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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Michelette
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    Kenneth Michelette — Billing Profile & Reimbursement Data

    NPI 1851998488 · Galloway, NJ · Pain Medicine (Anesthesiology) Physician

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    Kenneth Michelette is a pain medicine (anesthesiology) physician provider located in Galloway, New Jersey. This profile covers 15 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
    OrganizationKenneth Michelette
    Address72 W Jimmie Leeds Rd Ste 2500
    CityGalloway
    StateNJ
    ZIP08205
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedOctober 6, 2020

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

    Payer SourceTotal Paid
    Medicare$38.6K
    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.

    15 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…540$50$27.3K
    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…100$60$5.9K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…40$40$1.2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…20$40$1K
    12001This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…10$50$640
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$460
    71101In this diagnostic procedure, the provider performs a three view unilateral radiological study of the ribs including a posteroanterior, or back to front, view of the chest. He performs this procedure…10$30$410
    90715The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.20$20$380
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.10$20$280
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.10$30$280

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131,16914,090100$70$13.1K
    992039245,66040$80$4.8K
    7356278079040$30$2.3K
    710469461,17080$10$2.3K
    930003,0833,44050$10$2.1K
    8742642183040$30$2K
    8742820541030$50$1.8K
    736309931,03040$20$1.6K
    7313058760030$20$1.1K
    1200182010$50$660

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlanticare Physician Group PANJClinic/Center$0$27.1M
    Anan HaijaNJRheumatology Physician$1.1M$0
    Jonathan TardosNJClinical Cardiac Electrophysiology Physician$962.9K$900
    Thomas MuellerNJUrology Physician$527.2K$0
    Gordon BrownNJUrology Physician$518.6K$0
    David SussmanNJUrology Physician$516.2K$0
    Swarna JayasingheNJCardiovascular Disease Physician$477.1K$0
    Khashayar SalartashNJVascular Surgery Physician$443.2K$0
    Dani KoryaNJNeurology Physician$432.2K$0
    Louis KeelerNJUrology Physician$431.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Preferred Home Health Care And Nursing Services, Inc.NJHome Health Agency$0$26.4M
    Ocean Healthcare Pcp-atlantic LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    Helping Hand Behavioral Health CorpNJAdult Mental Health Clinic/Center$0$8.8M
    Family Empowerment Associates, LLCNJMental Health Counselor$0$7.7M
    Galloway Township Public SchoolsNJLocal Education Agency (LEA)$0$7.6M
    Borys KrynyckyiNJNuclear Medicine Physician$1.4M$0
    Rajasree AjayNJHematology & Oncology Physician$850.4K$0
    Micah WattsNJVascular & Interventional Radiology Physician$777.9K$0
    Salaam AlobeidyNJPulmonary Disease Physician$535.1K$1.2K
    Christopher KimNJVascular & Interventional Radiology Physician$473.4K$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. New Jersey Distribution
    Kenneth Michelette — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey