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

    NPI 1801849666 · New York, NY · Legal Medicine

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    Michael Scanlon is a legal medicine provider located in New York, New York. This profile covers 26 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationMichael Scanlon
    Address96 E 4th St
    CityNew York
    StateNY
    ZIP10003
    TaxonomyLegal Medicine
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$402.2K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…750$100$71.5K
    11306The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.400$110$42.4K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.680$60$38.3K
    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…420$80$34.3K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.600$40$26.4K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.600$40$24.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…410$50$21.4K
    17111The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…160$120$18.3K
    11305The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the scalp, neck, hands, feet, or genitals.260$70$17.6K
    11421The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.120$140$17.3K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    117213001,270260$40$16.1K
    11765315030$140$15.4K
    1104215450080$80$12.1K
    992133,13831,44080$70$12.1K
    1142172060$120$10.6K
    171103021,28060$90$9.7K
    11057527060$80$9.1K
    97597346050$80$7.5K
    11720205660120$30$7K
    17250610040$60$6.8K

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Health Management Services, Inc.NYHome Health Agency$0$85.7M
    New York Eye & Ear InfirmaryNYSpecial Hospital$0$38.9M
    Nyu Langone HospitalsNYGeneral Acute Care Hospital$0$32.2M
    Realization Center, Inc.NYClinic/Center$0$27.2M
    Gpddc, LLCNYAmbulatory Surgical Clinic/Center$401.4K$11.7M
    Jonathan FeistmannNYOphthalmology Physician$2.7M$3.1M
    Louis AngiolettiNYRetina Specialist (Ophthalmology) Physician$2.2M$31.6K
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Navin MehtaNYOphthalmology Physician$460K$875.8K
    Alan DayanNYRetina Specialist (Ophthalmology) Physician$838.6K$226.1K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Michael Scanlon — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York