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    OpenPayerNPI Medicare & MedicaidMichael Strachan
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    Michael Strachan — Billing Profile & Reimbursement Data

    NPI 1982655445 · Richmond, VA · Rheumatology Physician

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    Michael Strachan is a rheumatology physician provider located in Richmond, Virginia. This profile covers 31 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 Strachan
    Address7702 E Parham Rd
    CityRichmond
    StateVA
    ZIP23294
    TaxonomyRheumatology Physician
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused rheumatology practice with Total Medicare revenue of $2.9M and no Medicaid billing on file; the absence of Medicaid claims indicates a one‑payer footprint in available data rather than a mixed payer panel. The provider’s NPI has been enumerated since 2006-05-12 (~20 years ago), indicating long tenure which is consistent with an established outpatient infusion and office visit practice.

    Revenue is highly concentrated in a small set of biologic infusion/drug codes: the precomputed note that the top 3 Medicare codes by revenue account for 50.9% of the provider’s Medicare revenue underscores dependence on high-cost injectable biologics as the core revenue stream. The leading single code is J3262 (tocilizumab) at $558.1K (19.3% of Medicare revenue), followed closely by J1745 (infliximab) at $539.5K (18.6%) and J0129 (abatacept) at $375.7K (13.0%), together representing the majority of billings.

    The code mix and descriptions point to an operation centered on infusion-based rheumatology care: multiple high-revenue HCPCS drug codes (J3262, J1745, J0129, J1602, J0717, J9312) and chemotherapy/infusion administration codes (96413, 96401, 96415) imply in-office IV/subcutaneous biologic administration and accompanying infusion services rather than primarily procedure- or clinic-visit–only revenue. This profile suggests the practice likely maintains infusion capability and manages complex inflammatory conditions requiring biologic therapies.

    Competitive standing versus national Medicare peers shows notable strengths and some extreme outliers: the provider ranks in the 99th percentile nationally for J1745 (infliximab) and in the 99th percentile for 96413 (chemotherapy infusion) — both flagged as “extreme outlier, far above typical national volume for this code” — indicating unusually high infusion/drug volume relative to peers. The provider also ranks in high percentiles for J3262 (94th) and several administration codes (e.g., 96401 at 94th, 96415 at 91st), supporting the view of an above-typical infusion-focused operation.

    Other evaluation-and-management volumes are above typical national levels but are a smaller share of revenue: 99214 and 99213 together account for a modest portion of revenue ($78.1K and $54K respectively) and both rank notably high nationally (96th and 98th percentiles), suggesting the practice maintains a steady clinic visit panel to support infusion services rather than relying on E/M visits as its primary revenue driver. New-patient visits (99205) are present but small ($7.9K, 77th percentile), indicating limited high-complexity new patient volume relative to national peers.

    Despite high drug and infusion volumes, several biologic and supportive codes show typical to unremarkable national volumes (for example J0129 at the 66th percentile, J9312 at the 56th percentile, and many lab/ancillary codes in mid-to-high percentiles), suggesting a mix where a few products and infusion services drive outsized revenue while other biologics and ancillary services align closer to peer norms. This pattern is consistent with a specialized infusion practice that concentrates on select biologics.

    Operational risk and contracting implications: because more than half of Medicare revenue is concentrated in a small number of high-cost J‑codes (top 3 = 50.9%), changes in drug pricing, reimbursement, or payer utilization management for those specific agents (notably J3262 and J1745) could materially affect revenue. Payors and network managers should treat this provider as a targeted infusion network participant when evaluating reimbursement strategies or prior authorization processes.

    Geographic and scale context: the provider is located in RICHMOND, VA and shows no Medicaid claims on file, so state Medicaid negotiating leverage is likely minimal or absent; commercial and Medicare Advantage contracting strategies should reflect that Medicare constitutes the observable payer base and that the practice demonstrates above-average national throughput for certain infusion therapies.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3262Injection, tocilizumab, 1 mg111,630$10$558.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg20,750$30$539.5K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)11,050$30$375.7K
    J1602Injection, golimumab, 1 mg, for intravenous use31,730$10$317.3K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)78,000$1$312K
    J9312Injection, rituximab, 10 mg3,600$60$216K
    J0897Injection, denosumab, 1 mg8,220$20$148K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg3,230$40$113K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…1,080$100$105.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…830$90$78.1K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0129143010,450$30$407.3K
    J326222075,870$1$383.3K
    J0717153074,500$1$361.7K
    J93123103,950$60$259.5K
    J17454304,540$30$200.2K
    J160232013,430$10$176.7K
    J0897533402,820$20$89.3K
    Q51151102,110$30$75K
    964132230250$100$28.5K
    9921472012,890140$80$21K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tammy SpringVARheumatology Physician$1.3M$0
    Mihail MoroianuVARheumatology Physician$732K$0
    Bhakti JoshiVARheumatology Physician$152.3K$0
    Avnit AhujaVARheumatology Physician$116K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Services Of Virginia CorporationVACommunity/Behavioral Health Agency$0$25.1M
    Aaa Home Health Care LLCVAHome Health Agency$0$13.8M
    River City Comprehensive Counseling Services, LLCVACommunity/Behavioral Health Agency$0$10.7M
    Commonwealth Radiology P CVADiagnostic Radiology Physician$0$9.6M
    Insight Physicians PCVAPsychiatry Physician$0$8.4M
    River City Comprehensive Counseling Services, LLCVACommunity/Behavioral Health Agency$0$7.4M
    Family Focus, LLCVACase Management Agency$0$7.3M
    Pony-care Transportation, IncVANon-emergency Medical Transport (VAN)$0$6.7M
    David CarletonVARheumatology Physician$4.3M$0
    Steven MaestrelloVARheumatology Physician$1.1M$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. Virginia Distribution
    Michael Strachan — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia