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    OpenPayerNPI Medicare & MedicaidJohn Knapp
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    John Knapp — Billing Profile & Reimbursement Data

    NPI 1811997216 · Roseville, MI · Specialist

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    John Knapp is a specialist provider located in Roseville, Michigan. This profile covers 16 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
    OrganizationJohn Knapp
    Address29751 Little Mack Ave
    CityRoseville
    StateMI
    ZIP48066
    TaxonomySpecialist
    NPI EnumeratedJuly 28, 2005

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

    Payer SourceTotal Paid
    Medicare$65K
    Medicaid$280

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…210$90$19.6K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…110$130$13.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…110$50$5.7K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.50$90$4.1K
    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…60$60$4K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory60$40$2.6K
    58340In this procedure, the provider introduces a catheter with saline or contrast material into the woman's uterus or the fallopian tubes at the same time as ultrasound or X–ray imaging. This procedure…10$190$2.5K
    G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous130$20$2.3K
    57150In this procedure, the provider washes out the vaginal canal and may also instill medication when the patient has a bacterial, fungal, or parasitic disease.50$50$2.2K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination50$40$1.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067281390290$50$19.6K
    77063271380260$30$11.8K
    992143,32915,47080$80$11.4K
    992137,30314,81060$60$6.6K
    992045,1786,28030$110$4.2K
    5834011010$190$2.5K
    7708029439070$10$2.4K
    5715011030$40$1.4K
    G01017742020$40$1.3K
    768302426020$40$1.2K

    Showing 1–10 of 16

    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
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory10$20$240
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…10$1$40
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…100$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory225230150$10$9.7K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…889970340$1$2.7K
    99072The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…200340140$1$20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Together Women's Health Medical Group, P.C.MIObstetrics & Gynecology Physician$0$6.9M
    Kenneth FoxNCDiagnostic Radiology Physician$303K$360
    Tom StamatisOHDiagnostic Radiology Physician$101.2K$0
    Paul NehraMIObstetrics & Gynecology Physician$90K$0
    Benjamin ChenMIObstetrics & Gynecology Physician$52.8K$9.9K
    Chad WhiteMIObstetrics & Gynecology Physician$61.2K$0
    Deborah HambyMISpecialist$50.1K$120
    Suzanne HallMISpecialist$42.6K$530
    Angela MessinaMIObstetrics & Gynecology Physician$37.7K$0
    Andrea SchillerMIObstetrics & Gynecology Physician$24.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bio-med Behavioral Health ServicesMIAddiction (Substance Use Disorder) Counselor$192.7K$24.6M
    Roseville Urgent Care, PCMIUrgent Care Clinic/Center$0$6.5M
    City Of RosevilleMIAmbulance$306.8K$2.3M
    Adli YakanMIMedical Oncology Physician$1.7M$0
    Lokesh NagoriMIMedical Oncology Physician$719.1K$0
    Vera MaranciMIMedical Oncology Physician$471.1K$0
    Mouhammed JoumaaMIInterventional Cardiology Physician$360K$0
    Subhi SbahiMICardiovascular Disease Physician$336K$0
    Jimmy HaouilouMIVascular Surgery Physician$334.2K$0
    Majid AlzagoumMICardiovascular Disease Physician$317.3K$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. Michigan Distribution
    John Knapp — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    John Knapp — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan