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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarco Ramos
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    Marco Ramos — Billing Profile & Reimbursement Data

    NPI 1184799918 · Bay City, MI · Nephrology Physician

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    Marco Ramos is a nephrology physician provider located in Bay City, Michigan. This profile covers 11 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
    OrganizationMarco Ramos
    Address2210 Neidhammer Dr
    CityBay City
    StateMI
    ZIP48706
    TaxonomyNephrology Physician
    NPI EnumeratedNovember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$122.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…220$130$28.3K
    99232The 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…410$60$24.8K
    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…270$80$22.5K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…80$150$12.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…130$90$11.3K
    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…80$120$8.9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…50$160$7.4K
    99205The 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…30$150$3.7K
    Q3014Telehealth originating site facility fee80$20$1.8K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…20$60$1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,3174,22070$90$12.3K
    992328096,73090$60$12K
    992142,33615,47080$80$11.4K
    992911,0852,74040$170$10K
    992231734,88040$130$8.3K
    90962105040$160$8.1K
    992158424,42030$110$6K
    9093517318070$60$4.7K
    992056931,68020$150$4.3K
    9944110331020$30$1.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Primary Care PartnersMIInternal Medicine Physician$0$219.9M
    North Memorial Health CareMNAmbulance$0$112.8M
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Spectrum Health Primary Care PartnersMIUrgent Care Clinic/Center$0$14.5M
    Stellis Health, PAMNMulti-Specialty Clinic/Center$0$8.6M
    Maple Grove Hospital CorporationMNGeneral Acute Care Hospital$0$7.6M
    North Memorial Health CareMNPrimary Care Clinic/Center$0$7.4M
    Summit Orthopedics, LtdMNOrthopaedic Surgery Physician$0$6.7M
    North Memorial Health CareMNHospitalist Physician$0$5.6M
    North Memorial Health CareMNUrgent Care Clinic/Center$0$4.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Game Changer Pediatric Therapy Services LLCMIPediatric Occupational Therapist$0$25.2M
    Scott StaszakMIOccupational Therapist$0$14M
    Mpa Group Nfp, Ltd.MIMental Health Counselor$0$11.3M
    Encompass Therapy Center, LLCMIBehavior Analyst$0$11.2M
    Great Lakes Bay Health CentersMIFederally Qualified Health Center (FQHC)$0$5.9M
    Muwaffaq SalamehMINephrology Physician$392.1K$0
    Erik VoogdMIPain Medicine (Anesthesiology) Physician$372.7K$0
    Subbarao ChavaliMICardiovascular Disease Physician$279.7K$15.1K
    Tim PanMIOphthalmology Physician$168.2K$0
    Charlotte YangMIFamily Medicine Physician$146.3K$19.9K

    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. Michigan Distribution
    Marco Ramos — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan