Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Prada
    Ask Trek AI about this page

    Michael Prada — Billing Profile & Reimbursement Data

    NPI 1831525997 · Baltimore, MD · Surgical Physician Assistant

    Customize your policy alerts

    Sign up for Michael Prada — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Prada is a surgical physician assistant provider located in Baltimore, Maryland. This profile covers 12 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Prada
    Address301 St. Paul Place, Lower Level
    CityBaltimore
    StateMD
    ZIP21202
    TaxonomySurgical Physician Assistant
    NPI EnumeratedSeptember 20, 2013

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

    Payer SourceTotal Paid
    Medicare$29.5K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…40$220$9.4K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…100$30$3.2K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$90$3K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.10$210$2.5K
    63030This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral…20$140$2.1K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$100$2K
    22634In this add–on procedure, the provider joins two additional adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The…30$60$1.9K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.20$90$1.8K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…30$50$1.5K
    63052At the same session as lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.40$30$1.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2263355020$1,110$26.5K
    22551294020$1,340$24.1K
    22614658060$280$20.6K
    630476511020$620$16.8K
    63030101020$800$16K
    22842178020$500$13.1K
    2263441030$260$9.5K
    22840124020$480$9.2K
    2285398040$160$8.4K
    63048819040$150$7.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maryland Family Care, Inc.MDFamily Medicine Physician$0$24.6M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Michael MccuskerVAHematology & Oncology Physician$1.5M$0
    Vinod VarkiNYHematology & Oncology Physician$388.7K$0
    Fernando FerroMDInternal Medicine Physician$259.3K$0
    Marion KowalewskiMDInternal Medicine Physician$258.9K$0
    Ayman AkkadMDInternal Medicine Physician$212K$0
    John AbelMDInternal Medicine Physician$208.6K$0
    Robert HabichtMDInternal Medicine Physician$153.8K$0
    Marie-alberte BoursiquotMDInternal Medicine Physician$138.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore City SchoolsMDLocal Education Agency (LEA)$0$95.8M
    Mayor And City Council Of BaltimoreMDLand Ambulance$6.3M$38M
    Health Care For The Homeless, IncMDFederally Qualified Health Center (FQHC)$0$26.8M
    Hope Resource Center, LLCMDCommunity/Behavioral Health Agency$0$18.1M
    Pha Healthcare LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$18M
    St Paul Place Specialists, Inc.MDDermatology Physician$0$13.3M
    Lighthouse Behavioral Health Center, LLCMDSubstance Abuse Rehabilitation Facility$0$11.5M
    Emergency Physicians SppsMDEmergency Medicine Physician$0$9.8M
    Heavens Place-outpatient Detox & Recovery CenterMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    S K Pesis Dds, Big Smiles Maryland, PCMDDentist$0$6.9M

    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. Maryland Distribution
    Michael Prada — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland