Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Marvel
    Ask Trek AI about this page

    Jeffrey Marvel — Billing Profile & Reimbursement Data

    NPI 1740285063 · Tullahoma, TN · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Jeffrey Marvel — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jeffrey Marvel is a otolaryngology physician provider located in Tullahoma, Tennessee. This profile covers 6 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Marvel
    Address1821 N Washington St
    CityTullahoma
    StateTN
    ZIP37388
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 14, 2005

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

    Payer SourceTotal Paid
    Medicare$162.7K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31298The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.10$3,400$47.6K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.4,780$10$43K
    31295The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…20$1,650$26.4K
    69706Surgical nasal endoscopy consists of the use of a medical device that has a thin rigid or a flexible tube to view the sinuses and nasal passages. In this procedure, the endoscopy provides an approach…10$2,010$24.2K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.1,790$10$10.8K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.1,300$10$9.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3129821020$3,340$50K
    6970611010$2,010$24.2K
    95165151301,130$10$22.9K
    3129511010$1,620$21.1K
    9511726190340$10$5.1K
    95115380200$10$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Sanford Health Of Northern MinnesotaMNRural Acute Care Hospital$0$47.6M
    Scl Health Medical Group - Billings LLCMTClinic/Center$0$32.2M
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Sanford Health Of Northern MinnesotaMNMental Health Clinic/Center (Including Community Mental Health Center)$0$15.1M
    Sanford Medical Center FargoNDAir Ambulance$0$12M
    Scl Health Medical Group-butte LLCMTFamily Medicine Physician$0$9.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skills Development Services, Inc.TNDevelopmentally Disabled Services Day Training Agency$0$9M
    Tullahoma Pediatrics PLLCTNPediatrics Physician$0$6.1M
    Vanderbilt Coffee Hospital, LLCTNGeneral Acute Care Hospital$0$4.1M
    Tullahoma Hma LLCTNGeneral Acute Care Hospital$0$4M
    Tullahoma Hma Physician Management, LLCTNInternal Medicine Physician$0$2.2M
    Robert CollierTNRetina Specialist (Ophthalmology) Physician$1.1M$0
    Isaac BryanTNDermatology Physician$896K$0
    Ambulatory Surgical Associates LLCTNAmbulatory Surgical Clinic/Center$785.7K$0
    Charles DrummondTNVascular Surgery Physician$708.5K$8.9K
    William BradfordTNRadiation Oncology Physician$438.6K$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. Tennessee Distribution
    Jeffrey Marvel — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee