Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaris Legarda
    Ask Trek AI about this page

    Maris Legarda — Billing Profile & Reimbursement Data

    NPI 1659331296 · Monterey, CA · Epilepsy Physician

    Customize your policy alerts

    Sign up for Maris Legarda — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Maris Legarda is a epilepsy physician provider located in Monterey, California. This profile covers 14 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMaris Legarda
    Address23845 Holman Hwy Ste 210
    CityMonterey
    StateCA
    ZIP93940
    TaxonomyEpilepsy Physician
    NPI EnumeratedMarch 27, 2006

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

    Payer SourceTotal Paid
    Medicare$109.8K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90901The provider trains patients to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily functions that are normally not controlled voluntarily.1,140$40$40K
    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…130$140$18K
    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…130$90$12.1K
    95708The patient undergoes an unmonitored electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours. No video recording is made, and an EEG technologist reviews the…40$260$10.7K
    95812Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…20$310$7.1K
    95719A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. No video is…40$130$5.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$150$3.4K
    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…20$170$3.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$100$3K
    95957In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.30$90$2.3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9581624736040$280$48.9K
    95957365070$230$27.5K
    992339,93511,530120$100$26.2K
    9921417,41237,970120$90$23.2K
    909011370310$30$19.8K
    95812213030$200$15.1K
    95708101050$260$15.1K
    992153,48515,36050$130$14.4K
    992239,70513,19050$140$11.3K
    992055,7328,36030$170$7.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Hospital Of The Monterey PeninsulaCAGeneral Acute Care Hospital$0$88.5M
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    James JoyeCAInterventional Cardiology Physician$4.5M$0
    Sara HaugCORetina Specialist (Ophthalmology) Physician$3.9M$0
    Tuow TingCARetina Specialist (Ophthalmology) Physician$2.6M$0
    J JumperCARetina Specialist (Ophthalmology) Physician$2.6M$0
    David GreeneCARadiation Oncology Physician$2.3M$119.1K
    Judy ChenCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Katrina FischerCAHematology & Oncology Physician$2.1M$0
    Steven WilliamsTNRetina Specialist (Ophthalmology) Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monterey Bay Endoscopy Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$4.9M
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2.3M$0
    Nancy RubinCAHematology & Oncology Physician$2M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$2M$11.3K
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Salar DeldarCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0
    Lulu ZhangCAHematology & Oncology Physician$1.2M$0
    Nancy TrayCAInternal Medicine Physician$1.1M$0
    Monterey Peninsula Surgery Center LLCCAAmbulatory Surgical Clinic/Center$721.9K$409K
    Michael KoontzCAInternal Medicine Physician$1.1M$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. California Distribution
    Maris Legarda — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California