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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarciano Figueroa
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    Marciano Figueroa — Billing Profile & Reimbursement Data

    NPI 1689623936 · Wayne, NJ · Geriatric Medicine (Family Medicine) Physician

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    Marciano Figueroa is a geriatric medicine (family medicine) physician provider located in Wayne, New Jersey. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarciano Figueroa
    Address759 Hamburg Tpke
    CityWayne
    StateNJ
    ZIP07470
    TaxonomyGeriatric Medicine (Family Medicine) Physician
    NPI EnumeratedMay 6, 2006

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

    Payer SourceTotal Paid
    Medicare$75.6K
    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
    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…340$100$33.6K
    0241UN/A100$140$13.3K
    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…170$70$12.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$150$7.4K
    99204The provider sees a new 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 provider…20$140$2.2K
    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…20$90$1.5K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.40$30$1.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…10$70$760
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$40$740

    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
    992143,36613,640130$90$23.6K
    992134,95914,090100$70$13.1K
    G04391,9343,37070$120$11.5K
    364158932,200110$10$11.1K
    0241U1012030$140$7.3K
    992045,7977,16040$130$6.5K
    992034,5245,66040$80$4.8K
    906622,7832,85040$70$4.6K
    876513410020$30$3.8K
    G00083,9344,29050$30$3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Ashraf RaslanNJStudent in an Organized Health Care Education/Training Program$1.1M$0
    Wen FanNYAnatomic Pathology & Clinical Pathology Physician$1.1M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Arik ZaiderNJSpecialist$749.9K$0
    Adam BrandeberryNJDiagnostic Radiology Physician$690.5K$0
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Circle Of Care For Families & Children, Inc.NJCase Management Agency$0$60.3M
    Podiatry Center Of New Jersey, LLCNJPodiatric Clinic/Center$0$57.1M
    Visiting Homemaker Service Of Passaic CountyNJHome Health Agency$0$13.1M
    Basic Home Infusion, LLCNJHome Infusion Therapy Pharmacy$0$11.6M
    Pulse Medical TransportationNJAmbulance$2.6M$4M
    Jonathan GreenbergNJOphthalmology Physician$2.6M$0
    Valley Medical Transportation, LLCNJNon-emergency Medical Transport (VAN)$1.3M$396K
    Michael SakowitzNJPsychologist$24.2K$1.1M
    Wayne Surgical Center LLCNJAmbulatory Surgical Clinic/Center$667.5K$0
    William GrellaNJInternal Medicine Physician$664.1K$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. New Jersey Distribution
    Marciano Figueroa — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey