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 Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Michel Skaf (NPI 1821041740)

Field	Value
Entity Type	Individual
Organization	Michel Skaf
Address	428s Durbin St 104
City	Casper
State	WY
ZIP	82601
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$616.1K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $616.1K while Medicaid is reported as none (no Medicaid billing on file), indicating the practice’s Medicare activity drives virtually all public‑payer revenue. The precomputed metric shows the top 3 Medicare codes account for 47.2% of this provider’s total Medicare revenue, pointing to concentrated revenue sources within that payer.

The top revenue codes (99214, 93306, 78452) indicate a practice organized around outpatient cardiology evaluation and advanced cardiac imaging. 99214 contributes $126.5K (21.3% of Medicare revenue) and reflects high-volume office E/M work, while 93306 ($79.6K, 13.4%) and 78452 ($73.8K, 12.4%) show substantial use of echocardiography and nuclear SPECT studies as core service lines.

Revenue concentration is high: the platform’s precomputed finding that the top 3 codes represent 47.2% of Medicare revenue underscores reliance on a small set of visit and cardiac imaging services for nearly half of Medicare billing. This concentration elevates the operational importance of maintaining capacity for E/M visits, transthoracic echo, and nuclear stress testing.

99214 appears as a national outlier in volume: the provider reports 1.6K claims and $78 avg paid/claim for 99214 ($126.5K revenue, 21.3% of Medicare revenue), ranking #2851 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That ranking signals unusually high office visit throughput relative to peers on a national basis.

Diagnostic testing volumes show mixed competitive standing: 93306 ranks #1834 of 24624 providers nationally (93th percentile; typical, unremarkable volume) and 78452 ranks #981 of 14946 (93th percentile; typical, unremarkable volume), indicating solid but not dominant national standing for echocardiography and nuclear imaging. In contrast, A9500 (Technetium tc-99m sestamibi) is notably above typical national volume, ranking #223 of 4099 providers (95th percentile; notably above typical national volume) and contributing $59.2K (10.0% of Medicare revenue), which reinforces strength in nuclear cardiology supply.

The clinic’s service breadth includes procedural and device work beyond routine outpatient visits and imaging: notable billings include 36482 (chemical vein ablation) with 45 claims and $60K revenue (10.1% of Medicare revenue), pacemaker implant 33208 ($9.6K, 1.6%), coronary angiography 93460 ($6.5K, 1.1%), device programming 93280 ($11.4K, 1.9%), and remote device review 93294 ($2.4K, 0.4%). These entries show capability in venous ablation, implantable cardiac device procedures, and catheterization services in addition to noninvasive diagnostics.

High volumes of brief diagnostic EKG and ECG services further characterize throughput: 93000 appears with ~1K claims and $10K revenue (1.7% of Medicare revenue), ranking #1473 of 71016 providers nationally (98th percentile; extreme outlier, far above typical national volume). Combined with the 99214 outlier status, this pattern suggests a workflow with large numbers of clinic visits supplemented by routine ECG testing.

The provider has long tenure in Medicare billing, with an NPI enumerated 2006-05-19 (~20 years ago), consistent with an established practice profile. That extended presence combined with the mix of high E/M volume, sustained imaging activity, and a range of procedural codes suggests an entrenched regional cardiology operation focused on outpatient care and diagnostic services.

Medicare: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,620	$80	$126.5K
93306	The 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…	640	$130	$79.6K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	220	$340	$73.8K
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	50	$1,330	$60K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	430	$140	$59.2K
J2785	Injection, regadenoson, 0.1 mg	750	$40	$31.6K
93880	Duplex 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…	210	$140	$27.9K
99213	The 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…	360	$50	$18.9K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	120	$140	$17.2K
99204	The provider sees a new 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 provider…	110	$120	$13.1K

Showing 1–10 of 49

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Michel Skaf — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

49 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36482	2	10	50	$1,330	$91.9K
93306	1	20	300	$100	$29.6K
A9500	1	10	90	$130	$15.8K
99214	2	780	100	$80	$14.8K
78452	1	20	70	$210	$13.7K
99232	59	190	90	$60	$11K
J2785	1	10	180	$40	$10.6K
99213	105	850	110	$60	$9.9K
93460	4	10	20	$250	$9.6K
33208	2	10	20	$390	$9.4K

Showing 1–10 of 49

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M
Aspire Case Management Services	WY	Case Management Agency	$0	$2.3M

Michel Skaf — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References