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

    NPI 1285694935 · Wilmington, DE · Orthopaedic Surgery of the Spine Physician

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    Mark Eskander is a orthopaedic surgery of the spine physician provider located in Wilmington, Delaware. This profile covers 22 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 Eskander
    Address1941 Limestone Rd Ste 101
    CityWilmington
    StateDE
    ZIP19808
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMarch 26, 2006

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

    Payer SourceTotal Paid
    Medicare$564K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity totals $564K in lifetime Medicare revenue while there is no Medicaid billing on file, making MARK ESKANDER effectively a Medicare-only billing profile in the available data. The absence of any Medicaid revenue means payer-mix analysis and in-state Medicaid comparisons are not applicable for this NPI.

    Revenue is heavily concentrated in a small set of surgical codes: the precomputed top 3 Medicare codes by revenue account for 42.4% of this provider's total Medicare revenue. Those top contributors are 22612 ($143.9K, 25.5% of Medicare revenue), 63047 ($48.2K, 8.5%), and 22842 ($47.5K, 8.4%), indicating a narrow set of high-value procedures drive most of the Medicare dollars.

    The code mix identifies a high-volume spine surgery practice focused on arthrodesis/fusion and decompression procedures: 22612 (121 claims, $1189 avg paid/claim, $143.9K) and its add-on 22614 (145 claims, $308 avg paid/claim, $44.7K) together point to frequent lumbar fusion work, while 63047 (101 claims, $477 avg paid/claim, $48.2K) reflects substantial decompression/laminectomy cases. Complementary instrumentation codes such as 22842 (79 claims, $601 avg paid/claim, $47.5K) and interbody device code 22853 further support that operative spinal reconstruction is the core service line.

    The practice also shows integrated use of imaging and navigation: 61783 (106 claims, $183 avg paid/claim, $19.4K) ranks #2 of 964 providers nationally (100th percentile; extreme outlier) and 72110 (401 claims, $38 avg paid/claim, $15.2K) ranks #60 of 13711 providers nationally (100th percentile; extreme outlier). High volumes for intraoperative navigation and plain-film imaging suggest reliance on advanced intraoperative imaging and pre/post-op radiology workflows that accompany complex spine cases.

    On outpatient management, the provider reports substantial high-acuity E/M volume with 99215 (339 claims, $136 avg paid/claim, $46.1K) at the 97th percentile nationally and 99214 (346 claims, $97 avg paid/claim, $33.6K) at the 82th percentile. This pattern of frequent higher-level office visits indicates ongoing preoperative, postoperative, and medically complex follow-up care consistent with an active surgical spine practice.

    Against national peers this provider is a notable outlier on several surgical codes: 22612 ranks #2 of 1984 providers nationally (100th percentile; extreme outlier), 22842 ranks #6 of 2689 (100th percentile; extreme outlier), and 63047 ranks #27 of 4170 (99th percentile; extreme outlier). Those ranks indicate the provider is a dominant or exceptionally high-volume performer on specific spinal surgery procedures at a national level rather than a modest participant for those services.

    The NPI was enumerated 2006-03-26 (~20 years ago), indicating long tenure in the Medicare program; combined with sustained billing for complex spine procedures, this suggests an established specialist practice rather than recent or sporadic surgical activity. Longevity plus the concentrated surgical code mix supports treating this profile as a mature, procedure-focused spine surgeon for network and utilization planning.

    For payer and provider analysts, the combination of $564K total Medicare revenue, zero Medicaid billing on file, and heavy reliance on a few high-revenue surgical CPTs highlights two practical implications: this provider is primarily relevant to Medicare population management and surgical utilization reviews, and Medicaid networks or in-state Medicaid capacity assessments will not be informed by this NPI because no Medicaid claims are reported.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…120$1,190$143.9K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…100$480$48.2K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…80$600$47.5K
    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…340$140$46.1K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…150$310$44.7K
    22551A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.30$1,270$39.5K
    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…350$100$33.6K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.190$170$31.2K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.40$600$24.5K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…110$180$19.4K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2261212030$740$29.6K
    992144941,830150$80$25.5K
    2255111020$850$17.8K
    72148366080$100$13.9K
    6304712040$340$12.4K
    992152657040$120$11K
    6178311050$180$10.5K
    2261422040$170$10.5K
    2284212020$350$9.3K
    2284012020$380$8.3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dynamic Therapy Services LLCDEPhysical Therapist$0$12.8M
    Regional Orthopaedic Associates PADEOrthopaedic Surgery Physician$0$2.8M
    Steven DelloseDEOrthopaedic Surgery Physician$1M$0
    Selina XingDEPain Medicine (Physical Medicine & Rehabilitation) Physician$910.2K$300
    James RubanoDEOrthopaedic Surgery Physician$902.4K$0
    John RowlandsDEInterventional Pain Medicine Physician$419K$0
    Nick PatelDEOrthopaedic Surgery Physician$345K$0
    Brian GalinatDEOrthopaedic Surgery Physician$268K$0
    Peter TownsendDEOrthopaedic Surgery Physician$250.4K$0
    Amir Abdel KaderDEPain Medicine (Anesthesiology) Physician$244.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$9.2M
    Jp Nacchia & Associates, Inc.DEIn Home Supportive Care Agency$0$8.2M
    Macklyn Home CareDEHome Health Agency$0$6.2M
    Journeys LLCDEMental Health Counselor$0$5M
    Resouces For Human Development, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.3M
    Robert M Collins Dds PADEPediatric Dentistry$0$3.2M
    Rockland Surgery Center, L.P.DEAnesthesiology Physician$2.4M$280K
    Limestone Medical Center, LLCDEAmbulatory Surgical Clinic/Center$2.3M$242.7K
    Pace, Inc.DEAdult Mental Health Clinic/Center$0$2.3M
    Jmk Behavior, LLCDEIntellectual & Developmental Disabilities Psychologist$0$2.2M

    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. Delaware Distribution
    Mark Eskander — 11 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware