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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Scheiner
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    Marc Scheiner — Billing Profile & Reimbursement Data

    NPI 1659322501 · Elkton, MD · Plastic Surgery Physician

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    Marc Scheiner is a plastic surgery physician provider located in Elkton, Maryland. This profile covers 20 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
    OrganizationMarc Scheiner
    Address304 North St Ste 3
    CityElkton
    StateMD
    ZIP21921
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedMay 15, 2006

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

    Payer SourceTotal Paid
    Medicare$141.7K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…60$410$24.4K
    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…290$60$17K
    14020The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.40$420$15.4K
    11106The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.130$110$14.3K
    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…170$80$13.2K
    14000In an adjacent tissue transfer (ATT) of the trunk, the provider transfers a skin part to another skin segment on the trunk.  This code is for an ATT 10 cm2 in size or less.30$360$9.8K
    15786In this procedure, the provider removes a single lesion, such as a scar or an abnormal growth, by lightly sanding the surface of the skin with a specialized tool.50$170$8.5K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$500$7.4K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.80$70$5.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.130$40$4.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1404062020$530$20.7K
    1402041030$540$17.4K
    17110329440120$80$15.5K
    14060355020$560$15K
    17000266420210$40$12.9K
    992132,0149,280100$60$12.5K
    11102243390120$70$12.3K
    13121486030$230$12.2K
    1400031020$460$10K
    1110621040$110$9.7K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upper Bay Counseling & Support Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$19.1M
    Cecil County Public SchoolsMDCounselor$0$15.7M
    Upper Bay Counseling & Support Services, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    Serenity Health, LLCMDMethadone Clinic$346.2K$14M
    Ats Of Cecil County, LLCMDMethadone Clinic$274.4K$11.7M
    Usacs Integrated Acute Care Services Of Maryland, LLCMDInternal Medicine Physician$0$7.7M
    Advantage Psychiatric Services LLCMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Upper Bay Counseling & Support Services, IncMDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Health Care For Children,llcMDPediatrics Physician$0$6.3M
    Project Chesapeake, LLCMDSubstance Use Disorder Rehabilitation Clinic/Center$0$5.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Marc Scheiner — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland