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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Janette Marcelo (NPI 1144337122)

Field	Value
Entity Type	Individual
Organization	Janette Marcelo
Address	1155 Northern Blvd
City	Manhasset
State	NY
ZIP	11030
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicare	$130.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	260	$150	$38.9K
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…	320	$110	$33.9K
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…	270	$70	$20.2K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	110	$80	$8.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	770	$10	$6.2K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	50	$130	$6.2K
G0444	Annual depression screening, 5 to 15 minutes	260	$20	$5.7K
G0008	Administration of influenza virus vaccine	120	$40	$4.4K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$200	$2.2K
G0009	Administration of pneumococcal vaccine	50	$40	$1.9K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Janette Marcelo — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,430	30,450	90	$100	$19K
99213	5,482	31,440	80	$70	$12.1K
G0439	309	6,290	50	$130	$11.2K
90694	847	3,120	60	$70	$7.1K
G0402	502	600	10	$180	$2.9K
G0008	1,433	7,140	50	$30	$2.8K
90732	10	270	20	$130	$2.5K
36415	472	8,110	100	$10	$2.3K
93000	1,856	6,620	60	$10	$2.2K
G0444	54	1,540	40	$20	$1.4K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Shore University Hospital	NY	General Acute Care Hospital	$0	$87.6M
Dimitri Kessaris	NY	Urology Physician	$275.7K	$2.8M
Michael Ohebshalom	NY	Urology Physician	$1M	$1.1M
John Yuan	NY	Vascular Surgery Physician	$521.6K	$901.2K
Tiffany Randazzo	NY	Gerontology Nurse Practitioner	$135.9K	$833.8K
Anna Imperato	NY	Internal Medicine Physician	$951.5K	$0
Alexander Heisman	NY	Psychiatry Physician	$703.2K	$72.4K
Sarah Girardi	NY	Urology Physician	$744.2K	$1
Omid Javdan	NY	Cardiovascular Disease Physician	$566.6K	$110.5K
Gary Goldberg	NY	Urology Physician	$652K	$0

Janette Marcelo — Billing Profile & Reimbursement Data

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Janette Marcelo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References