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NPI 1336151182 · Philadelphia, PA · Internal Medicine Physician
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Max Mercado is a internal medicine physician provider located in Philadelphia, Pennsylvania. This profile covers 18 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Max Mercado |
| Address | 7500 Central Ave |
| City | Philadelphia |
| State | PA |
| ZIP | 19111 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | August 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $51.2K |
| Medicaid | $80 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 370 | $100 | $35.6K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 400 | $10 | $4.4K |
| 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… | 40 | $80 | $3.1K |
| 99443 | N/A | 20 | $100 | $2.1K |
| 94644 | The provider administers inhalation aerosol treatment with medication for up to an hour. He performs the procedure to treat acute airway obstruction. | 20 | $50 | $1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 110 | $10 | $880 |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 20 | $50 | $780 |
| 96136 | The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of… | 20 | $30 | $740 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 20 | $20 | $440 |
| G0444 | Annual depression screening, 5 to 15 minutes | 20 | $20 | $420 |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 3,136 | 23,230 | 100 | $80 | $14.5K |
| 99213 | 14,628 | 22,370 | 70 | $60 | $7.7K |
| 36415 | 872 | 2,340 | 80 | $10 | $3.2K |
| 99443 | 206 | 380 | 20 | $80 | $3K |
| 96136 | 44 | 90 | 20 | $30 | $1.9K |
| G0442 | 266 | 330 | 60 | $20 | $1.9K |
| G0444 | 916 | 1,130 | 60 | $20 | $1.5K |
| 93000 | 3,255 | 3,410 | 30 | $10 | $1.4K |
| 94726 | 317 | 350 | 50 | $20 | $1.2K |
| 94644 | 1 | 10 | 20 | $50 | $1K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 40 | $1 | $70 |
| 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… | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 7,229 | 8,160 | 210 | $60 | $68.4K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 481 | 640 | 180 | $10 | $8.9K |
Other providers in the same ZIP code as Max Mercado, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fox Chase Home Care, Inc. | PA | Home Health Agency | $0 | $16.7M |
| Temple University Hospital, Inc | PA | General Acute Care Hospital | $0 | $13.6M |
| Anant Pranam LLC | PA | In Home Supportive Care Agency | $0 | $6.7M |
| Path (people Acting To Help), Inc | PA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $6.2M |
| Clifford Perlis | PA | Procedural Dermatology Physician | $622K | $0 |
| Manju Ambelil | PA | Anatomic Pathology & Clinical Pathology Physician | $374.9K | $20.8K |
| Linna Li | PA | Radiation Oncology Physician | $356.2K | $0 |
| Walter Dearolf | PA | Orthopaedic Surgery Physician | $317.3K | $840 |
| John Beight | PA | Orthopaedic Surgery Physician | $279.5K | $1.2K |
| Alex Mepari | PA | Internal Medicine Physician | $242.1K | $22K |
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