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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Claydon
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    Marc Claydon — Billing Profile & Reimbursement Data

    NPI 1447601802 · Grass Valley, CA · Foot & Ankle Surgery Podiatrist

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    Marc Claydon is a foot & ankle surgery podiatrist provider located in Grass Valley, California. This profile covers 18 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
    OrganizationMarc Claydon
    Address150 Catherine Ln Ste B
    CityGrass Valley
    StateCA
    ZIP95945
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedJune 28, 2016

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

    Payer SourceTotal Paid
    Medicare$183.3K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…650$70$43.5K
    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…380$80$30.9K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.880$20$21.1K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.200$80$16.1K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…50$210$11.3K
    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…120$90$11.2K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$410$8.1K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.280$30$7.9K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…20$500$7.5K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.40$130$5.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043315370120$170$52.1K
    110445711060$240$29.1K
    2875042020$1,510$24.2K
    9921418,33937,970120$90$23.2K
    110423161,030100$80$18.1K
    28285438030$500$15.6K
    992132,23934,66080$70$13.2K
    20680558020$520$10.9K
    9920412,37319,36040$120$7.2K
    992222,9087,35030$110$5K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of NevadaCAMental Health Clinic/Center (Including Community Mental Health Center)$0$88.3M
    Chapa-de Indian Health Program, Inc.CAFederally Qualified Health Center (FQHC)$0$84.6M
    Western Sierra Medical Clinic, Inc.CAFederally Qualified Health Center (FQHC)$0$27.8M
    Sierra Nevada Memorial-miners HospitalCAGeneral Acute Care Hospital$0$23M
    Grass Valley Outpatient Surgery Center LPCAAmbulatory Surgical Clinic/Center$426.1K$1.6M
    Sierra Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$577.9K
    Sierra Ambulatory Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$0
    Jon PritchettCAFamily Medicine Physician$1M$0
    Anna WilsonCADiagnostic Radiology Physician$762K$59.2K
    Kuldip GillCAGeriatric Medicine (Internal Medicine) Physician$807.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Marc Claydon — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California