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

    NPI 1861849333 · La Jolla, CA · Student in an Organized Health Care Education/Training Program

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    Michael Lay is a student in an organized health care education/training program provider located in La Jolla, California. This profile covers 16 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 Lay
    Address10666 N Torrey Pines Rd
    CityLa Jolla
    StateCA
    ZIP92037
    TaxonomyStudent in an Organized Health Care Education/Training Program
    NPI EnumeratedMay 15, 2016

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

    Payer SourceTotal Paid
    Medicare$43.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…120$70$8.3K
    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…110$60$6.4K
    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…60$90$5.4K
    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…40$100$4.1K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…30$120$3.3K
    22533A provider performs arthrodesis, also called spinal fusion, to permanently join two or more vertebrae in the lumbar spine. Spinal arthrodesis restores mobility and alleviates persistent pain…20$160$2.7K
    22214The provider performs an osteotomy, a bony incision, of a lumbar vertebra, one of the bones in the lower back, to realign the spine and correct spinal deformities. He makes the incision in the…30$90$2.4K
    63042This 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…10$200$2.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…50$50$2.2K
    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…40$40$1.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    226125521020$1,320$31.7K
    9921425,21737,970120$90$23.2K
    6303055020$850$20.3K
    2261413823050$230$19.4K
    63042142020$730$18.9K
    2253341020$800$15.3K
    22214156020$440$13.8K
    9921314,80334,66080$70$13.2K
    22216425040$190$12.9K
    228427122020$450$9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Darren SigalCAMedical Oncology Physician$2.9M$0
    Somharn SaekowCADermatology Physician$610.8K$0
    David HermelCAHematology & Oncology Physician$604.9K$0
    James MasonCAHematology & Oncology Physician$592.3K$0
    Youngmin ChuCADiagnostic Radiology Physician$576.9K$0
    Robert EastlackCAOrthopaedic Surgery Physician$514.9K$0
    Matthew PriceCAInterventional Cardiology Physician$386.1K$0
    Paul TeirsteinCAInterventional Cardiology Physician$341K$0
    David FrankelCASurgery Physician$340.2K$0
    Riaz AhmedCACardiovascular Disease Physician$317.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Michael Lay — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California