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    OpenPayerNPI Medicare & MedicaidKevin Markham
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    Kevin Markham — Billing Profile & Reimbursement Data

    NPI 1003871559 · Petoskey, MI · Surgery Physician

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    Kevin Markham is a surgery physician provider located in Petoskey, Michigan. This profile covers 21 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
    OrganizationKevin Markham
    Address521 Monroe St
    CityPetoskey
    StateMI
    ZIP49770
    TaxonomySurgery Physician
    NPI EnumeratedApril 19, 2006

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

    Payer SourceTotal Paid
    Medicare$107K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…180$140$25.5K
    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…100$120$12.9K
    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…120$80$9.5K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$490$9.3K
    99203The provider sees a new 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 provider…90$70$6.6K
    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…50$120$6K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$60$4.9K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$250$3.7K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…20$170$3.6K
    99212The 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,…90$40$3.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3647123050$170$12.3K
    19301335030$510$12.2K
    992323,4606,73090$60$12K
    9921413,72815,47080$80$11.4K
    992911,9792,74040$170$10K
    992234,0234,88040$130$8.3K
    992139,67414,81060$60$6.6K
    9392520432030$130$6.2K
    36561519020$280$5.3K
    9388023662040$80$5.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Anton SharapovMISurgery Physician$635.8K$0
    Robert CurrierMIOphthalmology Physician$445.9K$0
    Jeffrey BeaudoinMISurgery Physician$352K$0
    Robert GardnerCADiagnostic Radiology Physician$335.5K$0
    Anthony BozzioMIOrthopaedic Surgery Physician$297.9K$0
    Eric ManciniFLOrthopaedic Surgery Physician$282K$0
    Ernst HanschMNDiagnostic Radiology Physician$240.8K$10.9K
    Robert JoodiMNDiagnostic Radiology Physician$189.3K$0
    Alfred WroblewskiMIOrthopaedic Hand Surgery Physician$166.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    My Community Dental Centers IncMIPublic Health Dentistry$0$152.9M
    North Country Community Mental HealthMICommunity/Behavioral Health Agency$0$69.3M
    Harbor Hall, Inc.MISubstance Use Disorder Rehabilitation Clinic/Center$0$21.3M
    Mclaren Northern MichiganMIGeneral Acute Care Hospital$0$20.5M
    Little Traverse Bay Bands Of Odawa IndiansMIFederally Qualified Health Center (FQHC)$0$8.8M
    County Of EmmetMILand Ambulance$546.2K$849.3K
    Murray CotterMIDermatology Physician$705.5K$0
    Dwayne GriffinMIPulmonary Disease Physician$445.5K$0
    Joshua AndersonMIAdult Reconstructive Orthopaedic Surgery Physician$273.2K$0
    Ashley RossmanMIOphthalmology Physician$221.3K$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. Michigan Distribution
    Kevin Markham — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan