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

    NPI 1689776148 · Joplin, MO · Family Medicine Physician

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    Michael Knapp is a family medicine physician provider located in Joplin, Missouri. This profile covers 14 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Knapp
    Address601 S Schifferdecker Ave
    CityJoplin
    StateMO
    ZIP64801
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 3, 2006

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

    Payer SourceTotal Paid
    Medicare$96.8K
    Medicaid$770

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$80$65.4K
    98927The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.260$40$10.1K
    98928The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.140$50$6.6K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$170$4.1K
    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…40$60$2.5K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…60$30$2K
    G0008Administration of influenza virus vaccine60$20$1.5K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…130$10$1.2K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.80$10$1.1K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.200$1$800

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142298,960100$80$13.9K
    992135,6788,73070$50$7K
    9892852080$50$6.6K
    98927320100$40$5.2K
    994963614020$180$3.8K
    G00089572,26050$30$2.5K
    98926202040$30$2.5K
    992121,7451,93030$30$2K
    9075652040$30$1.8K
    8303618094050$10$1.2K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$30$760

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,6503,170230$70$128.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matt FergusonMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.9M
    Greater Joplin Area Emergency Medical Services System IncMOLand Ambulance$1.3M$9.1M
    Michael JosephMORheumatology Physician$5.1M$0
    Charlottes Angels, LLCMOIn Home Supportive Care Agency$0$4.4M
    Ozark Tri-county Health Care ConsortiumMOFederally Qualified Health Center (FQHC)$0$4M
    Bokker, Inc.MOIn Home Supportive Care Agency$0$3.7M
    Avril PrabakaranMOPhysical Therapist$307.3K$0
    Roger SchoenfeldMOUrology Physician$114.2K$0
    Vanessa JarrettMONurse Practitioner$2.8K$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. Missouri Distribution
    Michael Knapp — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Michael Knapp — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri