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NPI 1033117437 · Greenwich, CT · Cardiovascular Disease Physician
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Glenn Gandelman is a cardiovascular disease physician provider located in Greenwich, Connecticut. This profile covers 51 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Glenn Gandelman |
| Address | 81 Holly Hill Ln Fl 3 |
| City | Greenwich |
| State | CT |
| ZIP | 06830 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | July 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $593.4K |
This provider reports Medicare revenue of $1.7M and Medicaid revenue of $593.4K, so both payers are materially active in the profile rather than a single-payer operation. Medicare is the larger revenue source on file, while Medicaid represents a smaller but still significant share of the overall billing mix.
Revenue concentration is high in both payers: the top 3 Medicare codes account for 52.5% of Medicare revenue and the top 3 Medicaid codes account for 62.8% of Medicaid revenue. For Medicare the top three driving that share are 99490, 99443, and 93306; for Medicaid the top three are 99490, 99443, and 99454, indicating a narrow set of high-value service lines.
The code mix for Medicare — led by 99490 ($567.2K revenue), 99443 ($184.5K), and 93306 ($115.7K) — points to a cardiology practice operating both chronic care/remote management programs and in‑office diagnostic imaging (echocardiography). High-volume RPM/telehealth activity is further supported by Medicare counts for 99457 (2.2K claims, $90.9K revenue) and 99454 (1.4K claims, $63.8K revenue), signaling significant investment in device-supported monitoring and coordinated clinical-staff workflows.
Statistical standing on Medicare shows national leadership in several remote care codes: 99490 ranks #9 of 16216 providers nationally (100th percentile; notably above typical national volume) and 99443 ranks #9 of 14283 providers nationally (100th percentile; extreme outlier). Echocardiography billing (93306) also appears above typical national volume, ranking #958 of 24624 providers (96th percentile), so the provider is a prominent national biller for CCM/telephonic visits and a high-volume local provider for imaging.
On the Medicaid side this provider is a leading in‑state biller for CCM and RPM: 99490 reports 32.4K claims and $226.8K revenue and ranks #2 of 60 providers in-state (98th percentile; extreme outlier), while 99454 (7.3K claims, $51.3K) ranks #2 of 20 in-state (95th percentile) and 99457 (10K claims, $50K) ranks #2 of 19 in-state (94th percentile). These ranks indicate the provider is a major state-level participant in remote physiologic monitoring and chronic care management.
The mix also includes substantial vascular and imaging services (for example Medicare 93880 $91.8K revenue, 93306 $115.7K revenue and Medicaid 93880 $23K revenue, 93306 $19.5K revenue), suggesting the practice combines remote monitoring/CCM programs with point-of-care diagnostic testing rather than being exclusively virtual. That operational blend implies an integrated workflow that supplies devices and performs in-office diagnostics for cardiology patients.
Because a majority of revenue on both payers is concentrated in a small set of CCM/RPM and telephonic/remote codes (52.5% of Medicare and 62.8% of Medicaid coming from the top three codes), the provider’s topline is highly dependent on continued coverage and reimbursement stability for these services. Any material policy or payment changes affecting 99490/99443/99454/99457 could disproportionately affect revenue, given the observed concentration.
The provider has a long-tenured NPI (enumerated 2005-07-09, ~21 years ago), which, together with national and state high-volume rankings for CCM/RPM codes, points to an established cardiology operation with mature remote-monitoring and chronic-care workflows. Tenure plus the billing footprint supports the view of an experienced practice that has scaled device-based monitoring and coordinated care services over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
51 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 10,310 | $60 | $567.2K |
| 99443 | N/A | 1,710 | $110 | $184.5K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 780 | $150 | $115.7K |
| 99442 | N/A | 1,350 | $80 | $102.2K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 560 | $160 | $91.8K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 2,170 | $40 | $90.9K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 1,420 | $50 | $63.8K |
| 78452 | In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood… | 140 | $390 | $52.4K |
| 99213 | The 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… | 590 | $70 | $42.3K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 50 | $740 | $34.9K |
Showing 1–10 of 51
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
51 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99439 | 6 | 70 | 80 | $40 | $241.1K |
| 99490 | 2 | 170 | 180 | $60 | $157.4K |
| 99457 | 4 | 40 | 230 | $40 | $54K |
| 93229 | 6 | 20 | 20 | $730 | $53.7K |
| 99458 | 13 | 20 | 440 | $30 | $35.8K |
| 99454 | 6 | 40 | 190 | $40 | $33.9K |
| 99309 | 271 | 550 | 260 | $80 | $31.3K |
| 93890 | 2 | 10 | 100 | $210 | $20.9K |
| 99308 | 266 | 510 | 190 | $50 | $20K |
| 93306 | 6 | 330 | 180 | $80 | $17.3K |
Showing 1–10 of 51
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 32,400 | $10 | $226.8K |
| 99443 | N/A | 4,790 | $20 | $86.3K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 7,330 | $10 | $51.3K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 10,000 | $10 | $50K |
| 99442 | N/A | 3,000 | $10 | $30K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 340 | $70 | $23K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 320 | $60 | $19.5K |
| 99213 | The 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… | 1,260 | $10 | $13.9K |
| 99214 | The 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… | 770 | $10 | $10.8K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 100 | $80 | $7.9K |
Showing 1–10 of 30
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
30 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 66 | 100 | 1,120 | $120 | $564.2K |
| 99214 | The 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… | 786 | 1,590 | 740 | $50 | $331.8K |
| 93975 | The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs… | 32 | 40 | 730 | $160 | $282.9K |
| 99213 | The 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… | 722 | 1,710 | 750 | $30 | $243.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 69 | 140 | 330 | $20 | $194.5K |
| 99203 | The provider sees a new 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 provider… | 172 | 480 | 200 | $60 | $112.1K |
| 99204 | The 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… | 258 | 480 | 150 | $90 | $100.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 179 | 380 | 220 | $70 | $99.8K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 102 | 160 | 720 | $10 | $96.5K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 5 | 10 | 160 | $60 | $59.3K |
Showing 1–10 of 30
Other providers in the same ZIP code as Glenn Gandelman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Centers Inc | CT | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $5.4M |
| Diagnostic And Medical Specialists Of Greenwich | CT | Internal Medicine Physician | $0 | $2.9M |
| Town Of Greenwich | CT | Local Education Agency (LEA) | $0 | $1.4M |
| Family Centers Inc. | CT | Multi-Specialty Clinic/Center | $0 | $1.2M |
| Marcus Mayus | CT | Internal Medicine Physician | $748.4K | $0 |
| Julie Gold | CT | Medical Oncology Physician | $632.5K | $0 |
| Kapil Desai | CT | Diagnostic Radiology Physician | $576.8K | $20.4K |
| Omar Shakir | CT | Ophthalmology Physician | $552K | $0 |
| Richard Connors | CT | Dermatology Physician | $373.9K | $0 |
| Ranee Angeli Lleva | CT | Endocrinology, Diabetes & Metabolism Physician | $347.2K | $0 |
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