Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Marx
    Ask Trek AI about this page

    Matthew Marx — Billing Profile & Reimbursement Data

    NPI 1972185221 · Philadelphia, PA · Family Nurse Practitioner

    Customize your policy alerts

    Sign up for Matthew Marx — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Matthew Marx is a family nurse practitioner provider located in Philadelphia, Pennsylvania. This profile covers 6 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Marx
    Address3401 N Broad St
    CityPhiladelphia
    StatePA
    ZIP19140
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedApril 26, 2021

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

    Payer SourceTotal Paid
    Medicare$460.9K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1306Injection, inclisiran, 1 mg47,710$10$429.4K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.100$50$4.7K
    96366The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.200$20$2.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…30$90$2.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…180$10$1.8K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…70$20$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J13061208,800$10$155K
    96413201300140$100$19.8K
    9636514231070$50$5.3K
    964158518090$20$2.3K
    96366239060$20$2K
    963722151,48050$10$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capital Health Medical GroupNJInternal Medicine Physician$0$19.3M
    Temple Faculty Practice Plan, IncPAEmergency Medicine Physician$0$18.4M
    Temple Faculty Practice Plan, IncPADiagnostic Radiology Physician$0$18M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Hadia AtaNJAnatomic Pathology & Clinical Pathology Physician$1.8M$0
    Jason DamskerPAHematology & Oncology Physician$1.3M$0
    Michael SeidmanPAHematology & Oncology Physician$1.2M$0
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Hua YangPADiagnostic Radiology Physician$684.9K$100.9K
    Jordan AnaokarCADiagnostic Radiology Physician$643.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Temple University Hospital, IncPAGeneral Acute Care Hospital$0$116.6M
    All American Home Care LLCPAHome Health Agency$0$45M
    Esperanza Health Center, Inc.PAFederally Qualified Health Center (FQHC)$0$40.8M
    Cognitive Behavioral Services, Inc.PACommunity/Behavioral Health Agency$0$20.8M
    Pan American Mental Health Services IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$20.1M
    Paulino Home Healthcare LLCPAIn Home Supportive Care Agency$0$12.5M
    Gaudenzia IncPASubstance Use Disorder Rehabilitation Clinic/Center$0$8.5M
    Greater Philadelphia Health Action, Inc.PAFederally Qualified Health Center (FQHC)$0$5.5M
    Michael JaworskiPAInternal Medicine Physician$2.1M$0
    Viren PatelPAAnatomic Pathology & Clinical Pathology Physician$69.4K$1.5M

    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. Pennsylvania Distribution
    Matthew Marx — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania