Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Marcelli Contreras (NPI 1033496955)

Field	Value
Entity Type	Individual
Organization	Marcelli Contreras
Address	26911 Northwestern Hwy Ste 530
City	Southfield
State	MI
ZIP	48033
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	November 5, 2011

Payer Source	Total Paid
Medicare	$33.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	460	$60	$25.9K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	150	$50	$7.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Marcelli Contreras — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99497	3	970	40	$60	$3.4K
99498	2	40	20	$50	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammed Yazbek	MI	Internal Medicine Physician	$1.6M	$0
Ashok Jain	MI	Internal Medicine Physician	$108.8K	$1M
Ahmad Ahmad	MI	Internal Medicine Physician	$453.6K	$1000
Imad Alazem	MI	Rheumatology Physician	$452.2K	$0
Ali Nasrallah	MI	Family Medicine Physician	$39.1K	$389.5K
Naiff Ali	MI	Family Medicine Physician	$404.7K	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Stanislaus Orowe	MI	Internal Medicine Physician	$382.3K	$0
Jonathan Lovy	MI	Internal Medicine Physician	$378.5K	$0
Mohmmed Al Shihabi	MI	Internal Medicine Physician	$332.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunshine Care	MI	Home Health Agency	$0	$6M
Ali Sobh	MI	Orthopaedic Surgery Physician	$452.7K	$0
Jeffrey Devitt	MI	Orthopaedic Surgery Physician	$379.4K	$0
Jad Khalil	MI	Orthopaedic Surgery Physician	$289.1K	$0
Mark Mounayer	MI	Pain Medicine (Anesthesiology) Physician	$255.1K	$0
Fares Hakim	MI	Gastroenterology Physician	$120.2K	$0
Rachel Rohde	MI	Orthopaedic Hand Surgery Physician	$118K	$0
Jeffrey Fischgrund	MI	Orthopaedic Surgery Physician	$115.1K	$0
Peter Donaldson	MI	Sports Medicine (Emergency Medicine) Physician	$81.8K	$0
Jason Sadowski	MI	Orthopaedic Surgery Physician	$66.4K	$0

Marcelli Contreras — Billing Profile & Reimbursement Data

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Marcelli Contreras — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References