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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarcus Semel
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    Marcus Semel — Billing Profile & Reimbursement Data

    NPI 1124226766 · Boston, MA · Surgery Physician

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    Marcus Semel is a surgery physician provider located in Boston, Massachusetts. This profile covers 23 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
    OrganizationMarcus Semel
    Address75 Francis St
    CityBoston
    StateMA
    ZIP02115
    TaxonomySurgery Physician
    NPI EnumeratedJuly 5, 2007

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

    Payer SourceTotal Paid
    Medicare$139.5K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…510$50$24.3K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…110$160$17.3K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…20$1,000$16K
    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…180$80$13.2K
    36832In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…10$600$7.8K
    99203The provider sees a new 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 provider…80$90$7.3K
    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…50$140$6.2K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…30$190$6.1K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…50$110$5.5K
    93926The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…50$110$5.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36475152020$830$24.1K
    36902123020$440$15.9K
    9921413,37315,410110$80$15.6K
    3683241020$590$11.1K
    992325,2185,40070$60$9.3K
    992156,0916,36040$120$8.9K
    992133,22113,70070$60$8.8K
    938809336050$70$6.1K
    992042,1035,87030$120$5.6K
    992221,2783,42030$100$4.5K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Medical AssociatesMAAnesthesiology Physician$0$10M
    Raju SinglaMAInternal Medicine Physician$632.7K$0
    Michael AyersMAOrthopaedic Surgery Physician$484.8K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Helen MoreiraMAOphthalmology Physician$443.3K$0
    Casey O'donnellMAPhysical Medicine & Rehabilitation Physician$406.9K$0
    Pushkar KanadeOHInternal Medicine Physician$392.4K$0
    John StevensonMAInternal Medicine Physician$390.5K$0
    Brian DolanMAInternal Medicine Physician$338.2K$0
    Anthony MarksMAInterventional Cardiology Physician$331.7K$200

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital CorporationMAChildren's Hospital$0$330.9M
    Brigham & Womens Hospital, Inc.MAGeneral Acute Care Hospital$0$252.7M
    Brigham & Womens Physicians Organization IncMAInternal Medicine Physician$0$43.6M
    Children's Hospital Pediatric Associates, IncMAPediatrics Physician$0$19.1M
    Roman KlufasMANeuroradiology Physician$475.7K$441.9K
    Paul MasseyMAMOHS-Micrographic Surgery Physician$621.3K$0
    John ChiMANeurological Surgery Physician$444.6K$0
    An BuiMAInternal Medicine Physician$410.9K$0
    Mohammadali MojarradMADiagnostic Radiology Physician$343.4K$40.3K
    James KangMAOrthopaedic Surgery Physician$371.1K$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. Massachusetts Distribution
    Marcus Semel — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts