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NPI 1356309892 · Commack, NY · Internal Medicine Physician
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Marc Allen is a internal medicine physician provider located in Commack, New York. This profile covers 61 Medicare and 44 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 | Marc Allen |
| Address | 358 Veterans Memorial Highway |
| City | Commack |
| State | NY |
| ZIP | 11725 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | May 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $1.2M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
61 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 3,690 | $60 | $213.8K |
| 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… | 1,670 | $110 | $182.4K |
| 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… | 1,600 | $70 | $116.7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 380 | $150 | $58.2K |
| 99483 | The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and… | 180 | $250 | $45.5K |
| 93890 | N/A | 190 | $220 | $40.2K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 190 | $210 | $38.7K |
| 87631 | The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,… | 250 | $140 | $35.4K |
| 93923 | Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.… | 270 | $120 | $33K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 150 | $200 | $30K |
Showing 1–10 of 61
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
61 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93890 | 24 | 140 | 70 | $210 | $32.9K |
| 93306 | 1,170 | 1,990 | 200 | $110 | $30.7K |
| 93886 | 32 | 220 | 60 | $200 | $26.5K |
| 93892 | 22 | 130 | 70 | $150 | $23.4K |
| 99490 | 12 | 1,210 | 150 | $50 | $21K |
| 99214 | 170 | 30,450 | 90 | $100 | $19K |
| 93880 | 259 | 1,730 | 50 | $140 | $14.5K |
| 93925 | 85 | 710 | 40 | $180 | $13.9K |
| 99483 | 7 | 160 | 40 | $230 | $12.9K |
| 95923 | 25 | 180 | 40 | $110 | $12.1K |
Showing 1–10 of 61
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.
44 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 9,860 | $50 | $532.3K |
| 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… | 6,000 | $80 | $462.2K |
| 94010 | The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity… | 2,570 | $30 | $66.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 520 | $90 | $48.6K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 1,680 | $30 | $42.1K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 1,130 | $40 | $39.4K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 550 | $70 | $39.2K |
| 99401 | At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects… | 2,700 | $10 | $35K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 2,210 | $10 | $31K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 380 | $70 | $24.4K |
Showing 1–10 of 44
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
44 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 39 | 50 | 420 | $110 | $334.5K |
| 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… | 1,482 | 19,110 | 360 | $70 | $321K |
| 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… | 861 | 16,550 | 220 | $90 | $186.8K |
| 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,… | 4,365 | 5,420 | 210 | $70 | $154.3K |
| 99215 | The 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… | 817 | 2,050 | 90 | $140 | $121.2K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 37 | 120 | 70 | $140 | $107.6K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 159 | 750 | 170 | $20 | $90K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 651 | 2,010 | 200 | $90 | $81.7K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 682 | 1,880 | 170 | $80 | $69K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 128 | 480 | 400 | $30 | $43.5K |
Showing 1–10 of 44
Other providers in the same ZIP code as Marc Allen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rbk Pediatrics PC | NY | Pediatrics Physician | $0 | $22.1M |
| Edward Condon | NY | Endocrinology, Diabetes & Metabolism Physician | $1.1M | $2.5M |
| Jahan Aghalar | NY | Internal Medicine Physician | $1.6M | $26.8K |
| Stephen Kaplan | NY | Clinical Psychologist | $132.1K | $1.5M |
| Commack Volunteer Ambulance Corps | NY | Land Ambulance | $673K | $685.7K |
| David Miller | NY | Oral and Maxillofacial Surgery (Dentist) | $18.8K | $797.5K |
| Mohammed Azaz | NY | Internal Medicine Physician | $280.5K | $213.6K |
| Edward Buro | NY | Podiatrist | $443.2K | $1.4K |
| Jonathan Lown | NY | Internal Medicine Physician | $379.6K | $0 |
| Venise Mule-glass | NY | Physical Therapist | $356.1K | $0 |
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