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    OpenPayerNPI Medicare & MedicaidBrian Markle
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    Brian Markle — Billing Profile & Reimbursement Data

    NPI 1386848752 · Pontiac, MI · Gastroenterology Physician

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    Brian Markle is a gastroenterology physician provider located in Pontiac, Michigan. This profile covers 15 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
    OrganizationBrian Markle
    Address44555 Woodward Ave
    CityPontiac
    StateMI
    ZIP48341
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 12, 2007

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

    Payer SourceTotal Paid
    Medicare$136.7K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…500$70$32.7K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…200$110$21.5K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…80$210$16.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$140$15K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…100$80$8.4K
    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…120$70$8.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$90$7.7K
    99203The 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$90$5.5K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$90$4K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.20$160$3.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538511753040$270$18.3K
    992326046,73090$60$12K
    9921412,95415,47080$80$11.4K
    G010517626020$260$10.1K
    453804749030$170$9.4K
    992238174,88040$130$8.3K
    4323912051050$110$8.2K
    G012119023020$260$7.5K
    992134,37014,81060$60$6.6K
    992221334,81030$100$5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pamela Papas-cordenILAnatomic Pathology & Clinical Pathology Physician$442.5K$923.7K
    Gehad GhaithMIGastroenterology Physician$125.8K$0
    Andrew AneeseMIGastroenterology Physician$114K$0
    Osama AlassiMIAnatomic Pathology & Clinical Pathology Physician$36.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Joseph Mercy Hospital-smhcMIGeneral Acute Care Hospital$0$51.8M
    Common GroundMICommunity/Behavioral Health Agency$0$44.5M
    Oakland Family ServicesMIClinic/Center$0$25.6M
    Sjmh Medical Practice-smhcMIInternal Medicine Physician$0$14.8M
    John AntonucciMIRadiation Oncology Physician$786.7K$0
    Michael GhilezanMIRadiation Oncology Physician$627.8K$0
    Frank ViciniMIRadiation Oncology Physician$609.1K$0
    Dilraj GhummanMIDiagnostic Radiology Physician$592K$0
    Arezo AmirikiaMIOphthalmology Physician$563.9K$0
    Larry KestinMIRadiation Oncology Physician$562.3K$0

    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. Michigan Distribution
    Brian Markle — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan