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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Kerner
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    Marc Kerner — Billing Profile & Reimbursement Data

    NPI 1275565608 · Northridge, CA · Specialist

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    Marc Kerner is a specialist provider located in Northridge, California. This profile covers 24 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
    OrganizationMarc Kerner
    Address18350 Roscoe Blvd Ste 318
    CityNorthridge
    StateCA
    ZIP91325
    TaxonomySpecialist
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$343.4K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.10$4,480$62.7K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.370$150$56K
    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…370$110$39.4K
    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…440$70$31.8K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…10$2,120$29.6K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…170$170$28.1K
    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…170$90$14.6K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.40$340$13.4K
    30465Nasal vestibular stenosis occurs due to congenital defects, trauma, or previous stenosis surgery leading to breathing problems.20$590$9.4K
    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…60$140$8.3K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31298253030$4,060$162.4K
    31295314030$1,930$79.1K
    3046531020$1,600$33.6K
    992147,61437,970120$90$23.2K
    312313854070$100$20.1K
    31267134020$850$17.8K
    315792512070$150$16.9K
    31276172020$810$15.4K
    312375011040$280$14.3K
    992133,92034,66080$70$13.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan EskenaziCANeurology Physician$2.9M$407.6K
    Tien NguyenCADermatology Physician$447.5K$2.2M
    Sandeep KhannaCAOphthalmology Physician$436.6K$1.9M
    Farshad MalekmehrCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$1.6M$0
    Edward RohalyCADermatology Physician$574.4K$0
    Mehrdad AghaiCAOphthalmology Physician$434.2K$37.7K
    Scott DlugosCAEmergency Medicine Physician$459.8K$0
    Michael MarcusCAPodiatrist$199.6K$11.9K
    Norman GeCAOtolaryngology/Facial Plastic Surgery Physician$96.8K$0
    Nima FahimianCAAddiction Medicine (Psychiatry & Neurology) Physician$57K$2.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Minimed Distribution Corp.CADurable Medical Equipment & Medical Supplies$0$288.1M
    Renaissance Imaging Medical Associates, Inc.CADiagnostic Radiology Physician$0$68.3M
    Dignity Community CareCAGeneral Acute Care Hospital$0$59M
    Sam KalioundjiCAInterventional Cardiology Physician$4.1M$1.6K
    Saman FakheriCAInternal Medicine Physician$3.2M$0
    Xavier CaroCASpecialist$1.4M$0
    Geraldine ChangCADiagnostic Radiology Physician$1M$0
    Zouheir EliasCACardiovascular Disease Physician$924.6K$10.5K
    Piyush JoganiCAGastroenterology Physician$696.9K$107.7K
    Maria Aileen QueCAFamily Nurse Practitioner$767K$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. California Distribution
    Marc Kerner — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California