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    OpenPayerNPI Medicare & MedicaidMark Casillas
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    Mark Casillas — Billing Profile & Reimbursement Data

    NPI 1245458082 · Knoxville, TN · Surgery Physician

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    Mark Casillas is a surgery physician provider located in Knoxville, Tennessee. This profile covers 10 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
    OrganizationMark Casillas
    Address1934 Alcoa Highway
    CityKnoxville
    StateTN
    ZIP37920
    TaxonomySurgery Physician
    NPI EnumeratedApril 24, 2007

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

    Payer SourceTotal Paid
    Medicare$21.7K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    46600The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…50$90$4.6K
    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$3.9K
    99204The provider sees a new 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 provider…30$110$3.6K
    99213The 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…50$70$3.5K
    45300In this procedure, the provider examines the inner part of the anus, rectum, and the sigmoid colon using a proctosigmoid scope, a short rigid instrument with a camera at its one end. He may also…20$90$1.7K
    99203The provider sees a new 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 provider…20$80$1.7K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…10$80$1.1K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$70$810
    15860The provider assesses the blood flow in grafted tissue by injecting an illuminating dye to ensure the graft has an adequate blood supply and will remain healthy.20$40$590
    45330The provider examines the rectum and sigmoid colon with a flexible sigmoidoscope, a tubular instrument with a light source and camera, to determine the cause for a patient's symptoms, such as…10$20$260

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992136,81111,03080$50$8K
    45384344030$190$7.6K
    4537822623020$170$5.7K
    992042,8295,49030$100$5.3K
    992056191,30020$140$4.9K
    46600113050$70$4K
    4530051020$80$3.5K
    992032,3583,75030$70$3.1K
    45330132020$70$1.9K
    1586011020$40$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health System, IncTNPediatrics Physician$0$16.8M
    University Health System, Inc.TNGeneral Acute Care Hospital$0$13.8M
    Joseph KelleyNCRadiation Oncology Physician$878.9K$0
    Scott StevensTNVascular Surgery Physician$228.7K$0
    Brian PrattGAFamily Medicine Physician$205.9K$0
    Steven DillTNRadiation Oncology Physician$184K$0
    Sarah DarbandiFLOphthalmology Physician$154.6K$0
    Mindy HsiaoINHematology & Oncology Physician$153.1K$0
    Aimee WehberTNCardiovascular Disease Physician$144.3K$0
    Carmelo VeneroTNInterventional Cardiology Physician$124.7K$13.2K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Mark Casillas — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee