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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Marte
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    Michael Marte — Billing Profile & Reimbursement Data

    NPI 1518058502 · Summerville, SC · Hematology & Oncology Physician

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    Michael Marte is a hematology & oncology physician provider located in Summerville, South Carolina. This profile covers 54 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
    OrganizationMichael Marte
    Address300 Callen Blvd
    CitySummerville
    StateSC
    ZIP29486
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$607.8K
    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0897Injection, denosumab, 1 mg11,220$20$213.2K
    J1439Injection, ferric carboxymaltose, 1 mg127,500$1$127.5K
    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…710$90$61.4K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units6,850$10$41.1K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…280$100$26.9K
    99215The 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…150$130$19.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.2,180$10$17.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,160$10$17.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,310$10$13.1K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.220$50$9.9K

    Showing 1–10 of 54

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    54 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0897182502,400$20$91.2K
    J3490265070$510$57.7K
    J143913042,750$1$42.3K
    992147197,860160$80$23.2K
    9641360150140$90$22.1K
    J08851202,220$10$21.3K
    9921315,0407,690100$60$10.8K
    992156102,36040$120$9.3K
    963671750230$20$9.2K
    9636537170100$40$7.4K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lehigh Valley HospitalPAGeneral Acute Care Hospital$0$64.3M
    Bon Secours St. Francis Xavier Hospital Inc.SCGeneral Acute Care Hospital$0$35.9M
    Lehigh Valley Physician GroupPAFamily Medicine Physician$0$21.9M
    Lehigh Valley Physician GroupPAEmergency Medicine Physician$0$16.3M
    Lehigh Valley Hospital PoconoPAGeneral Acute Care Hospital$0$11.9M
    Family Care Centers Inc.PAInternal Medicine Physician$0$11.1M
    Wilmington Health PLLCNCPediatrics Physician$0$10M
    Hazleton Professional ServicesPAInternal Medicine Physician$0$8.3M
    Lehigh Valley Physician GroupPAPediatrics Physician$0$7.6M
    Family Care Centers IncPAFamily Medicine Physician$0$6.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roper St Francis Hospital-berkeley Inc.SCGeneral Acute Care Hospital$0$7.3M
    Charleston Surgery Center Limited PartnershipSCAmbulatory Surgical Clinic/Center$2.6M$2M
    Broad River Physicians Group, LLCSCEmergency Medicine Physician$0$3M
    Sfd Kids LLCSCDentist$0$2.4M
    Durga AdhikariSCRheumatology Physician$2.4M$0
    Colin EdgertonSCRheumatology Physician$1.9M$0
    Jennifer MurphySCRheumatology Physician$1.4M$0
    Gregory NiemerSCRheumatology Physician$1.4M$0
    Low Country Endoscopy Center, LLCSCAmbulatory Surgical Clinic/Center$524.9K$93.6K
    Nicholas HoldgateSCRheumatology Physician$557.8K$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. South Carolina Distribution
    Michael Marte — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina