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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Marc Rosen (NPI 1174593271)

Field	Value
Entity Type	Individual
Organization	Marc Rosen
Address	410 42nd Ave N Ste 400
City	Nashville
State	TN
ZIP	37209
Taxonomy	Surgery Physician
NPI Enumerated	January 23, 2006

Payer Source	Total Paid
Medicare	$28K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	20	$520	$9.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	100	$100	$9.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$60	$4.2K
31600	The provider performs tracheostomy, which is a surgical procedure in which the provider exposes the trachea, which is the windpipe, and creates an opening in it. This code represents a planned…	10	$200	$2.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$1.9K
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…	10	$70	$740

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

Claims Volume vs. Tennessee Distribution

Marc Rosen — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	2,323	3,990	100	$60	$11.4K
47562	20	80	20	$560	$9.5K
99213	10,941	11,030	80	$50	$8K
99222	215	2,630	30	$90	$3.9K
31600	4	10	20	$210	$3.1K
99231	421	1,110	40	$40	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Kendrick	TN	Vascular Surgery Physician	$597.2K	$0
Patrick Yu	TN	Vascular Surgery Physician	$346.8K	$0
Timothy Bush	TN	Foot & Ankle Surgery Podiatrist	$244.7K	$0
Billy Kim	TN	Vascular Surgery Physician	$198.6K	$0
Robert Garza	TN	Plastic and Reconstructive Surgery Physician	$179.5K	$0
Jimbob Faulk	TN	Vascular Surgery Physician	$136.8K	$0
James Cleveland	TN	Emergency Medicine Physician	$81.6K	$34.8K
Allen Lee	TN	Vascular Surgery Physician	$113.8K	$0
Martirea Pratt	TN	Family Nurse Practitioner	$103.9K	$0
Roger Bonau	TN	Vascular Surgery Physician	$101.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oral Facial Surgery Center, LLC	TN	Ambulatory Surgical Clinic/Center	$202.4K	$5.8M
Tnmo Healthcare, LLC	TN	Community Based Hospice Care Agency	$0	$5.7M
Tennessee Orthopaedic Alliance PA	TN	Orthopaedic Surgery Physician	$0	$5.6M
Nephrology Associates, PC	TN	Nephrology Physician	$0	$3.4M
Urology Surgery Center LP	TN	Ambulatory Surgical Clinic/Center	$2.9M	$0
Gautam Jayram	TN	Urology Physician	$340.5K	$0
Marcy Abel	TN	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$311.6K	$0
Edward Mackey	TN	Orthopaedic Surgery Physician	$291.4K	$0
Philip Karpos	TN	Orthopaedic Surgery Physician	$251.4K	$0
Jane Siegel	TN	Orthopaedic Hand Surgery Physician	$240.5K	$0

Marc Rosen — Billing Profile & Reimbursement Data

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Marc Rosen — 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

Nearby Providers

Frequently Asked Questions

References