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    OpenPayerNPI Medicare & MedicaidMarco Duran
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    Marco Duran — Billing Profile & Reimbursement Data

    NPI 1043605066 · Tucson, AZ · Pain Medicine Physician

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    Marco Duran is a pain medicine physician provider located in Tucson, Arizona. 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
    OrganizationMarco Duran
    Address7140 E Rosewood St Ste 110
    CityTucson
    StateAZ
    ZIP85710
    TaxonomyPain Medicine Physician
    NPI EnumeratedApril 6, 2015

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

    Payer SourceTotal Paid
    Medicare$349.7K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,570$90$143K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…240$130$31.2K
    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…330$70$21.3K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…130$140$17K
    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…150$120$16.8K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…150$90$13K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).80$150$11.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…70$140$10.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$270$10.3K
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg1,360$10$9.5K

    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
    63685467020$10,020$200.4K
    6455551060$2,020$147.8K
    J732017202,530$10$84.2K
    0275T122020$2,460$51.6K
    6448315225090$210$31K
    6463514521060$390$30.3K
    9921415610,410120$80$20.6K
    6449311022070$190$18.8K
    992153063,27050$120$11.9K
    623232717050$160$11.8K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric CornidezAZPain Medicine Physician$411.7K$0
    Adrian EscontriasTXInterventional Pain Medicine Physician$385.6K$0
    Efrain CubilloAZPain Medicine (Anesthesiology) Physician$318.4K$0
    Kendrick ThomasGAInterventional Pain Medicine Physician$310K$0
    Kevin HenryILPain Medicine (Anesthesiology) Physician$224K$420
    Vaughn JonesUTCertified Registered Nurse Anesthetist$95K$0
    Dimple AminAZFamily Nurse Practitioner$92.3K$0
    Michelle BooneINFamily Nurse Practitioner$85.9K$0
    Sharon BeaverTXCertified Registered Nurse Anesthetist$57.9K$0
    Kerry KopeckyAZFamily Nurse Practitioner$49.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Blake FoundationAZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.8M
    Cobros Iii, LLCAZCommunity/Behavioral Health Agency$0$61.4M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$24.3M
    Saguaro Senior Living, Inc.AZAssisted Living Facility$0$22.5M
    Arizona Total Care LLCAZMulti-Specialty Clinic/Center$0$16.7M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$164.3K$14.2M
    Solace Behavioral Health LLCAZCommunity/Behavioral Health Agency$0$11.9M
    Devereux FoundationAZMental Illness Community Based Residential Treatment Facility$0$8.7M
    Caring Connections For Special Needs, LLCAZCommunity/Behavioral Health Agency$0$7.5M
    Mark WalshAZRetina Specialist (Ophthalmology) Physician$4.2M$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. Arizona Distribution
    Marco Duran — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona