OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Michel Skaf
❤️
MDIndividual

Michel Skaf, M.D.

NPI: 1821041740
Casper, WY
10 years of data
Cardiology
$3.7M
Total Payments
36.6K
Beneficiaries
51.1K
Services
5.21x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.7M
Specialty median$193.1K

📋 Key Findings

1Billed $3.7M over 10 years
25.21x markup ratio (above median)
397th percentile in Cardiology by payments
411 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.

Their average markup ratio of 5.21x is significantly above the specialty median of 3.6x.

Medicare payments to this provider grew 55% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.4K$128.8511.14x$1.3K$364.1K5.2K4.0K
2015$916.98$87.4810.48x$829.50$240.9K3.8K3.0K
2016$802.81$93.858.55x$708.96$354.6K4.7K3.0K
2017$813.45$81.0610.04x$732.39$341.8K4.8K3.4K
2018$867.07$77.7111.16x$789.36$304.4K4.9K3.3K
2019$488.70$69.187.06x$419.52$278.8K4.7K3.3K
2020$135.76$74.671.82x$61.09$332.9K4.8K3.4K
2021$191.58$106.231.80x$85.35$494.7K5.8K4.3K
2022$198.16$111.761.77x$86.40$470.1K5.6K4.1K
2023$174.48$101.851.71x$72.63$562.9K6.9K4.9K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$787.0K
10.1K services$77.65/svc2.15x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 9.9x markup
$548.3K
4.2K services$130.68/svc9.91x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.1x markup
$367.7K
1.4K services$265.07/svc3.06x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$226.3K
4.4K services$51.43/svc2.30x markup
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance
$174.9K
124 services$1.4K/svc1.85x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 4.3x markup
$148.2K
1.0K services$145.56/svc4.26x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$132.0K
855 services$154.42/svc2.86x markup
99204New patient office or other outpatient visit, typically 45 minutes
$124.4K
1.1K services$115.06/svc2.25x markup
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart⚠ 13.0x markup
$111.4K
366 services$304.35/svc13.01x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$103.7K
991 services$104.65/svc2.61x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 8.9x markup
$97.4K
2.1K services$46.39/svc8.93x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 13.5x markup
$92.0K
391 services$235.32/svc13.48x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 6.5x markup
$81.3K
196 services$414.63/svc6.53x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$81.0K
1.4K services$56.48/svc2.68x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 9.8x markup
$57.7K
5.0K services$11.55/svc9.84x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$55.1K
376 services$146.57/svc1.86x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day⚠ 3.2x markup
$45.5K
560 services$81.33/svc3.23x markup
J2785Injection, regadenoson, 0.1 mg
$39.6K
887 services$44.68/svc1.95x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report⚠ 10.6x markup
$38.8K
575 services$67.49/svc10.61x markup
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG⚠ 10.8x markup
$32.6K
545 services$59.85/svc10.82x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes10.1K$787.0K$77.652.15x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function4.2K$548.3K$130.689.91x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1.4K$367.7K$265.073.06x
99213Established patient office or other outpatient visit, typically 15 minutes4.4K$226.3K$51.432.30x
36482Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance124$174.9K$1.4K1.85x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.0K$148.2K$145.564.26x
99223Initial hospital inpatient care, typically 70 minutes per day855$132.0K$154.422.86x
99204New patient office or other outpatient visit, typically 45 minutes1.1K$124.4K$115.062.25x
93460Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart366$111.4K$304.3513.01x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose991$103.7K$104.652.61x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2.1K$97.4K$46.398.93x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart391$92.0K$235.3213.48x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes196$81.3K$414.636.53x
99232Subsequent hospital inpatient care, typically 25 minutes per day1.4K$81.0K$56.482.68x
93000Routine EKG using at least 12 leads including interpretation and report5.0K$57.7K$11.559.84x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers376$55.1K$146.571.86x
99233Subsequent hospital inpatient care, typically 35 minutes per day560$45.5K$81.333.23x
J2785Injection, regadenoson, 0.1 mg887$39.6K$44.681.95x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report575$38.8K$67.4910.61x
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG545$32.6K$59.8510.82x

Markup Analysis

Charge-to-Payment Ratio

5.21x

This provider submits charges 5.21 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.21x means for every $100 Medicare pays, this provider initially charges $521. This is higher than the national average.

Location

Casper, WY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Related

Browse
← Back to Provider Directory
State
All providers in WY →
Specialty
All Cardiology providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data