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 Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Marian Benner (NPI 1316018260)

Field	Value
Entity Type	Individual
Organization	Marian Benner
Address	360 Broadway
City	Bangor
State	ME
ZIP	04401
Taxonomy	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicare	$61.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	520	$70	$37.7K
99213	The 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…	330	$50	$15.7K
99203	The 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…	70	$60	$3.7K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$1.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	50	$20	$1.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$30	$1K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	20	$10	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Marian Benner — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	25	2,500	70	$70	$7.2K
99213	77	2,350	50	$50	$4.3K
99203	87	620	30	$60	$2.4K
97597	8	20	50	$40	$2.3K
99231	94	310	30	$40	$1.8K
99212	150	410	30	$30	$1.5K
93922	16	30	30	$10	$530

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Daniel Stroupe	IL	Infectious Disease Physician	$123.1K	$318K
Vadak Ranganathan	OH	Neurology Physician	$62.6K	$144K
Babak Attaran Rezaei	TX	Neurology Physician	$161.4K	$0
Kamesh Sivagnanam	TX	Cardiovascular Disease Physician	$132K	$15.1K
William Wheeler	SC	Cardiovascular Disease Physician	$144.1K	$0
Shawn Brandenburg	NE	Orthopaedic Surgery Physician	$127.7K	$0
Julie Quinn	ME	Physician Assistant	$110.6K	$0

Marian Benner — Billing Profile & Reimbursement Data

Sign up for Marian Benner — Billing Profile & Reimbursement Data policy alerts

Marian Benner — Billing Profile & Reimbursement Data

Sign up for Marian Benner — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References