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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarsha Reuther
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    Marsha Reuther — Billing Profile & Reimbursement Data

    NPI 1972752202 · San Diego, CA · Otolaryngology Physician

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    Marsha Reuther is a otolaryngology physician provider located in San Diego, California. This profile covers 14 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
    OrganizationMarsha Reuther
    Address5090 Shoreham Pl Ste 210
    CitySan Diego
    StateCA
    ZIP92122
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 10, 2008

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

    Payer SourceTotal Paid
    Medicare$134.3K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…180$130$23.9K
    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…310$70$22K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.120$160$18.1K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…90$160$14.8K
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…20$700$13.3K
    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$110$11.9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.50$110$6.2K
    31237In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.20$250$5.8K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.60$80$4.9K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.120$40$4.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6458231020$2,710$48.8K
    9921419,16337,970120$90$23.2K
    3123115754070$100$20.1K
    315795012070$150$16.9K
    312378111040$280$14.3K
    992135,99934,66080$70$13.2K
    3157528961050$100$7.3K
    9920495419,36040$120$7.2K
    6471641020$200$4.8K
    992034,62312,74030$80$4.6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Nikolas LondonCAOphthalmology Physician$6.4M$0
    Kishore SehgalCAHematology & Oncology Physician$4.1M$0
    Atul JainCAOphthalmology Physician$3.5M$0
    Edward McclayCAMedical Oncology Physician$3.4M$0
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Darren SigalCAMedical Oncology Physician$2.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seth CamhiCAFamily Medicine Physician$4.1M$0
    Ken MakovskyCAGeneral Practice Physician$495K$0
    James CooperCADiagnostic Radiology Physician$437.9K$0
    Ucsd Ambulatory Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$422.2K$0
    Swati KannanCADermatology Physician$408.8K$0
    Souzan SwiftCAClinical Psychologist$168.2K$0
    Andi DocktorCASpeech-Language Pathologist$14.4K$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. California Distribution
    Marsha Reuther — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California