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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Marvil
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    Sean Marvil — Billing Profile & Reimbursement Data

    NPI 1891924668 · Taos, NM · Orthopaedic Surgery Physician

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    Sean Marvil is a orthopaedic surgery physician provider located in Taos, New Mexico. 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
    OrganizationSean Marvil
    Address1219 Gusdorf Rd Ste A
    CityTaos
    StateNM
    ZIP87571
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 14, 2009

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

    Payer SourceTotal Paid
    Medicare$195.8K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…60$1,000$62.9K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$970$30.9K
    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…420$60$24.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…300$50$14.1K
    27036In this procedure, the provider performs surgery on a hip joint capsule, which might involve excision of the heterotopic bone and release of the hip flexor muscle.30$410$13K
    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…120$110$12.3K
    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…110$90$9.3K
    27054In this procedure, the provider makes an incision to open the hip joint. He then explores the joint and removes the inflamed synovial membrane lining the joint.30$270$8.6K
    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…100$80$7.3K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.130$30$3.5K

    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
    27447147040$1,270$52.1K
    27130134020$900$28.9K
    2703611030$410$13K
    992141,2092,70090$70$12.9K
    2705411030$270$8.6K
    992131722,44060$50$7.3K
    206101921050$50$4.9K
    99204871,21030$100$4.5K
    9920312087030$60$3.3K
    994424115030$50$2.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Taos Health Systems, Inc., Holy Cross HospitalNMCritical Access Hospital$0$30.9M
    Taos Professional Services,llcNMSurgery Physician$0$2.5M
    William BrelandTXPhysical Therapist$342.3K$0
    Branko HuisaCANeurology Physician$300.4K$0
    Jamie RisterLASports Medicine (Orthopaedic Surgery) Physician$241.3K$0
    Austin ChenCOSports Medicine (Orthopaedic Surgery) Physician$226.6K$0
    John BowdenNMDermatology Physician$198.7K$0
    Walter RohloffVINephrology Physician$85.2K$100.3K
    Timothy BuschNMPhysician Assistant$175.4K$0
    Carl GilmoreNMOrthopaedic Surgery Physician$171.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nonviolence Works, Inc.NMMental Health Clinic/Center (Including Community Mental Health Center)$0$30.3M
    Gregory & AssociatesNMCase Management Agency$0$19.1M
    Taos Picuris Health CenterNMClinic/Center$0$6.6M
    Rio Grande Alcoholism Treatment Center IncorporatedNMSubstance Abuse Rehabilitation Facility$0$6.4M
    Taos Pueblo Division Of Health And Community ServicesNMMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Taos Clinic For Children And YouthNMPediatrics Physician$0$3.1M
    Taos Urgent Care, IncNMUrgent Care Clinic/Center$0$2.9M
    El Centro Family HealthNMFederally Qualified Health Center (FQHC)$0$2.3M
    Human Resource Development Associates, Inc.NMMental Health Counselor$0$2.2M
    County Of TaosNMLand Ambulance$308K$1.9M

    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. New Mexico Distribution
    Sean Marvil — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico