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

    NPI 1306894019 · Jefferson City, MO · Emergency Medicine Physician

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    Mark Katsaros is a emergency medicine physician provider located in Jefferson City, Missouri. This profile covers 6 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Katsaros
    Address3527 W Truman Blvd
    CityJefferson City
    StateMO
    ZIP65109
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicaid$36.5K
    Medicare$13K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$60$8.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…50$50$2.5K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.80$20$1.3K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.20$30$540
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$50
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…10$1$30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992132,4458,73070$50$7K
    876358123030$50$2.9K
    87651326020$30$2.6K
    878041015030$20$610
    8100238951030$1$200
    810039451,02030$1$170

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.290$70$19.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.240$40$9.2K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.80$100$8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.339600140$170$384.1K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.325950120$150$288.2K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.6131,260220$120$242.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Curators Of The University Of MissouriMOGeneral Acute Care Hospital$0$135.8M
    The Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$40.4M
    Curators Of The University Of MissouriMOMulti-Specialty Clinic/Center$0$31.8M
    Curators Of The University Of MissouriMOGeneral Acute Care Hospital$0$12.1M
    Capital Region Medical CenterMOFamily Medicine Physician$0$4.4M
    Tamara HopkinsMOHematology & Oncology Physician$887.1K$0
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Mark BryerMORadiation Oncology Physician$638K$0
    Reed CopeMORadiation Oncology Physician$572.2K$0
    Harold JohnsonMORadiation Oncology Physician$542.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of MissouriMORehabilitation Counselor$0$160.2M
    Help At Home, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$97M
    Ssm Regional Health ServicesMOGeneral Acute Care Hospital$0$20.8M
    Rehab Specialty Medical, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$19.7M
    Day Solutions, IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14M
    Skillset LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.6M
    Independent Living Resource Center, Inc.MOHome Health Agency$0$8.3M
    Tiffany BurnsMOStudent in an Organized Health Care Education/Training Program$0$7.7M
    County Of ColeMOLand Ambulance$809.3K$5.2M
    Community Hospices Of America, LLCMOCommunity Based Hospice Care Agency$0$4M

    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. Missouri Distribution
    Mark Katsaros — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Mark Katsaros — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri