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    OpenPayerNPI Medicare & MedicaidMaurice Markus
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    Maurice Markus — Billing Profile & Reimbursement Data

    NPI 1073590782 · Colorado Springs, CO · Hematology & Oncology Physician

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    Maurice Markus is a hematology & oncology physician provider located in Colorado Springs, Colorado. This profile covers 68 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
    OrganizationMaurice Markus
    Address2312 N Nevada Ave Ste 400
    CityColorado Springs
    StateCO
    ZIP80907
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedDecember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is a hematology & oncology physician with a long NPI tenure, enumerated on 2005-12-23 (~21 years ago), indicating established practice presence in Colorado Springs and likely sustained clinical operations over two decades. The long enrollment period supports experience administering oncology treatments and related diagnostics reflected in the billing mix.

    Medicare is effectively the sole public payer on file for this provider: Total Medicare revenue is listed as $1.6M while there is no Medicaid billing on file, indicating a single-payer footprint in available public claims data and limited exposure to state Medicaid populations. This concentration suggests payer strategy, contracting, and patient mix will be dominated by Medicare beneficiaries.

    Revenue concentration is high in a small number of drug administration codes: the top 3 Medicare codes by revenue account for 69.8% of the provider’s total Medicare revenue, with J9271 alone contributing $614.9K (39.8% of Medicare revenue). This indicates the practice’s financial reliance on high-cost oncology injectables and immunotherapies rather than clinic visit E/M or ancillary testing.

    The code mix and descriptions show an infusion- and injectable-heavy oncology practice: leading codes J9271 (pembrolizumab), J9299 (nivolumab), and J9144 (daratumumab with hyaluronidase) are high-cost biologic agents administered in clinic, and additional administration codes (96413, 96365, 96367, 96417) and chemotherapy administration G0498 appear in the top codes. These items together imply the operation centers on infusion services, oncology drug management, and PET/CT diagnostic imaging support.

    Competitive standing for the top drug codes is modest to typical nationally: J9271 ranks #739 of 1841 providers (60th percentile) and is described as typical, unremarkable volume; J9299 ranks #310 of 505 providers (39th percentile) and J9144 ranks #500 of 615 providers (17th percentile). Those percentiles indicate the provider is not a national leader for these agents but maintains routine, serviceable volume consistent with an established oncology infusion practice.

    There are several service lines beyond drug administration that contribute meaningfully to revenue and clinical workflow: imaging and diagnostics such as A9595 ($111.6K, Piflufolastat f-18) and 78815 (PET/CT, $100.4K) appear in the top codes, reflecting integration of advanced diagnostic imaging into care pathways. This combination of high-cost therapeutics and diagnostic imaging suggests comprehensive oncology care rather than isolated consult-only practice.

    Evaluation-and-management visits and routine labs appear in lower revenue positions but with relatively high claim counts—e.g., 99214 (477 claims, $44.8K) and 99213 (503 claims, $30.7K), plus CBC and CMP codes (85025, 80053) and specimen collection (36415). These patterns indicate steady ambulatory follow-up and in-clinic support services that accompany the infusion-heavy business model.

    Several codes are characterized as typical, unremarkable volume on national benchmarks even when claim counts are high (for example, 99214 at the 89th percentile for visit volume is still labeled “typical, unremarkable volume”). Overall, the provider’s rankings cluster in percentiles that point to a stable, moderately busy oncology practice rather than a regional or national outlier in utilization intensity.

    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.

    68 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg14,300$40$614.9K
    J9299Injection, nivolumab, 1 mg11,680$20$280.3K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj4,860$40$184.7K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie240$470$111.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…80$1,220$100.4K
    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…480$90$44.8K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…330$110$35.4K
    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…500$60$30.7K
    J0897Injection, denosumab, 1 mg1,440$20$25.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$130$14.9K

    Showing 1–10 of 68

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    68 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927184010,700$40$520.5K
    J929921010,930$20$355.1K
    J914424207,560$40$354.8K
    A9595920220$540$141.1K
    J08971101402,580$20$68.8K
    788154312060$540$58.9K
    J088110107,670$1$23.4K
    J3490346050$290$23.1K
    9641327140130$100$19.7K
    J92171960100$130$15.6K

    Showing 1–10 of 68

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nauman MoazzamCOHematology & Oncology Physician$3.6M$0
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Ioana HinshawCOHematology & Oncology Physician$2.7M$0
    John BurkeCOHematology & Oncology Physician$2.6M$0
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Patrick RichardCORadiation Oncology Physician$1.9M$0
    Christopher BentonCOHematology & Oncology Physician$1.8M$0
    Paul DecarolisCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0
    Manojkumar BupathiCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Physicians Home CareCOIn Home Supportive Care Agency$0$247.9M
    A Circle Of Care Colorado, LLC.COIn Home Supportive Care Agency$0$101.8M
    Goodwill Of ColoradoCOHome Health Agency$0$33.3M
    Stellar Care And Services, LLCCOChild Intellectual and/or Developmental Disabilities Respite Care$0$31M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$25.2M
    American Medical Response Of Colorado IncCOAmbulance$3.4M$21.6M
    Special Kids Special FamiliesCODevelopmentally Disabled Services Day Training Agency$0$24.8M
    Lucas IncCORespite Care$0$23.6M
    Achieve Whole Recovery, PCCOSpecialist$0$22.7M
    Loving Care Agency, Inc.COIn Home Supportive Care Agency$0$18.2M

    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. Colorado Distribution
    Maurice Markus — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado