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    OpenPayerNPI Medicare & MedicaidGeorge Gilbert
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    George Gilbert — Billing Profile & Reimbursement Data

    NPI 1073601738 · Opelika, AL · Gastroenterology Physician

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    George Gilbert is a gastroenterology physician provider located in Opelika, Alabama. This profile covers 11 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
    OrganizationGeorge Gilbert
    Address121 N 20th St
    CityOpelika
    StateAL
    ZIP36801
    TaxonomyGastroenterology Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicare$69.8K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0105Colorectal cancer screening; colonoscopy on individual at high risk110$170$18.3K
    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…210$60$12.1K
    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…50$190$9.6K
    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…50$150$7.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$170$6K
    43245The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates one or more gastric and/or duodenal strictures.50$100$4.7K
    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…40$120$4.1K
    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.30$70$2.4K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$60$2.2K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…50$40$2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538510021050$240$18.2K
    453808519040$160$11K
    4323916824050$100$9.4K
    G0105813030$230$8.4K
    992131,2926,47080$50$7.9K
    G0121139020$230$5.8K
    453784217020$160$4.9K
    432353513020$100$3.1K
    4324511020$100$2.6K
    992126201,24030$30$2.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason TsaiALNephrology Physician$448K$0
    Justin CampbellALInternal Medicine Physician$197K$0
    Benjamin DrakeALInternal Medicine Physician$84.6K$0
    Steven PresleyALInternal Medicine Physician$78.5K$0
    William McgeheeALGastroenterology Physician$36.2K$0
    David ErchakGAInternal Medicine Physician$33.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Clinic LLCALPediatrics Physician$0$24.9M
    The East Alabama Health Care AuthorityALGeneral Acute Care Hospital$0$6.2M
    Pediatric Associates Of AuburnALPediatric Adolescent Medicine Physician$0$4.2M
    East Alabama Ems, LLCALAmbulance$1.1M$2.6M
    Eamc Er PhysiciansALEmergency Medical Services (Emergency Medicine) Physician$0$2.6M
    Gw Stone Capital LLCALOptometrist$0$2.2M
    Lee County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$2M
    Premier Ob/gyn, LLCALObstetrics & Gynecology Physician$0$1.9M
    Eamc Physicians GroupALGeneral Practice Physician$0$1.1M
    East Alabama Ear, Nose, & Throat, PCALOtolaryngology Physician$0$869.3K

    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. Alabama Distribution
    George Gilbert — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama