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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Marc Clark (NPI 1609982081)

Field	Value
Entity Type	Individual
Organization	Marc Clark
Address	870 State Farm Rd
City	Boone
State	NC
ZIP	28607
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicare	$32.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99222	The 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…	260	$100	$25.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$60	$4.8K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	20	$80	$1.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Marc Clark — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	550	560	60	$120	$11K
99232	2,571	5,690	70	$60	$8.1K
43235	188	280	20	$120	$3.4K
99222	10	3,340	20	$90	$3.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Rutland	AL	Anatomic Pathology & Clinical Pathology Physician	$689.1K	$0
Paul Lamb	AL	Gastroenterology Physician	$431.3K	$0
Susan Broyles	AL	Adult Health Nurse Practitioner	$380.7K	$0
Samuel Tarwater	AL	Gastroenterology Physician	$361.4K	$0
Tyler Black	NC	Gastroenterology Physician	$351K	$0
Travis Rutland	AL	Gastroenterology Physician	$343.6K	$0
William Mclaughlin	AL	Gastroenterology Physician	$327.4K	$0
Jeffrey Crittenden	AL	Gastroenterology Physician	$311.3K	$0
Scott Sarrels	AL	Gastroenterology Physician	$307K	$0
James Fernandez	MN	Diagnostic Radiology Physician	$248.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Pediatric & Adolescent Medicine, Inc	NC	Pediatrics Physician	$0	$13.2M
Watauga Opportunities, Inc	NC	Developmentally Disabled Services Day Training Agency	$0	$7.9M
Ovidiu Negrea	NC	Medical Oncology Physician	$1.8M	$0
Watauga Medics Inc	NC	Ambulance	$487K	$387K
James Logan	NC	Rheumatology Physician	$533.1K	$0
Ronald Stanley	NC	Dermatology Physician	$519.2K	$0
Brittain Tulbert	NC	Dermatology Physician	$405K	$0
Daniel Krontz	NC	Ophthalmology Physician	$320K	$0
Aaron Westphal	NC	MOHS-Micrographic Surgery Physician	$291.4K	$0
David Whittaker	NC	Dermatology Physician	$273K	$0

Marc Clark — Billing Profile & Reimbursement Data

Sign up for Marc Clark — Billing Profile & Reimbursement Data policy alerts

Marc Clark — Billing Profile & Reimbursement Data

Sign up for Marc Clark — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References