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    OpenPayerNPI Medicare & MedicaidMark Zweben
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    Mark Zweben — Billing Profile & Reimbursement Data

    NPI 1720067077 · Bear, DE · Cardiovascular Disease Physician

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    Mark Zweben is a cardiovascular disease physician provider located in Bear, Delaware. This profile covers 37 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
    OrganizationMark Zweben
    Address121 Becks Woods Dr
    CityBear
    StateDE
    ZIP19701
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJanuary 14, 2006

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

    Payer SourceTotal Paid
    Medicare$586.6K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is concentrated: Total Medicare revenue is $586.6K and the precomputed top 3 Medicare codes (99215, 93229, 78452) account for 65.6% of that total. The single largest contributor is 99215 (1.7K claims, $126 avg paid/claim, $211.2K revenue, 36.5% of this provider's total Medicare revenue), followed by 93229 (136 claims, $678 avg paid/claim, $92.2K revenue, 15.9%) and 78452 (224 claims, $342 avg paid/claim, $76.6K revenue, 13.2%).

    The CPT/HCPCS mix indicates a cardiology practice built around high-complexity outpatient evaluation and management plus in-office diagnostic imaging and monitoring. High-volume 99215 visits (1.7K claims) point to a steady stream of complex ambulatory encounters, while 78452 SPECT studies (224 claims) and tracer A9502 usage (231 claims, $10.2K revenue) plus J2785 regadenoson (632 claims, $25.9K revenue) signal an active nuclear stress testing capability integrated into the practice.

    This provider is effectively single-payer from an operational perspective: there is no Medicaid billing on file (none below). With Medicare revenue of $586.6K and no Medicaid revenue, the practice is heavily dependent on Medicare patient volume and reimbursement dynamics.

    For certain services the provider ranks at or near national outlier levels, demonstrating strong national-scale throughput for specific codes. Most notably 99215 ranks #45 of 145531 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 93000 (1.2K claims, $10 avg paid/claim, $12K revenue) ranks #938 of 71016 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), indicating unusually high volume for both high-complexity E/M visits and basic ECG interpretation.

    Other high-revenue codes show above-typical but more moderate positions: 93229 ranks #150 of 2091 providers nationally (93th percentile; typical, unremarkable volume for this code) and 78452 ranks #919 of 14946 providers nationally (94th percentile; notably above typical national volume for this code), so the practice’s dominance is selective—very strong for some services and typical for others.

    There is a clear operational emphasis on device-based and remote monitoring services, reflected by multiple monitoring and device-management codes across the top 25. Codes such as 99454 (131 claims, $5.1K revenue), 99457 (120 claims, $4.3K revenue), G2066 (105 claims, $3.2K revenue), 93297 (103 claims, $2.1K revenue) and 93294 (76 claims, $1.7K revenue) collectively show recurring, programmatic revenue streams from remote physiologic monitoring and implantable device follow-up, even though each line contributes modestly to total Medicare revenue.

    The provider’s service mix also includes comprehensive imaging and procedural echocardiography: 93306 (346 claims, $132 avg paid/claim, $45.7K revenue) contributes materially to the portfolio and 93312 transesophageal echocardiography appears in the mix (15 claims, $1.3K revenue). These imaging volumes, together with nuclear testing and ECG volume, indicate a full-spectrum ambulatory cardiac diagnostics operation rather than a procedure-only or consult-only practice.

    The provider has long tenure in the Medicare program, with NPI enumeration dated 2006-01-14 (~20 years ago), which supports interpretation of these volumes as established, sustained practice patterns rather than transient activity spikes. Across the non-top-3 codes the rank/percentile notes are predominantly in the typical or modest range (many labeled "typical, unremarkable volume for this code"), suggesting that outside a few dominant lines this provider participates at a conventional level nationally.

    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,680$130$211.2K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…140$680$92.2K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…220$340$76.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…350$130$45.7K
    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…310$90$28.6K
    J2785Injection, regadenoson, 0.1 mg630$40$25.9K
    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…110$130$14.6K
    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…100$150$14.3K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,200$10$12K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…80$150$11.7K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933064770450$100$51.8K
    784521460120$250$40.3K
    9322913040$670$34.2K
    J27851030390$40$26.9K
    992141,4171,830150$80$25.5K
    994581320170$30$19.4K
    994571520170$40$18.1K
    93880358070$110$16.6K
    992336250080$90$15.4K
    994541520180$40$12.7K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Delaware Cardiovascular Associates, P.A.DECardiovascular Disease Physician$0$5.4M
    Christiana Care Health Services IncDENeurology Physician$0$5.1M
    Christiana Care Health Services, IncDEFamily Medicine Physician$0$5.1M
    Union Hospital Of Cecil CountyMDInternal Medicine Physician$0$4.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chesapeake Rehab Equipment Inc.DECustomized Equipment (DME)$0$4.1M
    Reliance Healthcare, LLCDEFamily Medicine Physician$0$3.3M
    United Medical Clinic, LLCDEInternal Medicine Physician$0$2.7M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$1.9M
    Kool Koala Pediatric & Adolescent Dentistry LLCDEPediatric Dentistry$0$1.6M
    Mark WieczorekDEDentist$0$1.4M
    Messiahs Angel Foundation CenterDEAdult Day Care Clinic/Center$0$1.2M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$735.1K
    Wasif QureshiDECardiovascular Disease Physician$683.6K$0
    Brigida RodriguezDEMental Health Counselor$0$521.2K

    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. Delaware Distribution
    Mark Zweben — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware