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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Milton
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    Mark Milton — Billing Profile & Reimbursement Data

    NPI 1922023951 · Cedar Rapids, IA · Clinical Cardiac Electrophysiology Physician

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    Mark Milton is a clinical cardiac electrophysiology physician provider located in Cedar Rapids, Iowa. This profile covers 29 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 Milton
    Address788 8th Avenue Se
    CityCedar Rapids
    StateIA
    ZIP52401
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$168.2K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$90$40.7K
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…30$680$20.4K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.40$370$15.3K
    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$13.1K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…200$60$12.3K
    33249The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…20$650$9.8K
    99223The 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…60$130$7.5K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…130$60$7.1K
    93653A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…10$590$7.1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…430$10$4.3K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93656102030$670$20.7K
    992145454,690100$70$14.4K
    9923376591060$90$10.5K
    93653132020$570$9.7K
    3320853030$360$9.7K
    3324941010$640$9.6K
    992321,3331,74080$60$9.3K
    992134,1024,740100$50$8K
    992233181,01040$120$7.3K
    G2066520140$50$7.2K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Medical CenterIAGeneral Acute Care Hospital$0$26.4M
    St. John Physicians, Inc.OKInternal Medicine Physician$0$17.7M
    Jane Phillips Memorial Medical Center, Inc.OKGeneral Acute Care Hospital$0$6.8M
    Mercy Medical CenterIACardiovascular Disease Physician$0$5.1M
    St John Urgent Care Clinics IncOKUrgent Care Clinic/Center$0$5.1M
    Mercy Medical CenterIAPsychiatry Physician$0$2.8M
    Anderson MehrleOKCardiovascular Disease Physician$486.1K$0
    Kambeez BerenjiVAInterventional Cardiology Physician$456.3K$0
    Vishal AggarwalOKInternal Medicine Physician$436.6K$0
    Donald SimmonsTXFamily Medicine Physician$408.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abbe Center For Community Mental Health, IncIAMental Health Clinic/Center (Including Community Mental Health Center)$0$85.7M
    The Arc Of East Central IowaIACommunity/Behavioral Health Agency$0$15.5M
    Horizons, A Family Service AllianceIACommunity/Behavioral Health Agency$0$2.5M
    Irving Point Limited PartnershipIAAssisted Living Facility$0$1.6M
    Beyond Behavior AbaIACommunity/Behavioral Health Agency$0$1.5M
    Melanie StahlbergIAInternal Medicine Physician$262.5K$0
    Ryan HollenbeckIAInterventional Cardiology Physician$221.6K$0
    Amandeep Singh DhaliwalIACardiovascular Disease Physician$205.3K$0
    Trisha SheeleyIAInternal Medicine Physician$198.9K$0
    Fadi YacoubIAInternal Medicine Physician$183.3K$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. Iowa Distribution
    Mark Milton — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa