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    OpenPayerNPI Medicare & MedicaidVictor Michalak
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    Victor Michalak — Billing Profile & Reimbursement Data

    NPI 1922050616 · Issaquah, WA · Specialist

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    Victor Michalak is a specialist provider located in Issaquah, Washington. This profile covers 19 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
    OrganizationVictor Michalak
    Address295 Ne Gilman Blvd
    CityIssaquah
    StateWA
    ZIP98027
    TaxonomySpecialist
    NPI EnumeratedMay 17, 2006

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

    Payer SourceTotal Paid
    Medicare$242.7K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.90$450$42.1K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…50$580$28.9K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.70$350$25.4K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…830$30$24.1K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$410$16K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…40$380$15.9K
    14001The provider repairs defects in the patient’s trunk by using healthy tissues from an adjacent body part. This code represents transfer of adjacent tissue for defects that equal 10.1 cm2 and up to…40$440$15.4K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…70$220$15K
    14000In an adjacent tissue transfer (ATT) of the trunk, the provider transfers a skin part to another skin segment on the trunk.  This code is for an ATT 10 cm2 in size or less.50$310$14.1K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.40$380$13.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173116270240$440$131.7K
    173125860110$320$47.2K
    88305117340530$40$39.4K
    17313506040$450$22.3K
    14041224020$670$20.2K
    1402111020$610$17.1K
    14060146020$540$16.2K
    1400011030$450$15.4K
    1402011020$470$15.1K
    1404064020$530$14.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Victor R. MichalakWAAmbulatory Surgical Clinic/Center$134.7K$0
    Emily NardielloWAPhysician Assistant$61.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    King Co Fire Dist No 10WALand Ambulance$382.5K$11.3M
    Connie ChenWAOphthalmology Physician$670.6K$0
    The Eastside Endoscopy Center, LLCWAAmbulatory Surgical Clinic/Center$515.9K$10.4K
    Eastside Medical Group, LLCWAAmbulatory Surgical Clinic/Center$505.8K$0
    Costco Wholesale CorporationWACommunity/Retail Pharmacy$259.5K$0
    Matthew GordonWADermatology Physician$255.6K$0
    Arlo MillerWADermatology Physician$225.7K$0
    Jason KimWAPain Medicine (Anesthesiology) Physician$216.4K$0
    Lora PlaskonWAUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$185.7K$0
    David ShawWAPsychiatry Physician$134.8K$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. Washington Distribution
    Victor Michalak — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington