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

    NPI 1851328660 · Cincinnati, OH · Urology Physician

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    Michael Rousseau is a urology physician provider located in Cincinnati, Ohio. This profile covers 33 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 Rousseau
    Address4360 Ferguson Dr Ste 100
    CityCincinnati
    StateOH
    ZIP45245
    TaxonomyUrology Physician
    NPI EnumeratedJune 27, 2006

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

    Payer SourceTotal Paid
    Medicare$389.5K
    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A4648Tissue marker, implantable, any type, each200$620$123.8K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…50$2,160$103.8K
    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…780$80$65.1K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$570$14.8K
    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…180$70$11.6K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…240$50$11.1K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…70$120$8.7K
    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$100$8.1K
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.120$40$4.8K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.30$160$4.7K

    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
    A4648110130$610$89K
    87086556060$10$23.1K
    84403416030$30$16.4K
    5587411020$690$15.1K
    5260143010$750$13.4K
    9921429620,010100$70$11.7K
    5228163020$290$10.9K
    5200031534070$120$10.5K
    5244222060$120$8.3K
    99490107420100$40$8.1K

    Showing 1–10 of 33

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ann AndersonNYClinical Pathology/Laboratory Medicine Physician$5.2M$0
    Michael NagarPAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Jeffrey GrassOHRadiation Oncology Physician$1.2M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Peter FriedOHRadiation Oncology Physician$904.7K$0
    Matthew BertkeOHRadiation Oncology Physician$879.5K$0
    Mark DelworthOHUrology Physician$468.3K$0
    Cynthia WestermannOHAnatomic Pathology & Clinical Pathology Physician$432.2K$0
    Stephen BennettOHUrology Physician$323K$0
    Robert LarkeKYUrology Physician$322K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Health Mw, LLCOHClinical Medical Laboratory$15M$20M
    Cei Physicians Psc, LLCOHAmbulatory Surgical Clinic/Center$1.4M$153K
    Benjamin HermsOHHematology & Oncology Physician$1.3M$0
    Township Union Clermont CountyOHAmbulance$426.6K$784K
    Wellington Specialty Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$1.1M$0
    David DrosickOHMedical Oncology Physician$987.6K$0
    Mark JohnsOHHematology & Oncology Physician$793.4K$0
    Midwest Eye Surgery CenterOHOphthalmologic Surgery Clinic/Center$562.4K$47.9K
    Marc MosbacherOHRadiation Oncology Physician$535.1K$0
    Proscan Open Mri East, Ltd.OHDiagnostic Radiology Physician$208.2K$84.6K

    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. Ohio Distribution
    Michael Rousseau — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio