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.

Marco Berrones (NPI 1215017397)

Field	Value
Entity Type	Individual
Organization	Marco Berrones
Address	888 Old Country Rd
City	Plainview
State	NY
ZIP	11803
Taxonomy	Surgical Physician Assistant
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicare	$9.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
44207	The provider performs laparoscopic removal of part of the colon with connection of the colon to the rectum.	20	$240	$5.6K
44204	The provider laparoscopically removes a portion of the colon and reconnects the cut ends of the colon to restore continuity.	10	$200	$2.6K
44213	In this laparoscopic add–on procedure, during the same session in which the provider performs partial colectomy, he also mobilizes the splenic flexure, a sharp bend between the transverse and the…	40	$30	$880
38570	The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and…	20	$30	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Marco Berrones — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
44207	2	10	20	$1,400	$25.2K
44204	3	10	10	$1,280	$16.6K
38570	2	10	10	$200	$3.1K
44213	2	10	20	$140	$2.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carole Capparelli	NY	Adult Health Nurse Practitioner	$408.2K	$90
Farzana Aziz	NY	Internal Medicine Physician	$145.1K	$0
Frank Acevedo	PR	Specialist	$7.9K	$89.7K
Bradley Klein	FL	Neurology Physician	$30.5K	$0
John Cavagnaro	NY	Medical Physician Assistant	$23.8K	$0
Keith Field	NY	Physician Assistant	$21.8K	$0
Jennifer Miller	NY	Physician Assistant	$3.7K	$0
Daniel Wilson	NY	Surgical Physician Assistant	$3.2K	$0
Tetyana Yashchyshyn	NY	Physician Assistant	$2.4K	$0
Jennifer Murga	NY	Physician Assistant	$160	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Island Therapy Associates, LLC D/b/a All About Kids	NY	Developmentally Disabled Services Day Training Agency	$0	$26.9M
Central Nassau Guidance & Counseling Services, Inc.	NY	Mental Illness Community Based Residential Treatment Facility	$0	$26M
Acupath Laboratories, Inc.	NY	Clinical Medical Laboratory	$6.5M	$14.8M
Renal Focus Asc LLC	NY	Ambulatory Surgical Clinic/Center	$4.2M	$79.6K
Bijan Setareh-shenas	NY	Dermatology Physician	$1.4M	$2.8M
Peter Brennen	NY	Retina Specialist (Ophthalmology) Physician	$3M	$339.3K
Mehran Saboori	NY	Radiation Oncology Physician	$1.5M	$0
Shawn Zimberg	NY	Radiation Oncology Physician	$1.1M	$0
Mohsen Pahlavan	NY	Nephrology Physician	$768.8K	$305K
Prem Chatpar	NY	Rheumatology Physician	$939.3K	$5.3K

Marco Berrones — Billing Profile & Reimbursement Data

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Marco Berrones — 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