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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Michelle Nagengast (NPI 1861980336)

Field	Value
Entity Type	Individual
Organization	Michelle Nagengast
Address	1406 6th Ave N
City	Saint Cloud
State	MN
ZIP	56303
Taxonomy	Occupational Therapist
NPI Enumerated	April 30, 2018

Payer Source	Total Paid
Medicare	$9.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	410	$20	$9K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	$70	$790

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Michelle Nagengast — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	91	820	100	$20	$4.6K
97167	8	10	20	$80	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Cloud Hospital	MN	General Acute Care Hospital	$0	$53.4M
St. Cloud Hospital	MN	Substance Use Disorder Rehabilitation Hospital Unit	$0	$5.2M
Minneapolis Clinic Of Neurology, Ltd	MN	Neurology Physician	$0	$5M
St. Cloud Hospital	MN	Clinic/Center	$0	$4.4M
Sue Mandell	WA	Radiation Oncology Physician	$302.2K	$0
Hani Alkhatib	MN	Hematology & Oncology Physician	$173.1K	$0
Ramesh Kumar Tentu	MN	Hospitalist Physician	$171.8K	$0
Bradley Stish	MN	Radiation Oncology Physician	$171.7K	$0
John Dvorak	MN	Ophthalmology Physician	$160.8K	$0
Karan Shah	IL	Radiation Oncology Physician	$156.9K	$0

Michelle Nagengast — Billing Profile & Reimbursement Data

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Michelle Nagengast — 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

Frequently Asked Questions

References