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NPI 1679546931 · Edina, MN · Diagnostic Radiology Physician
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Michael Schekall is a diagnostic radiology physician provider located in Edina, Minnesota. This profile covers 142 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 Schekall |
| Address | 3600 Minnesota Dr Ste 800 |
| City | Edina |
| State | MN |
| ZIP | 55435 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | February 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $710 |
This provider is effectively Medicare‑focused: lifetime Medicare revenue is $1.7M compared with just $714 in Medicaid revenue, so Medicaid represents a negligible share of billed revenue and the practice operates at Medicare scale rather than as a dual‑payer practice. The NPI was enumerated on 2006-02-08 (~20 years ago), indicating long tenure in the market.
Revenue concentration on Medicare is meaningful: the precomputed top three Medicare codes account for 38.8% of total Medicare revenue, driven primarily by imaging services. The largest single Medicare line is 78815 (186 claims, $1187 avg paid/claim, $220.8K revenue, 18.3% of Medicare revenue), followed by 77067 (1.4K claims, $120 avg paid/claim, $170.6K revenue, 14.1%) and 74177 (452 claims, $170 avg paid/claim, $76.8K revenue, 6.4%).
Business and service‑line mix is that of a full‑service radiology/imaging operation: high revenue and claim counts for PET/CT (78815, A9555, A9552, 78816), high‑volume screening mammography (77067 and 77063), and a substantial CT/MRI footprint (74177, 71260/71250, 70553). This code mix indicates capability across oncology imaging, breast cancer screening/tomosynthesis, cross‑sectional CT/MRI, and nuclear cardiac studies rather than a narrow single‑service clinic.
Competitive standing vs. national Medicare peers is mixed but strong in several screening and CT lines: 77067 ranks #689 of 15198 providers nationally (95th percentile) and 74177 ranks #795 of 23621 (97th percentile), both labeled as notably above typical national volume. Routine chest x‑ray (71046) is also an above‑typical national volume line for Medicare (2.1K claims, $21 avg paid/claim, $43.8K revenue; rank #106 of 47284, 100th percentile).
There are clear statistical outliers in lower‑cost, high‑frequency bone density services: 77085 is an extreme outlier (1.1K claims, $48 avg paid/claim, $51.4K revenue; rank #3 of 1287, 100th percentile) and 77089 is likewise extreme (896 claims, $23 avg paid/claim, $20.6K revenue; rank #5 of 348, 99th percentile). Those two codes point to a heavy emphasis on bone density workflows that are far above typical national volumes.
Nuclear medicine and PET supply codes (A9555: 62 claims, $965 avg paid/claim, $59.8K revenue; A9552: 208 claims, $178 avg paid/claim, $37K revenue) and cardiac PET (78431: 29 claims, $2132 avg paid/claim, $61.8K revenue) show capacity for higher‑complexity, higher‑unit‑cost imaging studies alongside high‑volume screening services. This modality mix suggests the practice captures both high‑acuity referrals and routine population screening volumes.
Medicaid activity is essentially limited to a single low‑revenue code: 71046 accounts for 100.0% of Medicaid revenue (65 claims, $11 avg paid/claim, $715 revenue) and ranks #220 of 312 providers in‑state (30th percentile). That in‑state ranking and tiny dollar total reinforce that the provider does not materially participate in Medicaid revenue streams.
Taken together, the provider appears to be an established diagnostic radiology practice with concentrated Medicare revenue, high national standing in mammography and CT screening lines, specialized high‑volume bone density services that are extreme outliers, and minimal Medicaid footprint — a profile consistent with an outpatient imaging center or radiology group focused on Medicare patients and multi‑modality imaging services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
142 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 78815 | PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.… | 190 | $1,190 | $220.8K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 1,420 | $120 | $170.6K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 450 | $170 | $76.8K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 1,420 | $50 | $70.9K |
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 30 | $2,130 | $61.8K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 60 | $970 | $59.8K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 260 | $220 | $56.7K |
| 77085 | The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or… | 1,070 | $50 | $51.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 230 | $190 | $44.7K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 2,090 | $20 | $43.8K |
Showing 1–10 of 142
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 142 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 |
|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 70 | $10 | $720 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 220 | 310 | 250 | $10 | $37.8K |
Other providers in the same ZIP code as Michael Schekall, ranked by combined Medicare and Medicaid revenue.
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