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NPI 1942301213 · Hi Hat, KY · Internal Medicine Physician
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Michael Sanders is a internal medicine physician provider located in Hi Hat, Kentucky. This profile covers 12 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Sanders |
| Address | 17721 Ky Route 122 |
| City | Hi Hat |
| State | KY |
| ZIP | 41636 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | September 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $150K |
| Medicaid | $1.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 1,570 | $50 | $81.4K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 270 | $100 | $26.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 230 | $100 | $21.7K |
| 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… | 80 | $60 | $4.9K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 60 | $70 | $3.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 30 | $110 | $3.6K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 60 | $50 | $2.5K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 50 | $40 | $1.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 40 | $40 | $1.5K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 20 | $60 | $1.2K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99489 | 1 | 10 | 130 | $50 | $15.2K |
| 99214 | 6,812 | 7,230 | 110 | $70 | $14.1K |
| 99349 | 57 | 190 | 110 | $70 | $13.8K |
| 99490 | 242 | 290 | 170 | $30 | $11.9K |
| 99487 | 1 | 20 | 60 | $90 | $7.7K |
| 99213 | 3,644 | 7,250 | 80 | $50 | $7.7K |
| 99215 | 683 | 1,440 | 30 | $110 | $6.3K |
| 99439 | 82 | 130 | 80 | $30 | $5.5K |
| 99497 | 135 | 330 | 40 | $60 | $4.9K |
| 99348 | 96 | 130 | 50 | $50 | $4.1K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 40 | $40 | $1.6K |
| 1034F | No Summary found for this code | 40 | $0 | $0 |
| 1036F | N/A | 20 | $0 | $0 |
| 1159F | No Summary found for this code | 50 | $0 | $0 |
| 1160F | No Summary found for this code | 50 | $0 | $0 |
| 3008F | No Summary found for this code | 60 | $0 | $0 |
| 3074F | No Summary found for this code | 20 | $0 | $0 |
| 3077F | No Summary found for this code | 30 | $0 | $0 |
| 3078F | No Summary found for this code | 30 | $0 | $0 |
| 3079F | No Summary found for this code | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,972 | 3,340 | 1,020 | $30 | $296K |
| 3008F | No Summary found for this code | 269 | 330 | 790 | $1 | $20 |
| 3074F | No Summary found for this code | 294 | 320 | 510 | $1 | $20 |
| 3078F | No Summary found for this code | 278 | 310 | 470 | $1 | $10 |
| 3077F | No Summary found for this code | 161 | 200 | 240 | $1 | $10 |
| 3079F | No Summary found for this code | 222 | 250 | 310 | $1 | $10 |
| 1036F | N/A | 223 | 240 | 680 | $1 | $10 |
| 1159F | No Summary found for this code | 213 | 250 | 710 | $1 | $1 |
| 1034F | No Summary found for this code | 79 | 90 | 450 | $1 | $1 |
| 1160F | No Summary found for this code | 211 | 250 | 690 | $1 | $1 |
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