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

    NPI 1851472781 · Washington, DC · Internal Medicine Physician

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    Michael Cannaday is a internal medicine physician provider located in Washington, District of Columbia. This profile covers 18 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 Cannaday
    Address106 Irving St Nw
    CityWashington
    StateDC
    ZIP20010
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 18, 2006

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

    Payer SourceTotal Paid
    Medicare$314.8K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused practice: lifetime Medicare revenue is $314.8K and there is no Medicaid billing on file, so payer mix is single-payer in practice rather than balanced across Medicare and Medicaid. That concentrated payer footprint will shape contracting and population strategies, since Medicaid-managed care or state fee-for-service revenue streams are absent.

    Revenue concentration is high: the precomputed top-3 Medicare codes account for 53.9% of this provider's total Medicare revenue, with 99214 alone contributing $113.3K (36.0% of Medicare revenue). This indicates a small number of services drive the majority of the provider’s Medicare payments, amplifying operational and reimbursement risk tied to those codes.

    The top codes suggest a mixed primary-care and on-site diagnostics/service-line model. High-volume office E/M visits like 99214 (1.1K claims) and 99215 (169 claims) sit alongside procedure-heavy diagnostics — notably 93880 (172 claims, vascular duplex), 76775 (489 claims, limited retroperitoneal ultrasound), 93306 (149 claims, echocardiography), and 93000 (901 claims, ECG) — consistent with an internal medicine practice that also performs substantial point-of-care imaging and cardiology-related testing.

    99214 is a national outlier for volume: it generates $113.3K in revenue, ranks #9236 of 479517 providers nationally, and is labeled an "extreme outlier, far above typical national volume for this code." That ranking indicates this provider is operating at markedly higher-than-typical national volumes for higher-complexity established-patient visits, which may reflect a large Medicare panel or clinic workflow emphasizing longer, more complex visits.

    Imaging and procedure lines show mixed competitive standing. 76775 (limited retroperitoneal ultrasound) is an extreme outlier and ranks #30 of 6648 providers (100th percentile), while 93880 (duplex arterial scan) ranks #2201 of 21316 providers (90th percentile; typical), and 93306 (echocardiography) sits at the 37th percentile. This pattern points to unusual concentration in specific ultrasound services (especially retroperitoneal ultrasound) rather than uniformly high volume across all imaging modalities.

    Several ancillary and preventive services contribute materially and indicate on-site capacity for routine care: vaccines appear repeatedly (90662, 90732, G0008, G0009, 90670) among the top-billed codes, and basic diagnostics like 93000 (901 claims, 97th percentile; notably above typical national volume for this code) and 36415 (1.1K claims, 97th percentile) are high-volume entries. These items suggest the practice bundles vaccination and point-of-care testing alongside office visits, supporting a full-service ambulatory model.

    Despite strong volume in select codes, many evaluation-and-management and diagnostic codes are in more typical ranges nationally: 99213 and 99215 are reported as "typical, unremarkable volume for this code" at their respective ranks, and several vaccine codes are described as typical for national peers. This mix—extreme outlier performance in a few services combined with otherwise typical volumes—suggests the provider is specialized around a few high-yield procedures while remaining a conventional primary-care provider for other services.

    The provider has long tenure in the Medicare program, with an NPI enumerated on 2006-10-18 (~20 years ago), which supports the view that these patterns reflect an established practice rather than a newly formed billing pattern. Longevity paired with concentrated code outliers (especially 99214 and 76775) suggests stable operational decisions to maintain those high-volume services over time rather than transient billing fluctuations.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,090$100$113.3K
    93880Duplex 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…170$180$31K
    76775A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…490$50$25.4K
    93306The 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…150$150$22.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…280$70$20.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…170$110$18.6K
    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…210$70$15.3K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…90$130$12.3K
    93000The 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…900$10$11.7K
    G0008Administration of influenza virus vaccine290$40$10K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933064980240$110$32.4K
    9921491,40090$100$15.3K
    992159966050$130$12.3K
    9388086040$130$11.1K
    992131871,20050$70$8.5K
    9920451367030$130$6.4K
    9067011030$240$6.3K
    9920528233030$170$5.6K
    9073211020$130$3.6K
    90662113030$70$3.1K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's HospitalDCChildren's Hospital$0$243.1M
    Medstar Washington Hospital CenterDCGeneral Acute Care Hospital$0$239M
    Children's HospitalDCPediatrics Physician$0$115.3M
    Whc Physician Group LLCDCGeneral Practice Physician$0$93.8M
    Medstar Medical Group Radiology, LLCDCDiagnostic Radiology Physician$0$17.5M
    National Rehabilitation Hospital IncDCRehabilitation Hospital$0$16.9M
    Hero Dental Of Washington Dc PCDCGeneral Practice Dentistry$0$11.7M
    Medstar Heart Institute LLCDCSurgery Physician$0$4.8M
    Bio-medical Applications Of Columbia Heights, Inc.DCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Washington Hospital Center CorpDCGeneral Practice Physician$0$3.7M

    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. District of Columbia Distribution
    Michael Cannaday — 11 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia