Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Pass
    Ask Trek AI about this page

    Mark Pass — Billing Profile & Reimbursement Data

    NPI 1437156288 · Manalapan, NJ · Geriatric Medicine (Internal Medicine) Physician

    Customize your policy alerts

    Sign up for Mark Pass — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Mark Pass is a geriatric medicine (internal medicine) physician provider located in Manalapan, New Jersey. This profile covers 42 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Pass
    Address100 Craig Rd
    CityManalapan
    StateNJ
    ZIP07726
    TaxonomyGeriatric Medicine (Internal Medicine) Physician
    NPI EnumeratedJuly 7, 2005
    NPI DeactivatedMarch 21, 2006

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

    Payer SourceTotal Paid
    Medicare$496.5K
    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…1,090$100$109.2K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…330$160$51.8K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…270$150$41.9K
    99214The 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…400$100$38.9K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.320$110$34.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…290$90$25.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit180$140$24.5K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…310$60$18.9K
    G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth510$40$18K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…80$240$17.8K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993095931,400210$80$37.5K
    993081,4191,430230$60$29.5K
    992142,71313,640130$90$23.6K
    992332,1464,270110$100$22.5K
    9934913580100$90$20.7K
    993503629080$120$18.6K
    992322,6586,220120$70$18.4K
    9931029257070$120$17.8K
    993065785050$150$13.3K
    992136,20814,090100$70$13.1K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul PardonNJInternal Medicine Physician$146K$0
    Gayle PistilliNJGerontology Nurse Practitioner$91.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur MandatoNJCommunity/Behavioral Health Agency$0$33.5M
    Stress Care Of New Jersey, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$14.4M
    Ivy Pediatrics, PANJPediatrics Physician$0$11.7M
    Northern Monmouth Regional Surgery Center LLCNJAmbulatory Surgical Clinic/Center$1.1M$0
    Igor PrivenNJEndocrinology, Diabetes & Metabolism Physician$702.6K$9.6K
    John CovaleskyNJCardiovascular Disease Physician$569.3K$0
    Jatinchandra PatelNJCardiovascular Disease Physician$528.9K$0
    Charles MarcheseNJPodiatrist$469.5K$0
    Yelena BirgerNJInternal Medicine Physician$286.1K$157.6K
    Inessa GrinblatNJSpecialist$411.9K$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. New Jersey Distribution
    Mark Pass — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey