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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Edmund Marcelo (NPI 1679519359)

Field	Value
Entity Type	Individual
Organization	Edmund Marcelo
Address	120 Madison Ave
City	Mount Holly
State	NJ
ZIP	08060
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicare	$57.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	280	$60	$16.8K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	170	$70	$11.9K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	140	$60	$8.8K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	100	$70	$6.2K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	60	$80	$4.9K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	40	$70	$2.9K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	30	$90	$2.7K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	30	$80	$2.1K
01991	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider does not perform this…	20	$50	$900

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Edmund Marcelo — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	50	400	40	$90	$10.3K
00140	31	90	30	$110	$4.1K
00811	35	810	20	$90	$4K
00145	20	60	20	$130	$3.9K
00812	15	460	20	$90	$3.5K
00731	52	1,050	20	$90	$3.2K
00813	37	450	20	$100	$3K
00103	10	40	20	$120	$2.8K
01991	3	10	10	$60	$920

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burlington County Endoscopy Center LLC	NJ	Ambulatory Surgical Clinic/Center	$509.1K	$847.2K
Melody Hu	PA	Pain Medicine Physician	$203.9K	$0
Andrew Ascher	PA	Anesthesiology Physician	$89.9K	$0
Frank Ferrara	PA	Anesthesiology Physician	$67.6K	$0
Guido Ascanio	PA	Anesthesiology Physician	$62.9K	$0
Dana Daidone	PA	Anesthesiology Physician	$60.9K	$0
Deborah Lippman	NJ	Anesthesiology Physician	$58.9K	$0
Miriam Zentner	PA	Anesthesiology Physician	$53.9K	$0
James Bravyak	NJ	Anesthesiology Physician	$52.6K	$0
Glenn Cohen	PA	Anesthesiology Physician	$45.6K	$6.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virtua - Memorial Hospital Burlington County, Inc.	NJ	General Acute Care Hospital	$0	$73.7M
Partners For Kids And Families, Inc.	NJ	Case Management Agency	$0	$58.8M
A.d.e.p.t. Programs Inc	NJ	In Home Supportive Care Agency	$0	$15M
Burlington County Cerebral Palsy Association	NJ	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Oaks Integrated Care	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10M
Emergency Physician Services Of New Jersey,professional Association	NJ	Emergency Medicine Physician	$0	$8M
Oaks Integrated Care, Inc.	NJ	Mental Health Counselor	$0	$8M
Carolyn Cavuto	NJ	Family Medicine Physician	$268K	$0
David Obando	NJ	Anatomic Pathology & Clinical Pathology Physician	$194.4K	$0
Richard Altamura	NJ	Emergency Medicine Physician	$130.7K	$0

Edmund Marcelo — Billing Profile & Reimbursement Data

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Edmund Marcelo — 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

Nearby Providers

Frequently Asked Questions

References