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    OpenPayerNPI Medicare & MedicaidAndrew Marcell
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    Andrew Marcell — Billing Profile & Reimbursement Data

    NPI 1073197745 · Clinton Township, MI · Optometrist

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    Andrew Marcell is a optometrist provider located in Clinton Township, Michigan. This profile covers 19 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
    OrganizationAndrew Marcell
    Address35776 Harper Ave
    CityClinton Township
    StateMI
    ZIP48035
    TaxonomyOptometrist
    NPI EnumeratedMay 10, 2021

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

    Payer SourceTotal Paid
    Medicare$90.9K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.20$1,050$24.1K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…150$100$14.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…100$80$8K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…110$50$5.9K
    0509TThe provider performs pattern electroretinography (PERG), an electrophysiologic technology to assess the function of both the retina and macula. The retina is tissue at the back of the eye that is…110$50$5.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…100$60$5.6K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…120$40$4.7K
    92274The provider performs an electrophysiologic test of retinal function, which consists of multifocal electroretinography (mfERG) to detect localized retinal abnormalities or cone–rod dysfunction. The…60$60$3.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$90$3.6K
    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…30$70$2.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    65778102040$990$92.8K
    920145231,080100$80$14.8K
    9227383040$90$8.4K
    0509T210140$50$7.3K
    9213444082060$30$7.1K
    9201214746050$60$6.8K
    9921310,67314,81060$60$6.6K
    838615180140$20$4.8K
    9200426669030$90$4.2K
    9208318677050$40$3.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shabbir KhambatiMIOphthalmology Physician$173.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative Employment Opportunities, Inc.MIDevelopmentally Disabled Services Day Training Agency$0$25.3M
    Henry Ford Macomb Hospital CorporationMIFamily Medicine Physician$0$9.2M
    George DillonMIVascular Neurology Physician$218.5K$0
    Mark SegelMIDiagnostic Radiology Physician$149.4K$0
    Eddie El-yussifMIAdult Reconstructive Orthopaedic Surgery Physician$148.7K$0
    David RossowMIDiagnostic Radiology Physician$126.6K$0
    Khurram RashidMIIn Vivo & In Vitro Nuclear Medicine Physician$121.3K$0
    Michigan Neurology Associates, P.C.MIAmbulatory Surgical Clinic/Center$106.4K$0
    Albert PrzybylskiMIFamily Medicine Physician$85.9K$0
    Raymond RahiMIDiagnostic Radiology Physician$85.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Andrew Marcell — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan