Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Marcus Roman (NPI 1609841378)

Field	Value
Entity Type	Individual
Organization	Marcus Roman
Address	1836 South Ave
City	La Crosse
State	WI
ZIP	54601
Taxonomy	Surgical Physician Assistant
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicare	$21.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In 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	$130	$4.6K
99203	The 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…	80	$50	$4.2K
27447	In 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…	30	$130	$4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	110	$40	$3.8K
99213	The 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…	90	$40	$3.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$30	$1.1K
J1040	Injection, methylprednisolone acetate, 80 mg	70	$10	$520
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	290	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Marcus Roman — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	114	280	30	$990	$33.8K
27130	42	220	20	$970	$25.1K
99213	3,021	9,380	60	$50	$4.7K
20610	173	810	40	$40	$3.1K
99203	271	2,820	30	$60	$2.4K
99212	563	2,000	30	$30	$1.3K
J1040	52	140	50	$10	$560
J0665	5	10	300	$1	$10

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Vernon Memorial Healthcare, Inc.	WI	Critical Access Hospital	$0	$9M
Ibrahim Alghafeer	IL	Rheumatology Physician	$583K	$125.4K
Kristie Shappell	WI	Ophthalmology Physician	$437.6K	$0
Christopher Faubel	IL	Physical Medicine & Rehabilitation Physician	$401K	$2.1K
Steven Whitford	WI	Ophthalmology Physician	$377.7K	$0
Wah Wah Htun	WI	Interventional Cardiology Physician	$182.6K	$170.8K
Ankur Behl	IL	Orthopaedic Surgery Physician	$191.3K	$131K
Jacinthe Malalis	IL	Physical Medicine & Rehabilitation Physician	$256.4K	$60.8K
Jordan Thompson	WI	Ophthalmology Physician	$249.6K	$0

Marcus Roman — Billing Profile & Reimbursement Data

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Marcus Roman — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References