · Anatomic Pathology & Clinical Pathology Physician
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Michael Legmann is a anatomic pathology & clinical pathology physician provider located in Van Nuys, California. This profile covers 13 Medicare and 44 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 Legmann |
| Address | 15107 Vanowen Street |
| City | Van Nuys |
| State | CA |
| ZIP | 91405 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | July 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $27.7K |
| Medicaid | $3.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 85060 | The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination. | 330 | $20 | $6.6K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 210 | $30 | $6.5K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 160 | $20 | $3.8K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 40 | $70 | $3K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 60 | $30 | $1.6K |
| 88104 | The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, and interprets his findings. Cytopathology is the study of cellular changes in… | 60 | $20 | $1.4K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 140 | $10 | $1.4K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 20 | $40 | $840 |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 80 | $10 | $780 |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 80 | $10 | $690 |
Showing 1–10 of 13
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 1,109 | 1,580 | 450 | $40 | $51.3K |
| 88341 | 642 | 920 | 260 | $40 | $15.7K |
| 88312 | 663 | 730 | 70 | $70 | $14.3K |
| 88342 | 757 | 1,000 | 120 | $50 | $11.2K |
| 88313 | 331 | 670 | 80 | $40 | $9.9K |
| 88307 | 565 | 720 | 90 | $80 | $9.5K |
| 88360 | 505 | 590 | 80 | $60 | $9.4K |
| 85097 | 175 | 190 | 40 | $50 | $3.4K |
| 88304 | 303 | 830 | 60 | $20 | $1.7K |
| 88311 | 103 | 610 | 60 | $10 | $1.2K |
Showing 1–10 of 13
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.
44 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 280 | $1 | $280 |
| 84702 | The lab analyst performs the technical lab test to measure the amount of hCG, also known as beta hCG, in blood to confirm or monitor pregnancy, or to diagnose certain tumors of the testes or ovaries. | 60 | $1 | $130 |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 100 | $1 | $100 |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 60 | $1 | $60 |
| 86780 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis. | 20 | $1 | $30 |
| 82150 | The lab analyst performs a quantitative measurement of amylase, typically in serum or urine. Amylase is primarily produced in the pancreas, but is also produced in the salivary gland. | 30 | $1 | $30 |
| 82948 | The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method. | 20 | $1 | $20 |
| 84145 | The lab analyst performs a test to evaluate the level of procalcitonin, also called PCT or ProCT, in a patient specimen such as serum. | 20 | $1 | $20 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 20 | $1 | $20 |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 2,500 | $0 | $0 |
Showing 1–10 of 44
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
44 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 578 | 660 | 1,490 | $30 | $417.2K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 609 | 830 | 880 | $40 | $195.6K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 648 | 1,720 | 1,360 | $10 | $165.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 899 | 1,210 | 420 | $30 | $95.7K |
| 83789 | The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using mass spectrometry and tandem mass spectrometry. | 45 | 50 | 210 | $10 | $85.5K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 588 | 2,100 | 1,130 | $1 | $83.5K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 717 | 1,360 | 590 | $10 | $74.1K |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 448 | 650 | 4,540 | $10 | $69.6K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 546 | 610 | 1,970 | $10 | $59.5K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 406 | 1,120 | 1,000 | $10 | $58.9K |
Showing 1–10 of 44
Other providers in the same ZIP code as Michael Legmann, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northeast Valley Health Corporation | CA | Federally Qualified Health Center (FQHC) | $0 | $66.6M |
| Valley Presbyterian Hospital | CA | General Acute Care Hospital | $0 | $60M |
| Ambulife Ambulance, Inc. | CA | Ambulance | $1.7M | $975.2K |
| Krikor Tatoyan | CA | Surgery Physician | $1.7M | $0 |
| Farshad Malekmehr | CA | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $1.6M | $0 |
| James Burks | CA | Vascular Surgery Physician | $1.3M | $0 |
| Center For Orthopedic Surgery, LLC | CA | Ambulatory Surgical Clinic/Center | $1.2M | $0 |
| Charles Weidmann | CA | Rheumatology Physician | $866.9K | $0 |
| Garbis Apelian | CA | Family Medicine Physician | $762.5K | $0 |
| Alireza Namini | CA | Neuroradiology Physician | $725.7K | $90 |
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