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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Marion
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    Michael Marion — Billing Profile & Reimbursement Data

    NPI 1861542805 · Glasgow, KY · Specialist

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    Michael Marion is a specialist provider located in Glasgow, Kentucky. This profile covers 17 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
    OrganizationMichael Marion
    Address310 N L Rogers Wells Blvd
    CityGlasgow
    StateKY
    ZIP42141
    TaxonomySpecialist
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicare$69.9K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$490$11.2K
    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…170$50$8K
    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…100$70$6.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$200$6.8K
    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…60$90$6K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$170$5.1K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.10$410$4.6K
    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…40$100$3.5K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$3.4K
    99203The provider sees a new 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 provider…60$60$3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538515325050$250$20.2K
    992143,8487,230110$70$14.1K
    992322,0022,860100$60$11.6K
    4950581020$630$11.3K
    G01055914030$230$9.3K
    17110257260100$60$8.4K
    4756295020$430$7.7K
    992131,8637,25080$50$7.7K
    G01215013020$230$5K
    992046943,20030$100$4.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    T J Samson Community HospitalKYGeneral Acute Care Hospital$0$95.7M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    T J Samson Community HospitalKYFamily Medicine Physician$0$15.5M
    Mark RisenKYPrimary Podiatric Medicine Podiatrist$170K$444.7K
    Matthew HrastichMODiagnostic Radiology Physician$134.1K$399.7K
    Kalpesh PatelAZDiagnostic Radiology Physician$409.1K$0
    Mazen SabbaqMIPulmonary Disease Physician$371.9K$0
    Aijaz YazdaniKYPulmonary Disease Physician$79.8K$268K
    Jennifer ShuemakerKYNephrology Physician$260.1K$44.3K
    Matthew RutterKYUrology Physician$287.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Golden Gate BridgesKYCommunity/Behavioral Health Agency$0$17.6M
    Oaks Behavioral Health PLLCKYPsychiatric/Mental Health Nurse Practitioner$0$14.9M
    Alliance Counseling AssociatesKYMental Health Counselor$0$12M
    Ambulance Service Corporation IncKYAmbulance$1.2M$3.4M
    Adult Day Health, Inc.KYAdult Day Care Clinic/Center$0$3.4M
    Martha Seeley, LLCKYFamily Medicine Physician$0$2.9M
    Mcpeak Surgery Center LLCKYAmbulatory Surgical Clinic/Center$632.4K$1.6M
    Ely Drugs IncKYCommunity/Retail Pharmacy$74.8K$729.2K
    Martha SeeleyKYFamily Medicine Physician$24.7K$777.3K
    Spencer WitcherKYOphthalmology Physician$487.4K$50.3K

    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
    Michael Marion — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky