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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark O'malley
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    Mark O'malley — Billing Profile & Reimbursement Data

    NPI 1083899686 · Phoenix, AZ · Surgery Physician

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    Mark O'malley is a surgery physician provider located in Phoenix, Arizona. This profile covers 6 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationMark O'malley
    Address4441 E Mcdowell Rd Ste 101
    CityPhoenix
    StateAZ
    ZIP85008
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 2, 2008

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

    Payer SourceTotal Paid
    Medicare$14.5K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$160$6K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$160$3K
    57265In this procedure, the vaginal walls that hold the bladder, the rectum and the small bowel in place are weak, and the provider must repair the areas in the wall to support these structures with…30$110$2.8K
    57282The surgeon in this procedure performs a colpopexy, which is the suspension of the vaginal apex via a vaginal approach using the extraperitoneal technique. This procedure, also known as vault repair,…30$60$1.9K
    57240In this procedure, the provider repairs the vaginal wall where a prolapsing bladder is pushing through.  He uses a vaginal approach. The provider may or may not perform a urethrocele repair and…10$40$530
    57220The purpose of the surgery is to reduce the diameter of the urethra and or provide support for the urethra in front of the bladder neck.10$20$260

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744712329040$1,290$59.3K
    2713013321030$1,270$45.7K
    5728262020$800$22.5K
    5726592030$550$19.7K
    5724091020$250$5.1K
    5722041010$230$3.7K

    Nearby Providers

    Other providers in the same ZIP code as Mark O'malley, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maricopa County Special Health Care DistrictAZGeneral Acute Care Hospital$0$251.6M
    District Medical Group, IncAZInternal Medicine Physician$0$130.6M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$56.5M
    St. Luke's PediatricsAZPrimary Care Clinic/Center$0$31.6M
    Alliance Ambulance Of Arizona LLCAZAmbulance$444.7K$31.1M
    Elevate Youth And Family ServicesAZMental Health Counselor$0$24.6M
    Maricopa County Special Health Care DistrictAZEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.5M
    Terros IncAZFederally Qualified Health Center (FQHC)$0$11.9M
    Safe Wing LLCAZNon-emergency Medical Transport (VAN)$0$11.7M
    Mind 247 Practice LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$11.5M

    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
    Mark O'malley — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona