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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSamuel Mardini
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    Samuel Mardini — Billing Profile & Reimbursement Data

    NPI 1780622761 · Lexington, KY · Gastroenterology Physician

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    Samuel Mardini is a gastroenterology physician provider located in Lexington, Kentucky. This profile covers 15 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
    OrganizationSamuel Mardini
    Address1401 Harrodsburg Rd Ste C305
    CityLexington
    StateKY
    ZIP40504
    TaxonomyGastroenterology Physician
    NPI EnumeratedJune 3, 2006

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

    Payer SourceTotal Paid
    Medicare$115.5K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…210$220$45.3K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…80$170$12.9K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…30$360$10.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…90$100$9.3K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…170$50$8.2K
    47999Use 47999 to report procedures in the biliary tract that do not have a specific code.10$730$8K
    43999Use 43999 to report new or unusual procedures on the stomach that do not have an assigned code.20$380$5.6K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…30$140$4K
    43277Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$240$3.6K
    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…30$60$2.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992322,2692,860100$60$11.6K
    4327412020$280$10.1K
    4327621030$330$9.9K
    4799911010$730$8K
    4323914727060$90$7.4K
    4327511020$220$5.5K
    4323821030$140$4.6K
    992222432,07030$90$4.5K
    4399941020$130$4.4K
    4323731020$120$3.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kentuckyone Health Medical Group, Inc.KYFamily Medicine Physician$0$38.9M
    Shawn MilburnKYPain Medicine (Anesthesiology) Physician$389.7K$0
    Robert LaveyKYRadiation Oncology Physician$384.3K$0
    Mark EsterleKYPulmonary Disease Physician$283.6K$0
    Shoaib AhmadOKPulmonary Disease Physician$276.1K$0
    Sanjiv MehtaKYOrthopaedic Surgery Physician$262.9K$0
    Nagabhushanam BollavaramKYPulmonary Disease Physician$230.6K$0
    Thomas SlabaughKYUrology Physician$227.9K$0
    Nicole EvermanKYNeurology Physician$227.6K$0
    Sunil ChhibberKYPsychiatry Physician$216.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYGeneral Acute Care Hospital$0$85.5M
    Maxim Healthcare Services Inc.KYHome Health Agency$0$20.5M
    Hospice Of The Bluegrass, IncKYCommunity Based Hospice Care Agency$0$17.9M
    Columbus Medical Services, LLCKYCase Management Agency$0$12.1M
    Hospice Of The Bluegrass, IncKYCommunity Based Hospice Care Agency$0$9.3M
    Horn And Associates In Rehabilitation PLLCKYRehabilitation Practitioner$0$8.3M
    New Lexington Clinic, PscKYMulti-Specialty Clinic/Center$0$8.2M
    Serenity KeepersKYAdult Mental Health Clinic/Center$0$7.9M
    Lexington Surgery Center LtdKYAmbulatory Surgical Clinic/Center$1.3M$5.4M
    Cogent Healthcare Of Kentucky, PscKYInternal Medicine Physician$0$4.4M

    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. Kentucky Distribution
    Samuel Mardini — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky