Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Matthew Michaels (NPI 1780666404)

Field	Value
Entity Type	Individual
Organization	Matthew Michaels
Address	3320 Perimeter Hill Dr
City	Nashville
State	TN
ZIP	37211
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	November 17, 2005

Payer Source	Total Paid
Medicare	$471.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The 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…	4,480	$60	$282.3K
99223	The 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…	730	$140	$99.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	540	$90	$48.1K
99233	The 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…	350	$90	$32.6K
99222	The 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…	70	$100	$7.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	$60	$2.3K
99231	The 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…	10	$40	$560

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Matthew Michaels — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	291	2,630	90	$90	$13.1K
99232	3	3,990	100	$60	$11.4K
99223	2	3,130	40	$120	$8K
99239	1	1,280	70	$80	$6.9K
99222	373	2,630	30	$90	$3.9K
99231	1,035	1,110	40	$40	$3.1K
99238	333	930	30	$60	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pain Medicine & Rehabilitation Group PC	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$4.2M
Isaac Spine Joint & Pain Institute	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$2.7M
Abiola Familusi	OH	Internal Medicine Physician	$976.8K	$175.8K
Tyler Woods	OK	Family Nurse Practitioner	$878.4K	$0
Jantey Carey	ND	Hospitalist Physician	$450.3K	$0
Chi Wu	NJ	Physical Medicine & Rehabilitation Physician	$402.2K	$0
Aaron Robertson	ND	Hospitalist Physician	$401.2K	$0
Michelle Pitts	TN	Nurse Practitioner	$358.4K	$0
Benjamin Wayment	WA	Physical Medicine & Rehabilitation Physician	$338.9K	$0
Kirill Alekseyev	DE	Hospitalist Physician	$328.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Visions, Inc.	TN	Foster Care Agency	$0	$133.3M
D&s Residential Services, LP	TN	In Home Supportive Care Agency	$0	$77.7M
Cg Of Tennessee, LLC	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$63.5M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$27.5M
Nashville Pediatric Providers, LLC	TN	Pediatric Nurse Practitioner	$0	$20M
Omni Community Health	TN	Social Worker	$0	$18.2M
Smile Center For Children	TN	Pediatric Dentistry	$0	$9.6M
Option Care Infusion Services, LLC	TN	Home Infusion Therapy Pharmacy	$0	$8.9M
Pediatric Partners Of Nashville, PLLC	TN	Pediatrics Physician	$0	$5.7M
Lifecare Heritage	TN	Adult Day Care Clinic/Center	$0	$4.8M

Matthew Michaels — Billing Profile & Reimbursement Data

Sign up for Matthew Michaels — Billing Profile & Reimbursement Data policy alerts

Matthew Michaels — Billing Profile & Reimbursement Data

Sign up for Matthew Michaels — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References