Physician

Carolina Zaragovia Marcus, MD

According to 2025 Medicare claims, Carolina Marcus, MD (NPI: 1902812738) practices sleep medicine in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is UNIVERSITY OF ROCHESTER (NPI: 1821152588; TIN: 160743209) and primary practice location at 14618-2645.

Marcus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 161 traditional Medicare patients, billed 229 HCPCS/CPT codes, and received $13,020 in Medicare payments. The top billing code was 95811 (Sleep study in sleep lab with continuous airway pressure (6 years or older)). Part D data shows 311 prescription claims across 59 beneficiaries totaling $13,985 in drug costs, led by Pregabalin (Pregabalin). DME data shows 1,188 claims. Open Payments data shows 9 records totaling $6,055. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $2,117 and ending at $13,020. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,853 and ending at $13,985. For DME billing, reported payments rose steadily, from $14,758 to $49,517.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	19	32	$2,117
2016	123	228	$13,306
2017	129	210	$10,953
2018	107	173	$12,317
2019	115	175	$9,980
2020	116	188	$7,980
2021	135	213	$12,648
2022	121	191	$11,114
2023	163	237	$13,688
2024	161	229	$13,020

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	15	$1,853
2016	14	37	$3,442
2017	22	89	$115,718
2018	25	102	$12,025
2019	21	84	$8,079
2020	24	100	$4,449
2021	28	120	$6,981
2022	34	161	$5,576
2023	54	227	$7,426
2024	59	311	$13,985

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	128	340	$13,952
2016	366	881	$31,879
2017	454	1,222	$37,953
2018	420	899	$28,296
2019	477	1,097	$38,264
2020	461	1,138	$36,375
2021	447	1,128	$38,565
2022	500	1,122	$37,176
2023	587	1,499	$53,003
2024	509	1,188	$48,105

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	14	15	$91
95810	Sleep study in sleep lab (6 years or older)	23	23	$78
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	85	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	39	41	$52
95800	Sleep study including heart rate, breathing, and sleep time	56	60	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pregabalin	Pregabalin	57	2,430	$1,788
Armodafinil	Armodafinil	33	1,050	$1,694
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	22	660	$671
Clonazepam	Clonazepam	50	2,345	$483
Trazodone Hcl	Trazodone Hcl	36	1,120	$145

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7030	Full face mask used with positive airway pressure device, each	N	40	82	$6,897
E0601	Continuous positive airway pressure (cpap) device	Y	39	218	$6,485
A7031	Face mask interface, replacement for full face mask, each	N	36	78	$6,232
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	79	160	$5,987
A7032	Cushion for use on nasal mask interface, replacement only, each	N	28	72	$5,851

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$6,055	Inspire Medical Systems, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Carolina Zaragovia Marcus, MD?

Tedicare shows public-source Medicare data for Carolina Zaragovia Marcus, MD (NPI 1902812738), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Carolina Zaragovia Marcus, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carolina Zaragovia Marcus, MD?

Carolina Zaragovia Marcus, MD is linked to UNIVERSITY OF ROCHESTER (billing NPI 1821152588) in the available physician profile data.

Does Carolina Zaragovia Marcus, MD have Open Payments data?

Carolina Zaragovia Marcus, MD has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.