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

    NPI 1720185788 · Farmington, NM · Nephrology Physician

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    Mark Bevan is a nephrology physician provider located in Farmington, New Mexico. This profile covers 18 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 Bevan
    Address812 W Maple St
    CityFarmington
    StateNM
    ZIP87401
    TaxonomyNephrology Physician
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$945.9K
    Medicaid$0

    Key Findings

    This provider’s billing profile is overwhelmingly focused on end stage renal disease (ESRD) management: the top Medicare codes are 90960, 90961, and 90970, which reflect monthly in‑center dialysis management (face‑to‑face frequencies) and short‑period daily dialysis services, and 90966 appears as well for home dialysis management. The code mix indicates the practice operates primarily as a dialysis/ESRD management service rather than as a general outpatient clinic, with procedural dialysis management codes dominating activity and clinical E/M or lab services contributing only a small share of revenue.

    Revenue concentration is extreme: the precomputed top‑3 share is 90.6% of the provider’s Medicare revenue, with 90960 alone at $577.4K (61.4% of total Medicare revenue) and 90961 and 90970 contributing $170.6K (18.1%) and $103.7K (11.0%), respectively. Total Medicare revenue on file is $945.9K and there is no Medicaid billing on file, so nearly all reported government payer revenue for this NPI flows through those ESRD management codes.

    Payer mix is effectively single‑payer Medicare: Medicaid data is absent (none below), so the provider’s publicly reported government reimbursement base is $945.9K from Medicare with no Medicaid revenue to diversify that exposure. That concentrated payer relationship implies this NPI’s public claims footprint will be assessed almost entirely on Medicare ESRD utilization and payment patterns rather than dual‑payer comparisons.

    This provider is a national high‑volume outlier on its leading dialysis codes. 90960 ranks #2 of 6549 providers nationally and 90961 ranks #3 of 6091 providers nationally, both listed as 100th percentile and described as extreme outliers (far above typical national volume); 90970 ranks #1 of 753 providers nationally and is likewise a 100th percentile extreme outlier. These rankings indicate the provider is a dominant national biller for monthly ESRD management services rather than a modest local participant for those codes.

    Although 90970 generates a meaningful share of revenue ($103.7K, 11.0% of Medicare revenue), it does so via very high claim volume (14.8K claims) at a low average paid per claim ($7), contrasting with 90960 and 90961 which drive revenue through higher average payments per encounter. This pattern suggests a mix of high‑frequency, low‑paid procedural claims alongside higher‑paid monthly management encounters, consistent with a large dialysis patient panel and repeated per‑treatment administrative or supply claims.

    Home dialysis involvement is measurable: 90966 accounts for $55.4K (5.9% of Medicare revenue) with 242 claims and ranks #48 of 2039 providers nationally (98th percentile; notably above typical national volume). That elevated positioning on a home dialysis code suggests the provider’s practice includes a nontrivial home dialysis component in addition to in‑center management, which may be relevant to care‑setting capacity and payer arrangements.

    Non‑ESRD E/M and lab codes represent only a small fraction of reported Medicare revenue: for example, 99214 is $6.6K (0.7%) over 82 claims and 99215 is $4.9K (0.5%) over 39 claims, while common lab panels and CBC codes together generate only a few hundred dollars. This limited office/outpatient E/M and lab footprint reinforces that the business model is centered on dialysis program management rather than routine internal medicine or office‑based specialty care.

    The NPI has long tenure: enumerated on 2006-09-20 (~20 years ago), indicating an established billing history under this NPI. Combined with the provider’s extreme national rankings on core ESRD codes, the sustained enrollment suggests a stable, long‑standing ESRD service operation that will be material to payers and competitors managing dialysis networks and Medicare ESRD utilization.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…2,120$270$577.4K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…760$230$170.6K
    90970The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…14,820$10$103.7K
    90966The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…240$230$55.4K
    90962The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…50$160$7.1K
    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…80$80$6.6K
    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…40$130$4.9K
    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…30$140$3.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$60$3.6K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…60$60$3.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960140120$270$61.6K
    90966120100$230$24.9K
    9096115060$230$20.7K
    90970110310$10$14K
    992141,4542,70090$70$12.9K
    800536290100$10$11.5K
    9921543096040$110$7.8K
    992131,9772,44060$50$7.3K
    9923242083060$60$7.3K
    9922327649030$130$7.3K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Four Corners Nephrology Associates PCNMNephrology Physician$0$2.3M
    Franklin LamNMNephrology Physician$115.1K$0
    Alejandro Solano BayardoTXNephrology Physician$96.6K$0
    Daniel AdeneyeNMNephrology Physician$92.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Juan Regional Medical Center, Inc.NMGeneral Acute Care Hospital$0$141.5M
    Basin Coordinated Healthcare,incNMPersonal Care Attendant$0$79.7M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$41.2M
    Links Ii IncNMIn Home Supportive Care Agency$0$38.9M
    Generations Personal Care, IncNMPersonal Care Attendant$0$33.9M
    Southwestern Private Services, Inc.NMHome Health Agency$0$30.4M
    San Juan Regional Medical Center IncNMEmergency Medicine Physician$0$23.8M
    San Juan Center For IndependenceNMHome Health Agency$0$22.5M
    Cottonwood Clinical Services, Inc.NMCommunity/Behavioral Health Agency$0$18.1M
    San Juan Regional Medical Center IncNMPediatrics Physician$0$15.7M

    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 Mexico Distribution
    Mark Bevan — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico