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

    NPI 1710144670 · Washington, DC · Nephrology Physician

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    Michael Sherman is a nephrology physician provider located in Washington, District of Columbia. This profile covers 11 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 Sherman
    Address110 Irving St Nw
    CityWashington
    StateDC
    ZIP20010
    TaxonomyNephrology Physician
    NPI EnumeratedMay 19, 2008

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

    Payer SourceTotal Paid
    Medicare$205.7K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…220$250$54.8K
    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…700$70$48.7K
    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…260$90$23.7K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…280$60$17.9K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…50$300$16.1K
    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…100$120$12K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$150$9.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$100$9.2K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…30$170$5.5K
    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…50$120$5.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    909602430200$310$69K
    9096163090$250$35.5K
    9923333565090$100$17.6K
    992142641,40090$100$15.3K
    90962112050$170$11.4K
    992321664070$70$10K
    9922316961040$140$8.4K
    9093553060$60$7.2K
    9920427267030$130$6.4K
    9094571050$70$4.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Javad KhalilzadehDCGastroenterology Physician$463K$1.4M
    Maral SkelseyMDDermatology Physician$1.1M$0
    Andrew SatinskyMDTherapeutic Radiology Physician$793.1K$0
    Fred MoDCOrthopaedic Surgery of the Spine Physician$688.8K$0
    Andrea SingerDCInternal Medicine Physician$608.6K$0
    Jean-marc VoyadzisMDNeurological Surgery Physician$486.7K$0
    Ryan HankinsDCUrology Physician$445K$0
    Michael LeeDCSpecialist$438.8K$0
    Fernando PaganDCNeurology Physician$436.9K$0
    Brett LevineILAdult Reconstructive Orthopaedic Surgery Physician$427.8K$1.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalDCChildren's Hospital$0$243.1M
    Medstar Washington Hospital CenterDCGeneral Acute Care Hospital$0$239M
    Children's HospitalDCPediatrics Physician$0$115.3M
    Whc Physician Group LLCDCGeneral Practice Physician$0$93.8M
    Medstar Medical Group Radiology, LLCDCDiagnostic Radiology Physician$0$17.5M
    National Rehabilitation Hospital IncDCRehabilitation Hospital$0$16.9M
    Hero Dental Of Washington Dc PCDCGeneral Practice Dentistry$0$11.7M
    Medstar Heart Institute LLCDCSurgery Physician$0$4.8M
    Bio-medical Applications Of Columbia Heights, Inc.DCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Washington Hospital Center CorpDCGeneral Practice Physician$0$3.7M

    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. District of Columbia Distribution
    Michael Sherman — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia