ROY MARCUS, M.D.
Nephrology Physician · UPLAND, PA
Individual Active NPI 1245278084
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 107 | 344 | $95,766 | $46,071 | $36,044 |
| 2023 | 125 | 460 | $194,926 | $99,539 | $78,603 |
| 2022 | 405 | 1,216 | $508,068 | $241,521 | $183,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 41 | $345 | $270 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | $79 | $61 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 20 | $286 | $217 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | $175 | $132 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | $124 | $99 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | MD061386L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.