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

    NPI 1801030762 · Smithtown, NY · Specialist

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    Michael Happes is a specialist provider located in Smithtown, New York. This profile covers 31 Medicare and 3 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 Happes
    Address260 Middle Country Rd.
    CitySmithtown
    StateNY
    ZIP11787
    TaxonomySpecialist
    NPI EnumeratedApril 22, 2009

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

    Payer SourceTotal Paid
    Medicare$522.8K
    Medicaid$2K

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…1,110$180$200K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…110$530$57.1K
    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…470$110$51.1K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…320$140$44.7K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…160$220$34.4K
    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…180$120$21.4K
    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…180$70$13.5K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…40$320$11.8K
    33361The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…10$760$9.9K
    92978In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…110$90$9.8K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3336113415030$680$32.2K
    933066281,990200$110$30.7K
    929281425030$510$21.8K
    992143,25930,45090$100$19K
    92933162030$590$18.8K
    992335,2108,64080$100$15.8K
    9388041,73050$140$14.5K
    9392542571040$180$13.9K
    992323,37711,85080$70$13.8K
    934582037040$220$12.4K

    Showing 1–10 of 31

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…80$20$1.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…10$40$480
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.100$1$310

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,6441,710290$110$129.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…396630190$100$67.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,4592,130340$10$17.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David HochNYClinical Cardiac Electrophysiology Physician$4.6M$41.3K
    Vinod JayamNYCardiovascular Disease Physician$1.9M$82.5K
    Joseph LevineNYClinical Cardiac Electrophysiology Physician$1.8M$36.9K
    Armen OvsepianNYSpecialist$1.6M$3.9K
    David DagateNYSpecialist$1.5M$62K
    William ShinNYClinical Cardiac Electrophysiology Physician$1.5M$27.1K
    Joshua SternNYInternal Medicine Physician$1.4M$107.5K
    Jeffrey NakhjavanNYInternal Medicine Physician$885K$584.4K
    Eileen BishopNYSpecialist$1.2M$94.5K
    David GidsegNYSpecialist$1.2M$95.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Companions, Inc.NYHome Health Agency$0$100M
    Planned Parenthood Hudson Peconic Inc.NYAmbulatory Family Planning Facility$0$25.1M
    Timothy GrothNYPain Medicine (Anesthesiology) Physician$2.4M$357.5K
    Luna Healing Solution IncNYDiagnostic Ultrasound Physician$1.1M$1.3M
    Noshir DacostaNYHematology & Oncology Physician$2.3M$12.6K
    Mcclain Laboratories LLCNYAnatomic Pathology & Clinical Pathology Physician$1.7M$385.6K
    Donna SerureNYDermatology Physician$1.8M$21.5K
    Hong XuNYRheumatology Physician$1.7M$0
    Luiziana MarinescuNYRheumatology Physician$1.6M$0
    North Shore Surgi-center IncNYAmbulatory Surgical Clinic/Center$1.6M$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. New York Distribution
    Michael Happes — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Michael Happes — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York