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

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

Susan Michal (NPI 1871670356)

Field	Value
Entity Type	Individual
Organization	Susan Michal
Address	115 W Railway St
City	Scottsbluff
State	NE
ZIP	69361
Taxonomy	Mental Health Counselor
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$229.9K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,550	$90	$229.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nebraska Distribution

Susan Michal — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	90	510	450	$100	$168.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional West Medical Center	NE	General Acute Care Hospital	$0	$15.1M
Regional West Physicians Clinic	NE	Family Medicine Physician	$0	$9M
Pediatric Dentistry Of Nebraska	NE	Pediatric Dentistry	$0	$3.6M
Regional West Medical Center	NE	Emergency Medicine Physician	$0	$1.7M
Med-trans Corporation	NE	Air Ambulance	$1.5M	$8.9K
Valley Ambulance Services, Inc	NE	Ambulance	$558K	$868.6K
Regional West Medical Center	NE	Home Health Agency	$0	$1.4M
Options In Psychology LLC	NE	Psychologist	$0	$1.2M
Webb Orthodontics, LLP	NE	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Quick Care Medical Services Inc	NE	Urgent Care Clinic/Center	$0	$1.1M

Susan Michal — Billing Profile & Reimbursement Data

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Susan Michal — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References