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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Spain
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    Michael Spain — Billing Profile & Reimbursement Data

    NPI 1952357733 · Muskogee, OK · Interventional Cardiology Physician

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    Michael Spain is a interventional cardiology physician provider located in Muskogee, Oklahoma. This profile covers 15 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 Spain
    Address300 Rockefeller Dr
    CityMuskogee
    StateOK
    ZIP74401
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMay 25, 2006

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

    Payer SourceTotal Paid
    Medicare$73.9K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…540$50$27.4K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.3,530$10$21.2K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…260$20$6.2K
    93272In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can…190$20$3.5K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…230$20$3.5K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…130$30$3.5K
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…170$10$2.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$120$1.8K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…10$150$1.8K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…60$30$1.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330651250320$60$22.4K
    9345813914050$210$13K
    992231,3711,55050$130$9.6K
    938805325050$60$5.3K
    939251416020$60$2.3K
    93970520030$40$2.2K
    930106700100$10$1.9K
    9915229533070$10$1.5K
    93971625040$20$1.4K
    93926186020$30$810

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Hospital, Inc.OKGeneral Acute Care Hospital$0$43.2M
    Saint Francis Outreach Services LLCOKClinical Medical Laboratory$5.4M$15.7M
    Saint Francis Hospital Muskogee IncOKGeneral Acute Care Hospital$0$16.8M
    State Of OklahomaOKMental Health Clinic/Center (Including Community Mental Health Center)$0$13.2M
    Oklahoma State UniversityOKMedical Specialty Clinic/Center$0$12.8M
    Saint Francis Hospital South LLCOKGeneral Acute Care Hospital$0$11.1M
    State Of OklahomaOKMental Health Clinic/Center (Including Community Mental Health Center)$0$10.1M
    State Of OklahomaOKMental Health Clinic/Center (Including Community Mental Health Center)$0$7.1M
    Childrens' Recovery Center Of OklahomaOKCommunity/Behavioral Health Agency$0$6.8M
    Saint Francis Hospital Vinita, IncOKGeneral Acute Care Hospital$0$6.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Green Country Behavioral Health Services, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$21.8M
    Gaddy Discount Drug IncOKCommunity/Retail Pharmacy$3.1K$13.9M
    Alternacare, IncOKOxygen Equipment & Supplies (DME)$0$10.5M
    Monarch, IncOKMental Health Clinic/Center (Including Community Mental Health Center)$0$7.2M
    Mobility Plus LLCOKOxygen Equipment & Supplies (DME)$0$6M
    Counseling Works Inc.OKCommunity/Behavioral Health Agency$0$5.2M
    Integrity Pathways IncOKCommunity/Behavioral Health Agency$0$4.5M
    Osu Center For Health SciencesOKClinic/Center$0$4.4M
    Urgent Care Of Muskogee PLLCOKMedical Specialty Clinic/Center$0$4.4M
    Osu Center For Health SciencesOKClinic/Center$0$4M

    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. Oklahoma Distribution
    Michael Spain — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma