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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Zehnpfennig
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    Michael Zehnpfennig — Billing Profile & Reimbursement Data

    NPI 1669683884 · Missoula, MT · Surgery Physician

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    Michael Zehnpfennig is a surgery physician provider located in Missoula, Montana. This profile covers 15 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Zehnpfennig
    Address2835 Fort Missoula Rd
    CityMissoula
    StateMT
    ZIP59804
    TaxonomySurgery Physician
    NPI EnumeratedMay 28, 2007

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

    Payer SourceTotal Paid
    Medicare$25.9K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…40$140$5.6K
    99222The 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…20$100$2.4K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…20$140$2.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$100$2K
    44213In this laparoscopic add–on procedure, during the same session in which the provider performs partial colectomy, he also mobilizes the splenic flexure, a sharp bend between the transverse and the…10$150$1.9K
    99443N/A30$70$1.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$60$1.7K
    99442N/A30$50$1.5K
    99204The 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$1.4K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$40$1.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,7431,810100$70$12.4K
    9923244756070$60$8K
    9921558778040$100$7.9K
    992131,5171,73090$50$7.2K
    9944164020$30$5.3K
    99442269020$50$5.3K
    9920510630030$140$5.2K
    9920465278030$100$4.8K
    9922217539020$100$3.3K
    4622131020$130$2.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rchp Billings - Missoula LLCMTSpecialist$0$13.1M
    Bozeman Health Deaconess HospitalMTFamily Medicine Physician$0$7.7M
    Bozeman Health Deaconess HospitalMTGeneral Acute Care Hospital$0$4.5M
    Rchp Billings - Missoula LLCMTGeneral Acute Care Hospital$0$4M
    Bozeman Health Deaconess HospitalMTEmergency Medicine Physician$0$2.8M
    Christopher BakerMTRadiation Oncology Physician$1.3M$0
    Todd MurdockMTOphthalmology Physician$103.7K$1M
    Bozeman Health Deaconess HospitalMTOxygen Equipment & Supplies (DME)$0$583.5K
    David KoeplinIDRadiation Oncology Physician$327.5K$0
    Joseph ShurtzMTPhysical Medicine & Rehabilitation Physician$208.4K$89.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clark Fork Emergency Physicians PLLCMTEmergency Medicine Physician$0$6.1M
    Origin Health LLCMTMaternal & Fetal Medicine Physician$0$3.3M
    Cogent Healthcare Of Montana P CMTInternal Medicine Physician$0$1.9M
    Big Sky Surgery Center, LLCMTAmbulatory Surgical Clinic/Center$811.5K$954.6K
    Pathology Consultants Of Western Montana, P.C.MTAnatomic Pathology & Clinical Pathology Physician$0$1.3M
    Generations Family Medicine And ObstetricsMTFamily Medicine Physician$0$690.8K
    Rchp Billings - Missoula LLCMTCase Management Agency$0$635.1K
    Kristen TownleyMTMOHS-Micrographic Surgery Physician$547.1K$0
    Missoula Family Medicine PLLCMTFamily Medicine Physician$0$512.9K
    Erika HagstromMTDermatology Physician$511K$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. Montana Distribution
    Michael Zehnpfennig — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana