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

    NPI 1831163500 · Moorefield, WV · Family Medicine Physician

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    Michael Riggleman is a family medicine physician provider located in Moorefield, West Virginia. This profile covers 6 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Riggleman
    Address112 Kuykendall Ln
    CityMoorefield
    StateWV
    ZIP26836
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 17, 2006

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

    Payer SourceTotal Paid
    Medicare$8.2K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,000$10$7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…50$10$460
    81000The 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…100$1$400
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.20$20$270
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…60$1$240
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$1$100

    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
    364151334080$10$1.7K
    830368819050$10$1.2K
    8780415316040$20$1K
    85610152090$1$590
    8100042030$1$340
    93005137020$1$80

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$7.8M
    E.a. Hawse Health Center IncWVFederally Qualified Health Center (FQHC)$0$4.9M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$4.2M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$3.3M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$1.4M
    E.a. Hawse Health Center Inc.WVFederally Qualified Health Center (FQHC)$0$1.3M
    Jerry HahnWVProcedural Dermatology Physician$1.1M$0
    Heather BargerWVFamily Nurse Practitioner$53.5K$870
    Jill LandisWVNurse Practitioner$38.4K$0
    Amy KumpWVPhysician Assistant$23.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Drs Rw & Ja Love Memorial ClinicWVFamily Medicine Physician$0$1.2M
    West Hardy Emergency Medical Services, Inc.WVLand Ambulance$132.9K$195.8K
    Calvin BensenhaverWVSpecialist$97.4K$139.8K
    Hardy County Board Of HealthWVPublic Health or Welfare Agency$49.5K$13K
    Susan RogersWVFamily Nurse Practitioner$23.8K$0
    Tina WaldronWVFamily Nurse Practitioner$23.3K$0
    Kari SpaidWVFamily Nurse Practitioner$19.2K$0
    Leigh WaltersWVPhysician Assistant$18K$0
    Donna FisherWVFamily Medicine Physician$2.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Michael Riggleman — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia