Loading...
NPI 1689817173 · Nacogdoches, TX · Otolaryngology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Gia Marotta is a otolaryngology physician provider located in Nacogdoches, Texas. This profile covers 11 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gia Marotta |
| Address | 1023 N Mound St Ste A |
| City | Nacogdoches |
| State | TX |
| ZIP | 75961 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | April 13, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $18.4K |
| Medicaid | $1000 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 80 | $70 | $5.3K |
| 99204 | The 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… | 30 | $120 | $3.2K |
| 99203 | The 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… | 40 | $80 | $2.7K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 20 | $100 | $1.8K |
| 99214 | The 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… | 10 | $100 | $1.3K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 30 | $30 | $990 |
| 92553 | The provider presents the patient with a series of tones at varying intensities to identify the softest level at which the patient can hear to access hearing and determine the type and amount of… | 30 | $30 | $860 |
| 92588 | The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural… | 30 | $30 | $700 |
| 92550 | The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,… | 30 | $20 | $580 |
| 92555 | The provider measures a patient’s speech reception/awareness threshold (the lowest volume at which the patient can recognize speech). | 30 | $20 | $550 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 31,661 | 32,500 | 110 | $80 | $17.6K |
| 99213 | 14,060 | 29,790 | 70 | $60 | $8.4K |
| 99204 | 9,761 | 16,380 | 30 | $110 | $5.6K |
| 31575 | 461 | 550 | 40 | $90 | $4.6K |
| 99203 | 4,572 | 10,820 | 30 | $70 | $3.4K |
| 92557 | 627 | 680 | 80 | $30 | $2.9K |
| 69210 | 426 | 780 | 40 | $30 | $2.3K |
| 92588 | 44 | 70 | 40 | $20 | $1.4K |
| 92553 | 17 | 40 | 20 | $30 | $1.3K |
| 92550 | 126 | 210 | 40 | $20 | $1K |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99204 | The 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 | $50 | $990 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99204 | The 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… | 1,210 | 1,520 | 100 | $80 | $50.1K |
Other providers in the same ZIP code as Gia Marotta, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Binusha Moitheennazima | TX | Pulmonary Disease Physician | $560.2K | $0 |
| Vijaya Pokala | TX | Interventional Cardiology Physician | $439.7K | $0 |
| Ahammed Hashim | TX | Pulmonary Disease Physician | $319.9K | $0 |
| Marian Querry | TX | Surgery Physician | $148.6K | $0 |
| Jon Caster | TX | Specialist | $87.6K | $0 |
| Chad Laurich | TX | Foot & Ankle Surgery Podiatrist | $38.7K | $0 |
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.