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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Rosa Marquez (NPI 1114524378)

Field	Value
Entity Type	Individual
Organization	Rosa Marquez
Address	575 N Sioux Point Rd
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Surgical Physician Assistant
NPI Enumerated	October 1, 2020

Payer Source	Total Paid
Medicare	$47.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The 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…	320	$110	$33.9K
99214	The 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…	120	$80	$9.3K
99205	The provider sees a new 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 provider…	20	$120	$2.3K
99213	The 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	$50	$1.3K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	30	$20	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Rosa Marquez — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	664	1,660	90	$70	$11.4K
99215	13	450	40	$100	$7.5K
99213	1,443	1,710	80	$50	$6.4K
99205	115	180	30	$130	$5.1K
G2212	22	40	40	$20	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnos PC	SD	Orthopaedic Surgery Physician	$0	$3.6M
Raymond Kuwahara	SD	Dermatology Physician	$596.4K	$0
Kelly Delaney-nelson	SD	Rheumatology Physician	$463.5K	$0
Jon Grudem	SD	Neurology Physician	$402.6K	$0
Michelle Daffer	SD	Dermatology Physician	$362.4K	$0
Mei He	SD	Neurology Physician	$298.6K	$0
Alyssa Mrsny	SD	Physician Assistant	$237.3K	$0
William Andrews	SD	Neurology Physician	$233.6K	$0
Aaron Althaus	SD	Orthopaedic Surgery Physician	$204.5K	$0
Daniel Nelson	SD	Orthopaedic Surgery Physician	$167K	$0

Rosa Marquez — Billing Profile & Reimbursement Data

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Rosa Marquez — 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

Frequently Asked Questions

References