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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

John Marek (NPI 1447267406)

Field	Value
Entity Type	Individual
Organization	John Marek
Address	2nd Ambulatory Care Ctr
City	Albuquerque
State	NM
ZIP	87131
Taxonomy	Vascular Surgery Physician
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicare	$20.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36821	The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…	20	$520	$11.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	80	$30	$2.1K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	60	$30	$1.9K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	100	$20	$1.6K
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	$70	$1.1K
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.…	60	$20	$1K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	10	$40	$530
93985	The provider performs a duplex ultrasound scan of the arteries and veins in both upper extremities to assess vascular supply and venous return in the arm prior to establishing hemodialysis access.	20	$30	$480
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	10	$30	$360
93926	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts. Providers perform noninvasive arterial diagnostic procedures to examine the rate of blood flow and to…	20	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

John Marek — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,574	2,700	90	$70	$12.9K
36821	2	10	20	$320	$6.7K
93970	23	90	40	$70	$5.9K
93923	17	30	60	$60	$4.2K
93880	21	70	40	$60	$3.4K
93971	20	100	50	$40	$3.3K
93975	13	20	20	$90	$2.5K
93978	11	10	30	$50	$1.7K
93985	2	10	20	$90	$1.4K
93926	12	20	20	$30	$700

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Gilmore	NM	Orthopaedic Surgery Physician	$171.3K	$0
Andrew Bruner	NM	Diagnostic Radiology Physician	$128.8K	$920
Edo Avochinou	NM	Internal Medicine Physician	$125.6K	$0
William Schaeffer	NM	Vascular & Interventional Radiology Physician	$125.3K	$0
Kurt Pedrotty	NM	Diagnostic Radiology Physician	$118.7K	$0
Wallace Gladden	NM	Physical Medicine & Rehabilitation Physician	$113.5K	$0
David Martin	NM	Anatomic Pathology & Clinical Pathology Physician	$109K	$0
Reuel Measom	NM	Interventional Pain Medicine Physician	$106.2K	$0
Jennifer Pohl	NM	Diagnostic Radiology Physician	$105.6K	$0
Eddie Brown	NM	Cardiovascular Disease Physician	$104.2K	$0

John Marek — Billing Profile & Reimbursement Data

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John Marek — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References