Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarquetta Clark
    Ask Trek AI about this page

    Marquetta Clark — Billing Profile & Reimbursement Data

    NPI 1205417052 · Plano, TX · Social Worker

    Customize your policy alerts

    Sign up for Marquetta Clark — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Marquetta Clark is a social worker provider located in Plano, Texas. This profile covers 2 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarquetta Clark
    Address6839 Communications Pkwy
    CityPlano
    StateTX
    ZIP75024
    TaxonomySocial Worker
    NPI EnumeratedApril 14, 2021

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

    Payer SourceTotal Paid
    Medicare$3.2K
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.30$100$2.4K
    90839In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…10$70$780

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9079133164030$110$8.1K
    9083911010$70$780

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David CrumpackerTXPsychiatry Physician$326.3K$0
    Robert Benigar JrTXPsychiatry Physician$92.9K$0
    Aurif AbediTXPsychiatry Physician$81K$0
    Laura SlaughterTXPsychiatry Physician$65.1K$0
    Dan SteinfinkTXPsychiatry Physician$64.6K$0
    Ronald MoomawTXOccupational Medicine Physician$8.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Autism And Related Disorders LLCTXBehavior Analyst$0$73M
    Children's Health System Of TexasTXChildren's Hospital$0$65.8M
    Nys Home Health, LLCTXHome Health Agency$0$11.1M
    Delta Laboratories LLCTXClinical Medical Laboratory$4.7M$690.5K
    Joel LurieTXNurse Practitioner$2.8M$0
    Hemang PandyaTXRetina Specialist (Ophthalmology) Physician$1.1M$0
    Matthew AdamsTXRetina Specialist (Ophthalmology) Physician$873.3K$0
    Medi-lynx Cardiac Monitoring LLCTXPhysiological Laboratory$4.4K$741.4K
    Andrew BinderTXCardiovascular Disease Physician$677.6K$0
    Jose RiveraTXCardiovascular Disease Physician$646.5K$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. Texas Distribution
    Marquetta Clark — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas