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

    NPI 1588622773 · Saint Louis, MO · Urology Physician

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    Michael Marcus is a urology physician provider located in Saint Louis, Missouri. This profile covers 23 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 Marcus
    Address10296 Big Bend Rd
    CitySaint Louis
    StateMO
    ZIP63122
    TaxonomyUrology Physician
    NPI EnumeratedMay 4, 2006

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

    Payer SourceTotal Paid
    Medicare$124.7K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$90$35.1K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg100$130$12.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…70$180$12.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$9.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$430$9.3K
    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…160$60$9.3K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…200$50$9K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.70$100$6.8K
    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…60$110$6.4K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…10$180$2.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92173970100$130$17.7K
    50590134020$610$15.2K
    992141,0618,960100$80$13.9K
    9949087190180$40$13.8K
    520009317080$150$12.8K
    992324,1814,32090$60$10.8K
    9943996120160$30$9.2K
    51728334030$160$7.9K
    992132,0708,73070$50$7K
    7417649953070$60$6.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric SutphenMORadiation Oncology Physician$1.9M$0
    Marcus JonesMODiagnostic Radiology Physician$1.2M$0
    William DunnILRadiation Oncology Physician$1.1M$0
    Travis BullockMOUrology Physician$533.7K$0
    Beth LevyMOCytopathology Physician$532.6K$0
    Elizabeth WilliamsMOUrology Physician$390.7K$0
    Zahid KaleemMOAnatomic Pathology & Clinical Pathology Physician$345.4K$0
    Christopher VulinMOUrology Physician$291.2K$0
    Daniel FerraroILRadiation Oncology Physician$247.2K$0
    James RybakILUrology Physician$247.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Corning Home Health Care LLCMOHome Health Agency$0$19.7M
    Algonquin Nurses Home Health Care I, LLCMOIn Home Supportive Care Agency$0$8.5M
    Shamrock Consumer Care, LLCMOSupports Brokerage Agency$0$7.1M
    Bethesda Lutheran Homes & Svcs IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$3.9M
    Eye Surgical Services LLCMOAmbulatory Surgical Clinic/Center$2.2M$31.4K
    Ramona BehshadMOMOHS-Micrographic Surgery Physician$658.1K$0
    Zia AhmadMOCardiovascular Disease Physician$507.4K$0
    City Of KirkwoodMOLand Ambulance$318.1K$140.3K
    Michael HubbardMOOrthopaedic Surgery Physician$298.3K$0
    Steven StahleMOSports Medicine (Family Medicine) Physician$228K$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. Missouri Distribution
    Michael Marcus — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri