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    OpenPayerNPI Medicare & MedicaidMarvin Allen
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    Marvin Allen — Billing Profile & Reimbursement Data

    NPI 1831154566 · Provo, UT · Cardiovascular Disease Physician

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    Marvin Allen is a cardiovascular disease physician provider located in Provo, Utah. This profile covers 35 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMarvin Allen
    Address395 W Cougar Blvd
    CityProvo
    StateUT
    ZIP84604
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedApril 18, 2006

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

    Payer SourceTotal Paid
    Medicare$165.1K
    Medicaid$2.8K

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78431The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…50$910$48.1K
    A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries70$400$29.1K
    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…230$90$20.4K
    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…200$70$15.1K
    J2785Injection, regadenoson, 0.1 mg200$50$9.2K
    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…50$110$4.8K
    71555In this diagnostic procedure, the provider performs a magnetic resonance angiography, or MRA, study of the blood vessels of the chest to evaluate for occlusion, stenosis, or aneurysm. The provider…20$250$4.7K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…20$190$4.4K
    78434The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…50$70$3.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…60$50$3.3K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A9555710120$400$44.4K
    784312940100$220$22.4K
    9330658120220$70$18.5K
    J27851420250$40$13.1K
    992148784,08080$80$11.6K
    78452485040$150$9.6K
    7155531020$210$8.9K
    A9500131090$40$6.7K
    992131,8793,68060$50$6.4K
    9923247688060$60$6.1K

    Showing 1–10 of 35

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…30$70$1.8K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.200$10$1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4050340$80$114K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.67130220$10$12K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Joseph TeUTHematology & Oncology Physician$1.6M$0
    Brandt EsplinUTHematology & Oncology Physician$1.1M$0
    Jamison JonesUTCardiovascular Disease Physician$1M$0
    Steven WallentineUTHematology & Oncology Physician$1M$7.6K
    Robert DowseUTPediatrics Physician$0$867K
    David SladeUTOphthalmology Physician$651.1K$0
    Marc NuttallUTHematology & Oncology Physician$549.1K$580
    Leslee AdamsUTFamily Nurse Practitioner$513.4K$0
    David CragunUTCardiovascular Disease Physician$465.1K$940

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Utah Valley Pediatrics L.L.C.UTPediatrics Physician$0$11.9M
    Riverwoods Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$737.9K$5M
    Utah Valley Emergency Physicians IncUTEmergency Medicine Physician$0$4.7M
    Ryan IsomUTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$3.3M
    Richard CoreyUTRetina Specialist (Ophthalmology) Physician$3M$50.1K
    Provo City Board Of EducationUTLocal Education Agency (LEA)$0$3M
    Robert WelchUTRetina Specialist (Ophthalmology) Physician$2.5M$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. Utah Distribution
    Marvin Allen — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Marvin Allen — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah