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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Rosen
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    Marc Rosen — Billing Profile & Reimbursement Data

    NPI 1023038718 · Philadelphia, PA · Otolaryngology Physician

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    Marc Rosen is a otolaryngology physician provider located in Philadelphia, Pennsylvania. This profile covers 12 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
    OrganizationMarc Rosen
    Address925 Chestnut St
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 19, 2006

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

    Payer SourceTotal Paid
    Medicare$136.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31299Use 31299 to report procedures in the accessory sinuses that do not have a specific code.20$2,580$38.7K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.170$180$29.9K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.350$50$18K
    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…180$80$13.7K
    99204The provider sees a new 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 provider…90$100$9.6K
    30130Excision of the inferior turbinate is generally performed due to hypertrophy of the turbinate which causes airway obstruction.20$320$6.4K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.10$440$5.7K
    99213The 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…90$50$4.6K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…20$220$3.9K
    61782In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$150$3.4K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129911020$2,580$38.7K
    312312232060$130$15K
    992147,55523,230100$80$14.5K
    3123724030$230$11.5K
    3126751020$540$10.9K
    30520112010$510$7.7K
    992139,12322,37070$60$7.7K
    992041,01410,29030$110$5K
    31238263020$200$4.7K
    3013011020$290$4.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    Chinatown True Care Medical PLLCNYInternal Medicine Physician$0$94.9M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Thomas Jefferson University Hospitals IncPAGeneral Acute Care Hospital$0$40.3M
    Jefferson University PhysiciansPAGeneral Practice Physician$0$30.8M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality ProgressionsPACase Management Agency$0$50.8M
    Bright Beginnings Therapeutic Services, LLCPACommunity/Behavioral Health Agency$0$46.8M
    The Pennsylvania Hospital Of The University Of Pennsylvania Health SysPAGeneral Acute Care Hospital$0$25.7M
    Philadelphia Mental Health ClinicPAClinic/Center$0$18.3M
    Philadelphia FightPAFederally Qualified Health Center (FQHC)$0$18.1M
    Public Health Mangement CorporationPAFederally Qualified Health Center (FQHC)$0$9.3M
    Addiction Medicine And Health Advocates, IncorporatedPAMethadone Clinic$56.9K$9.2M
    Assessment & Treatment AlternativesPACommunity/Behavioral Health Agency$0$9.1M
    Nadia DarbouzePASocial Worker$0$9.1M
    Adwa Home Care Inc.PAHome Health Agency$0$7.9M

    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. Pennsylvania Distribution
    Marc Rosen — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania