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

    NPI 1780664086 · Wilmington, NC · Surgery Physician

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    Mark Medley is a surgery physician provider located in Wilmington, North Carolina. This profile covers 21 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 Medley
    Address2739 Iron Gate Dr
    CityWilmington
    StateNC
    ZIP28412
    TaxonomySurgery Physician
    NPI EnumeratedJanuary 20, 2006

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

    Payer SourceTotal Paid
    Medicare$154.8K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…70$700$49.8K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…250$80$21.2K
    99204The 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…90$120$10.4K
    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…60$130$8.2K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…60$130$7.8K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$500$7.4K
    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$90$7.1K
    49593The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside…10$410$5.8K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$350$5.6K
    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…70$60$4.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921411,04618,060110$80$15.1K
    2255834020$530$14.8K
    49650376020$500$10.5K
    1203224130030$190$8.9K
    992322,8015,69070$60$8.1K
    9921310,00616,32070$50$7.1K
    992232,3674,58030$130$6.5K
    47562288010$430$6.4K
    939788913030$100$5.1K
    9388022870040$80$5.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ellis TinsleyNCSurgery Physician$1M$0
    Thomas EskewNCVascular Surgery Physician$377.1K$0
    Gregory BebbNCSurgery Physician$289.4K$0
    Elizabeth WeinbergNCSurgery Physician$216.8K$0
    Robert CortinaNCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$135.9K$0
    Mark VersnickNCSurgery Physician$130.8K$0
    Stephanie IveyNCFamily Nurse Practitioner$54.3K$0
    Emily MarcinkowskiNCSurgery Physician$26.2K$0
    Robert PattonSCVascular Surgery Physician$23.3K$0
    Byron CarterNCPhysician Assistant$12.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Horizons Center, IncNCCommunity/Behavioral Health Agency$0$44.6M
    Leon CharkoudianNCOphthalmology Physician$2.9M$0
    Kevin BrayNCRetina Specialist (Ophthalmology) Physician$2.6M$0
    Coastal Carolina Pathology, PANCClinical Medical Laboratory$1.2M$229.8K
    Robert WannNCOphthalmology Physician$1M$0
    Fan XiNCPain Medicine (Physical Medicine & Rehabilitation) Physician$898.5K$0
    Jeffrey WarhaftigNCInternal Medicine Physician$694.2K$0
    Dean KarrasNCInternal Medicine Physician$566.6K$0
    Shawn HockerNCSports Medicine (Orthopaedic Surgery) Physician$485.4K$0
    Shona MartinNCInternal Medicine Physician$436.1K$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. North Carolina Distribution
    Mark Medley — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina