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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Michelle Atchison (NPI 1659563039)

Field	Value
Entity Type	Individual
Organization	Michelle Atchison
Address	3171 44th St S Unit 101
City	Fargo
State	ND
ZIP	58104
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 9, 2007

Payer Source	Total Paid
Medicare	$872.5K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole payer presence in the record: total Medicare revenue is $872.5K and there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) biller based on available claims data. Analysts should treat Medicaid as absent when modeling payer mix or downstream referral patterns for this NPI.

Revenue is highly concentrated in three codes: J0178 ($404.1K, 46.4%), J2777 ($205K, 23.5%) and 66984 ($96.8K, 11.1%), which together account for 81.0% of this provider’s total Medicare revenue. That concentration signals that a small set of services — two intravitreal injections and cataract surgery with lens insertion — drive the vast majority of billed Medicare dollars for this clinician.

The code mix and descriptions identify this NPI as a clinically retina‑ and cataract‑focused ophthalmology practice: J0178 and J2777 are intravitreal anti‑VEGF injections (aflibercept and faricimab), while 66984 is cataract extraction with intraocular lens implantation. The prominence of these therapeutic injectables alongside cataract procedures suggests a practice model centered on medical retina management and surgical ophthalmology rather than broad multispecialty ophthalmic care.

Competitive standing for the top revenue drivers is modest for injections but stronger for cataract surgery. J0178 ranks #1781 of 3204 (44th percentile) and J2777 ranks #1237 of 2039 (39th percentile), both described as "typical, unremarkable volume," indicating the provider is a routine national participant for anti‑VEGF therapy; by contrast, 66984 ranks #3517 of 15965 (78th percentile) and is comparatively higher in cataract surgical volume versus peers.

Diagnostic and procedure‑support services are well represented, consistent with a retina/cataract practice: 92134 (retinal imaging) appears at 635 claims and $17.8K revenue and ranks in the 89th percentile (described as typical), while 92136 (IOL measurements) is in the 79th percentile. These imaging and biometrics volumes indicate in‑house diagnostic capability that supports both medical retina injections and cataract workflow, which can be important for contracting and network inclusion decisions.

Evaluation-and‑management patterns show a disproportionate number of higher‑complexity new patient visits: 99204 is reported at 193 claims and $20.3K revenue and is labeled "notably above typical national volume" (98th percentile). That signal of above‑typical new‑patient complexity, together with moderate established‑patient E/M volumes (e.g., 99213 at the 87th percentile described as typical), suggests the provider manages complex consults or initial evaluations more frequently than many peers.

Procedure breadth includes related but lower‑volume services that diversify revenue outside the top three codes: 66821 (YAG capsulotomy) and 67028 (intravitreal injection by technique code) are present and described as "typical, unremarkable volume," and there are smaller contributions from J9035 (bevacizumab) and 15823 (blepharoplasty). These ancillary codes indicate a mix of post‑cataract care, additional injection agents, and limited oculoplastic procedures, which can affect downstream surgical referrals and supply utilization.

The provider’s NPI was enumerated on 2007-08-09 (~19 years ago), indicating long tenure in Medicare billing. This extended enrollment timeline supports interpretation of observed patterns as stable practice behavior rather than short‑term sampling noise and is relevant when assessing historical trends or negotiating long‑term contracts.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	600	$680	$404.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,320	$30	$205K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	370	$260	$96.8K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	440	$90	$39.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	90	$280	$24.8K
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…	190	$110	$20.3K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	640	$30	$17.8K
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…	300	$60	$16.9K
99214	The 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…	140	$80	$11.2K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	290	$30	$8.4K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Michelle Atchison — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	5	20	440	$680	$445.3K
J2777	6	10	7,410	$30	$412.9K
66984	15	100	50	$350	$61.2K
67028	9	30	290	$80	$40.6K
66821	13	30	80	$230	$27.3K
15823	10	10	30	$480	$27.2K
92014	139	170	160	$70	$15.6K
99214	525	1,470	90	$60	$10.4K
92136	10	30	240	$30	$8.3K
99213	134	1,490	80	$50	$5.8K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Partners, Inc.	ND	Early Intervention Provider Agency	$0	$7M
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Fargo Maple View LLC	ND	Alzheimer Center (Dementia Center)	$0	$4M
Beyond Boundaries Occupational Therapy, Inc.	ND	Multi-Specialty Clinic/Center	$0	$3.9M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
St. Sophie's, LLC	ND	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
Shangri-la Home Care	ND	Home Health Agency	$0	$2M
Beyond Boundaries Speech Language Therapy, Inc.	ND	Speech-Language Pathologist	$0	$2M
About Smiles Dental, LLC	ND	Dental Clinic/Center	$0	$1.7M
Center For Pain Medicine Surgery Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.2M	$0

Michelle Atchison — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References