Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Michael Maccini (NPI 1861767121)

Field	Value
Entity Type	Individual
Organization	Michael Maccini
Address	1401 E Trent Ave Ste 200
City	Spokane
State	WA
ZIP	99202
Taxonomy	Urology Physician
NPI Enumerated	March 19, 2012

Payer Source	Total Paid
Medicare	$299.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
52442	In 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	$720	$89.3K
52441	Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.	30	$1,000	$31.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	160	$160	$25K
99213	The 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…	340	$60	$21.3K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	60	$290	$16K
99214	The 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…	200	$80	$16K
J0585	Injection, onabotulinumtoxina, 1 unit	2,900	$10	$14.5K
55867	The provider excises part of the prostate gland using a laparoscopic approach. The provider also performs a vasectomy, incises and enlarges the urethra, and takes measures to prevent blood loss after…	10	$830	$11.7K
99204	The 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…	90	$120	$10.7K
52601	During 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…	20	$570	$9.6K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Maccini — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	67	90	6,700	$1	$55.7K
52442	3	20	90	$320	$29.6K
52000	26	180	90	$140	$14.4K
99214	2,893	10,860	100	$80	$13.6K
52601	12	30	20	$640	$12.2K
52287	38	50	20	$310	$11.4K
52441	4	20	20	$500	$11K
55867	3	10	10	$640	$10.8K
0421T	2	10	10	$590	$9.5K
51728	6	40	30	$220	$8.5K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Murrey	WA	Vascular & Interventional Radiology Physician	$1.4M	$0
Karie-lynn Kelly	WA	Radiation Oncology Physician	$1M	$0
Bradford Nelson	WA	Urology Physician	$351.2K	$0
Raymond Lance	WA	Urology Physician	$214.4K	$0
Carl Walker	WA	Urology Physician	$209.2K	$0
David Mikkelsen	WA	Urology Physician	$158.4K	$0
Levi Deters	WA	Urology Physician	$157.8K	$0
Shane Pearce	WA	Urology Physician	$135.4K	$0
Jason Vergnani	WA	Vascular & Interventional Radiology Physician	$117.2K	$0
Susan Cain	WA	Nurse Practitioner	$113.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	Internal Medicine Physician	$0	$46.6M
Frontier Behavioral Health	WA	Community/Behavioral Health Agency	$0	$34.3M
Dungarvin Washington Children's Services, LLC	WA	Developmental Disabilities Clinic/Center	$0	$21.3M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.2M
Providence Health & Services- Washington	WA	Rehabilitation Hospital	$0	$8M
Compass Career Solutions LLC	WA	Developmentally Disabled Services Day Training Agency	$0	$7.7M
Inland Imaging LLC	WA	Diagnostic Radiology Physician	$0	$6.8M
Northwest Autism Center	WA	Community/Behavioral Health Agency	$0	$5.9M
Northwest Pediatric Ophthalmology	WA	Ophthalmology Physician	$0	$4.2M
Inland Northwest Renal Care Group, LLC	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M

Michael Maccini — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References