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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMabel Mardones
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    Mabel Mardones — Billing Profile & Reimbursement Data

    NPI 1134446461 · Denver, CO · Hematology & Oncology Physician

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    Mabel Mardones is a hematology & oncology physician provider located in Denver, Colorado. This profile covers 43 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
    OrganizationMabel Mardones
    Address4700 Hale Pkwy Ste 400
    CityDenver
    StateCO
    ZIP80220
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 26, 2010

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

    Payer SourceTotal Paid
    Medicare$866K
    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg10,500$40$451.5K
    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.…70$1,220$90.2K
    J0897Injection, denosumab, 1 mg3,780$20$68K
    A9595Piflufolastat f-18, diagnostic, 1 millicurie100$520$53.3K
    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…250$110$26.7K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg280$90$24.3K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg260$90$23.5K
    99215The 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…170$140$22.8K
    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…200$90$17.9K
    86300The lab analyst performs a quantitative test to evaluate the patient’s serum for the cancer tumor antigen CA 15 3, a tumor marker for breast cancer, and a similar marker called CA 27.29.650$20$13K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271214010,700$40$520.5K
    A95952120220$540$141.1K
    J0897531402,580$20$68.8K
    788154512060$540$58.9K
    J2506610370$90$32.3K
    Q5122910320$90$30.7K
    J3490316050$290$23.1K
    9641349140130$100$19.7K
    992141,8708,16080$80$11.3K
    992331,5251,89070$90$11K

    Showing 1–10 of 43

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mabel Mardones, 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
    Maurice MarkusCOHematology & Oncology Physician$1.6M$0
    Sujatha NallapareddyCOHematology & Oncology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Healthone LLCCOGeneral Acute Care Hospital$0$10.9M
    Blue Spruce Home Care Inc.COHomemaker$0$8.9M
    Mental Health Center Of DenverCOMental Health Clinic/Center (Including Community Mental Health Center)$0$6.9M
    Blue Spruce Home Care Inc.COIn Home Supportive Care Agency$0$5.7M
    Senior Housing Options, Inc.COAssisted Living Facility$0$4.5M
    Bending Birch Behavioral Services, LLCCOBehavior Analyst$0$4.1M
    Carepoint Emergency Medicine, PLLCCOEmergency Medicine Physician$0$3.5M
    Rose Ambulatory Surgery Center LPCOAmbulatory Surgical Clinic/Center$1.4M$538.2K
    Karen SundbyCOMOHS-Micrographic Surgery Physician$1.1M$0
    Ralph RoundCONeurology Physician$724.7K$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.

    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
    Mabel Mardones — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado