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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Metzl
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    Mark Metzl — Billing Profile & Reimbursement Data

    NPI 1588813620 · Evanston, IL · Clinical Cardiac Electrophysiology Physician

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    Mark Metzl is a clinical cardiac electrophysiology physician provider located in Evanston, Illinois. This profile covers 32 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Metzl
    Address1000 Central St Ste 730
    CityEvanston
    StateIL
    ZIP60201
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedSeptember 12, 2008

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

    Payer SourceTotal Paid
    Medicare$295.2K
    Medicaid$1.7K

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…70$850$56.1K
    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…270$110$29.9K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…1,120$20$24.7K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…20$810$17.9K
    93654A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…20$910$17.3K
    99205The provider sees a new 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 provider…100$150$15K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…30$450$14.5K
    93657In this procedure, the provider uses radiofrequency energy to treat an additional source of atrial fibrillation, an abnormal heart rhythm, following a radiofrequency ablation procedure.50$280$13K
    33274The provider inserts or replaces a permanent leadless pacemaker into the right ventricle via a catheter inserted through the femoral vein. This code includes imaging guidance and testing/programming…30$410$10.2K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.30$400$10K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3324974010$1,990$33.8K
    93656610030$810$25.1K
    9921411,47318,540110$80$17.1K
    332084912020$620$16.1K
    9365431020$830$15.8K
    33340136020$520$13.5K
    93653345010$690$11.8K
    992235,0166,19050$140$10.4K
    992153496,24040$120$10.1K
    9365763030$270$8.5K

    Showing 1–10 of 32

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…200$10$1.4K
    93248After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…30$10$270

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93248After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, the provider completes a review and…142060$10$1.5K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…126050$10$990

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Endeavor Health Medical GroupILClinical Medical Laboratory$0$7.7M
    Endeavor Health Clinical OperationsILGeneral Acute Care Hospital$0$7.1M
    Jeffrey ParnellILRetina Specialist (Ophthalmology) Physician$2.6M$27.5K
    Karen KaulILAnatomic Pathology & Clinical Pathology Physician$16.2K$1.7M
    Mark BalekILCardiovascular Disease Physician$1.1M$516.2K
    Roop GuptaILGastroenterology Physician$237.3K$1.3M
    Kenneth ResnickILRetina Specialist (Ophthalmology) Physician$1.4M$74.2K
    William StephanILInterventional Cardiology Physician$1.4M$8.4K
    Vassilios DimitropoulosINDermatology Physician$1.1M$293.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of EvanstonILLand Ambulance$766.7K$18.1M
    Michelangelo MilanoILAnatomic Pathology & Clinical Pathology Physician$123.8K$4.4M
    Peer Services IncILSubstance Use Disorder Rehabilitation Clinic/Center$64.8K$936.3K
    Lina CostelloeILClinical Social Worker$149.9K$735.4K
    Julio CorderoILNuclear Medicine Physician$719.3K$33.5K
    Andrew GriffinILDiagnostic Radiology Physician$485.3K$266K
    Mehraboon IraniILBlood Banking & Transfusion Medicine Physician$4.6K$677.4K
    Aleksandrs KalninsILNeuroradiology Physician$139.9K$463.1K
    Michael MusacchioILNeurological Surgery Physician$398.2K$430
    Rajeev PolasaniILDiagnostic Radiology Physician$200K$195.8K

    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. Illinois Distribution
    Mark Metzl — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Mark Metzl — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois