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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Marcu
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    David Marcu — Billing Profile & Reimbursement Data

    NPI 1588600787 · Prairie Du Sac, WI · Orthopaedic Surgery Physician

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    David Marcu is a orthopaedic surgery physician provider located in Prairie Du Sac, Wisconsin. This profile covers 16 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
    OrganizationDavid Marcu
    Address260 26th St
    CityPrairie Du Sac
    StateWI
    ZIP53578
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicare$141.5K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…60$920$50.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$830$34.7K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$780$12.5K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…10$970$11.7K
    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…240$40$9.6K
    99204The provider sees a new 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 provider…110$80$8.2K
    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…80$60$4.7K
    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$50$3.4K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…10$110$1.6K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…140$10$950

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274473828030$990$33.8K
    271302922020$970$25.1K
    23472456020$670$16K
    29827214020$750$12.7K
    992144,8669,80080$70$9.2K
    992136749,38060$50$4.7K
    992041163,39030$100$3.7K
    2061069381040$40$3.1K
    2982361010$170$2.8K
    992034042,82030$60$2.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sauk Prairie Healthcare IncWIGeneral Acute Care Hospital$0$2.8M
    Eric PhillippiWIFamily Medicine Physician$271.5K$0
    Michael LamsonWIOrthopaedic Surgery Physician$184.5K$0
    Chad SchneiderWIInternal Medicine Physician$183.9K$0
    Matthew HebertWIOrthopaedic Surgery Physician$130.8K$0
    Andrew ErtlWIOrthopaedic Surgery Physician$113.7K$0
    John McauliffeWIFamily Medicine Physician$105.5K$0
    Kristen HoskinsWIFamily Nurse Practitioner$91.1K$0
    Leah EdererWIFamily Medicine Physician$79.4K$0
    Steven JohnsonWIFamily Medicine Physician$71.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sauk Prairie Ambulance AssociationWILand Ambulance$224.2K$9.1K
    Theodore ParinsWISurgery Physician$46.8K$0
    Norbert StraubWIFamily Medicine Physician$39.7K$0
    Nathan GrunewaldWIUrology Physician$19.1K$0
    Denise Cole-ouzounianWIClinical Nurse Specialist$15.1K$0
    David SisbachWICertified Registered Nurse Anesthetist$12.4K$0
    Angela SorgWINurse Practitioner$12K$0
    Tara MahoneyWICertified Registered Nurse Anesthetist$12K$0
    Curtis JohnsonWICertified Registered Nurse Anesthetist$10.3K$0
    Bryant KearneyWISurgical Physician Assistant$9.5K$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. Wisconsin Distribution
    David Marcu — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin