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    OpenPayerNPI Medicare & MedicaidMichael Clegg
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    Michael Clegg — Billing Profile & Reimbursement Data

    NPI 1679561708 · Logan, UT · Physical Medicine & Rehabilitation Physician

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    Michael Clegg is a physical medicine & rehabilitation physician provider located in Logan, Utah. This profile covers 21 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 Clegg
    Address2310 N 400 E
    CityLogan
    StateUT
    ZIP84341
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedOctober 12, 2005

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

    Payer SourceTotal Paid
    Medicare$166.2K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).240$180$42.7K
    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…460$90$41.1K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…320$70$23.2K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…100$130$13K
    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…70$140$9.4K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…60$150$8.5K
    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…80$60$4.8K
    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…40$110$4.1K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…40$80$3.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…60$50$2.8K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64483710050$190$16K
    992142514,08080$80$11.6K
    992153471,19040$110$7.5K
    9588656050$70$6.4K
    992131,5923,68060$50$6.4K
    27096617030$130$6.3K
    9591174020$150$5.3K
    64484446040$80$4.9K
    77002339030$70$4.2K
    9591023020$120$4.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franklin County Medical CenterIDCritical Access Hospital$0$4.2M
    Franklin County Medical CenterIDRural Health Clinic/Center$0$4.2M
    David BecksteadIDFamily Medicine Physician$175.6K$294.9K
    Brian RichardsonUTInterventional Pain Medicine Physician$399K$14.6K
    James TaylorIDDiagnostic Radiology Physician$292.3K$0
    Brent ChristensenIDPodiatrist$80.6K$171.5K
    Nicholas PiersonIDDiagnostic Radiology Physician$165.6K$0
    Matthew HammondAZOphthalmology Physician$160.7K$0
    Peter VanceIDDiagnostic Radiology Physician$159.6K$0
    Richard BentleyIDDiagnostic Radiology Physician$150K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$25.3M
    Mountain Division - Cvh, LLCUTGeneral Acute Care Hospital$0$4.4M
    Team RecoveryUTSubstance Abuse Rehabilitation Facility$0$3M
    Cache County School DistrictUTLocal Education Agency (LEA)$0$2.9M
    Ihc Health Services IncUTInternal Medicine Physician$0$2.8M
    Rocky Mountain Emergency Specialists LLCUTEmergency Medicine Physician$0$2.4M
    Corey WalkerUTRheumatology Physician$2.3M$0
    Bear River District Health DeptUTPublic Health or Welfare Agency$99.1K$2.1M
    Bear River District Health DeptUTAddiction (Substance Use Disorder) Counselor$0$1.7M
    Daren GehringUTPediatric Dentistry$0$1M

    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. Utah Distribution
    Michael Clegg — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah