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    OpenPayerNPI Medicare & MedicaidMichael Le
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    Michael Le — Billing Profile & Reimbursement Data

    NPI 1821350059 · Temple Terrace, FL · Orthopaedic Surgery Physician

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    Michael Le is a orthopaedic surgery physician provider located in Temple Terrace, Florida. This profile covers 33 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 Le
    Address13020 N Telecom Pkwy
    CityTemple Terrace
    StateFL
    ZIP33637
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 13, 2012

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

    Payer SourceTotal Paid
    Medicare$156.6K
    Medicaid$370

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…530$60$32K
    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…270$90$22.8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…980$20$17.6K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.390$20$9.3K
    99204The 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…80$110$8.6K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$190$6.9K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$370$6.4K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110$50$5.5K
    99203The provider sees a new 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 provider…60$80$4.5K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$180$4.4K

    Showing 1–10 of 33

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    33 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,66332,760140$90$25K
    971101,5233,870690$20$21.6K
    2875093020$1,200$19.2K
    975302,7082,780370$20$18.9K
    28270182030$300$15.6K
    28285228030$400$12.4K
    992132,68430,01080$60$12K
    9588637941080$80$11.3K
    971401,9853,020290$20$9.1K
    2068075020$470$8.4K

    Showing 1–10 of 33

    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
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.20$20$360

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.353370440$10$16K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Channing WilloughbySCPain Medicine Physician$680.8K$0
    Anthony DinicolaSCPain Medicine (Physical Medicine & Rehabilitation) Physician$552K$0
    Jeffrey SmithSCInterventional Pain Medicine Physician$538K$1.6K
    Jason StackFLAdult Reconstructive Orthopaedic Surgery Physician$487.5K$0
    Scott WisotskyFLOrthopaedic Hand Surgery Physician$486.7K$0
    David WhiddonFLAdult Reconstructive Orthopaedic Surgery Physician$454K$0
    David CheongFLOrthopaedic Surgery Physician$444.5K$0
    Thomas BernasekFLOrthopaedic Surgery Physician$440.9K$0
    Andrew CooperFLOrthopaedic Surgery Physician$420.4K$0
    Kurt HirshornFLOrthopaedic Surgery Physician$411.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renal Care Group Tampa, LLCFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.4M
    Florida Orthopaedic Institute Surgery Center LLCFLAmbulatory Surgical Clinic/Center$470.8K$0
    Brian PalumboFLOrthopaedic Surgery Physician$407.1K$0
    Mark MighellFLOrthopaedic Surgery Physician$328.5K$0
    David WatsonFLOrthopaedic Surgery Physician$307.8K$0
    David DonohueFLOrthopaedic Trauma Physician$289.5K$0
    Harmindar GillFLDiagnostic Radiology Physician$268.1K$0
    John SmallFLOrthopaedic Surgery Physician$265.2K$0
    Amit JohnsinghFLNephrology Physician$207.3K$0
    Charles SandersFLNephrology Physician$204.6K$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. Florida Distribution
    Michael Le — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Michael Le — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida