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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Taormina
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    Marc Taormina — Billing Profile & Reimbursement Data

    NPI 1992788038 · Lees Summit, MO · Gastroenterology Physician

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    Marc Taormina is a gastroenterology physician provider located in Lees Summit, Missouri. 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
    OrganizationMarc Taormina
    Address3601 Ne Ralph Powell Rd
    CityLees Summit
    StateMO
    ZIP64064
    TaxonomyGastroenterology Physician
    NPI EnumeratedNovember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$160K
    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
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…140$190$25.7K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…880$30$22.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk130$180$22.6K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…410$50$22.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.210$80$16.5K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…200$70$12.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$130$7.5K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$180$7.2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…50$140$6.3K
    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.110$50$5.5K

    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
    8830585290540$30$30.7K
    453855834060$250$21K
    G0105619030$240$9.4K
    4538011635040$150$9.1K
    G01213516020$250$7.4K
    992135,3388,73070$50$7K
    432391137060$100$6.9K
    43248657030$140$5.3K
    963654721040$50$4.4K
    4345014030$110$4.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prime Healthcare Physician Services - Providence IncKSGeneral Practice Physician$0$1.4M
    Dwarakraj SoundarrajMOCardiovascular Disease Physician$255.9K$0
    Johnna BodenstabMOFamily Nurse Practitioner$240.4K$0
    Susan SweatKSUrology Physician$196.3K$0
    Sherry ZhouMOEndocrinology, Diabetes & Metabolism Physician$187.6K$0
    Corey TreaseMOOrthopaedic Surgery Physician$180.1K$0
    Junping YangMOEndocrinology, Diabetes & Metabolism Physician$150.2K$0
    Sarah FlorioMOInternal Medicine Physician$141K$0
    Jeanette Dilan-koetjeMOInternal Medicine Physician$133.6K$0
    Robert ShemwellMOPodiatrist$124.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rachel BeggsMONurse Practitioner$1.4M$0
    Michael GowenILDermatology Physician$768.6K$4.8K
    Bruce FearonMOFamily Medicine Physician$725.1K$0
    Skin & Mohs Surgery Center, LLCMOAmbulatory Surgical Clinic/Center$703.2K$0
    Sheldon SebastianMOMOHS-Micrographic Surgery Physician$636.7K$0
    Nicholas GoldaMOMOHS-Micrographic Surgery Physician$468.3K$0
    George NahassILDermatopathology Physician$378K$1.2K
    Midwest Digestive Health Center LLCMOAmbulatory Surgical Clinic/Center$323.8K$0
    Lee Summit Asc Kc LLCMOAmbulatory Surgical Clinic/Center$259.5K$0
    Theresa MattinglyMODermatology Physician$205.9K$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. Missouri Distribution
    Marc Taormina — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri