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

    NPI 1801988027 · Mishawaka, IN · Specialist

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    Michael Englert is a specialist provider located in Mishawaka, Indiana. This profile covers 6 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 Englert
    Address611 E Douglas Rd
    CityMishawaka
    StateIN
    ZIP46545
    TaxonomySpecialist
    NPI EnumeratedSeptember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$50.9K
    Medicaid$1.6K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit9,130$10$45.6K
    95874In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…40$60$2K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…30$40$1.3K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…40$40$1.3K
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…10$50$590
    95822Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…10$40$500

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058537808,460$1$51K
    958164910030$100$5K
    95819226030$90$4K
    95874182040$50$2.9K
    95908435020$70$1.9K
    9582271020$40$1.1K

    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
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…40$40$1.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…4360120$320$177.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Se Wisconsin Hospital, IncWIGeneral Acute Care Hospital$0$94.4M
    Saint Joseph Regional Medical Center-south Bend Campus, Inc.INGeneral Acute Care Hospital$0$18.7M
    Saint Joseph Regional Medical Center, Inc.INFamily Medicine Physician$0$10.7M
    Saint Joseph Regional Medical Center- Plymouth Campus IncINGeneral Acute Care Hospital$0$6.5M
    Saint Joseph Regional Medical Center, Inc.INPulmonary Disease Physician$0$5.5M
    Saint Joseph Regional Medical Center-south Bend Campus, Inc.INFamily Medicine Physician$0$4.8M
    Zulfiqar MirzaINCardiovascular Disease Physician$392.2K$0
    Douglas LiepertINSleep Medicine (Otolaryngology) Physician$392K$0
    Hunter NolenMOUrology Physician$359.5K$0
    Eric KimCANeurology Physician$300.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Toxusa Labs LLCINClinical Medical Laboratory$1.3M$9.6M
    Pic Indiana PCINUrgent Care Clinic/Center$0$10.7M
    Radiology, IncINDiagnostic Radiology Physician$0$6.8M
    Miracle Lane Family Dentistry P.C.INDental Clinic/Center$0$5.1M
    Michiana Eye Center LLCINOphthalmology Physician$0$5M
    Northern Indiana Interim Healthcare Company LLCINHome Health Agency$0$4.5M
    Del Pilar Medical & Urgent Care PCINGeriatric Medicine (Family Medicine) Physician$0$3.6M
    Michiana Hematology-oncology P CINMedical Oncology Physician$0$3M
    Linda MonroeINClinical Psychologist$15.4K$2.9M
    Nephrology Physicians LLCINAmbulatory Surgical Clinic/Center$1.4M$843.8K

    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. Indiana Distribution
    Michael Englert — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Michael Englert — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana