Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Marian Petrasko (NPI 1881699965)

Field	Value
Entity Type	Individual
Organization	Marian Petrasko
Address	1301 W 18th St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicare	$407.5K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer Medicare: lifetime Medicare revenue is $407.5K and there is no Medicaid billing on file. The absence of Medicaid activity indicates the provider’s public claims profile is concentrated entirely in Medicare rather than split across both public payers.

Revenue is highly concentrated in a small set of outpatient and procedural codes: the precomputed top three Medicare codes — 99214, 93306, and 92928 — account for 47.8% of the provider’s total Medicare revenue. Individually those codes represent $83.4K (21.0%), $56.7K (14.3%), and $49.6K (12.5%) of Medicare revenue respectively, indicating a narrow set of services drive nearly half of receipts.

The code mix points to a hybrid interventional cardiology practice that combines clinic visits, diagnostic imaging, and therapeutic cath lab work. High revenue and claim counts for office E/M codes (99214: 1.1K claims, $75 avg paid/claim; 99204: 226 claims, $104 avg) alongside procedural codes such as 92928 (125 claims, $397 avg paid/claim) and angiography imaging codes (93458, 93459) show the provider performs both outpatient care and invasive coronary interventions.

On competitive standing, this provider is a national high‑volume outlier for several core services: 99214 ranks #8732 of 479517 (98th percentile; extreme outlier), 93306 ranks #211 of 24624 (99th percentile; extreme outlier), and 92928 ranks #61 of 5112 (99th percentile; extreme outlier). Those rank/percentile positions imply unusually large Medicare volumes for both noninvasive echo imaging and percutaneous coronary intervention relative to national peers.

Noninvasive imaging, stress testing, and remote monitoring are also areas of exceptional volume: 93306 ($56.7K) and 78452 ($19.6K) are notably high, while monitoring/ECG codes such as 93227 (388 claims, $5.4K; ranks #8 of 3886, 100th percentile; extreme outlier), 93016 (381 claims, $6.1K; 99th percentile; extreme outlier), and 93018 (380 claims, $4.2K; 99th percentile; extreme outlier) indicate heavy throughput of cardiac diagnostic and device/arrhythmia services. This pattern suggests substantial capacity for imaging and electrophysiology monitoring in addition to cath lab procedures.

The provider’s practice includes inpatient care responsibilities in addition to outpatient work: 99232 (605 claims, $36.9K; 9.3% of Medicare revenue) and initial hospital codes 99222 and 99223 appear in the top codes, showing meaningful revenue from inpatient and observation evaluation/management. These inpatient E/M volumes (99232 ranks #10845 of 177383, 94th percentile; typical volume) indicate regular hospital-based clinical activity alongside the procedural caseload.

Procedure-level economics show a mix of many low‑paid high‑volume encounters and fewer high‑paid procedural cases: 99214 generates $75 avg paid/claim across 1.1K claims while 92928 carries a substantially higher $397 avg paid/claim across 125 claims. This combination yields a revenue model where office and monitoring volumes drive overall throughput but individual interventional procedures contribute outsized revenue per case.

The provider’s NPI was enumerated on 2005-06-16 (~21 years ago), reflecting long tenure in the Medicare program. Combined with the concentrated Medicare revenue profile and repeated high-percentile rankings across imaging, monitoring, and interventional codes, this tenure is consistent with an established interventional cardiology practice that is a prominent national outlier for several cardiology services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,110	$80	$83.4K
93306	The 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…	1,160	$50	$56.7K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	130	$400	$49.6K
99232	The 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…	610	$60	$36.9K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	160	$180	$28.4K
99204	The 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…	230	$100	$23.5K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	350	$60	$19.6K
99222	The 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…	160	$100	$15.3K
99213	The 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…	230	$50	$11.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$130	$10.2K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Marian Petrasko — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92928	3	20	70	$380	$27.7K
93306	5	60	250	$50	$21.4K
93458	5	30	40	$180	$11.9K
99214	10	1,660	90	$70	$11.4K
99233	251	290	60	$90	$10.8K
99232	12	570	80	$60	$9.2K
78452	4	40	140	$60	$8.6K
93294	10	20	310	$20	$8.2K
93454	10	20	40	$150	$7.5K
99223	85	340	40	$130	$7.5K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Sanford Health Network	MN	Rural Acute Care Hospital	$0	$7.6M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Sanford Health Network	IA	Family Medicine Physician	$0	$6.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M

Marian Petrasko — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References