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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGary Calhoun
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    Gary Calhoun — Billing Profile & Reimbursement Data

    NPI 1083687990 · Albertville, AL · Family Medicine Physician

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    Gary Calhoun is a family medicine physician provider located in Albertville, Alabama. This profile covers 15 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
    OrganizationGary Calhoun
    Address11491 Us Highway 431
    CityAlbertville
    StateAL
    ZIP35950
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 10, 2006

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

    Payer SourceTotal Paid
    Medicare$177.8K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The 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…1,580$50$79K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…170$140$23.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…290$60$17K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…110$120$13.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…140$90$12.5K
    99309The 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…150$70$10.1K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…70$90$6.6K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…70$80$5.6K
    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…70$50$3.2K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.70$40$2.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309178350150$70$22.7K
    9930810350170$50$15.4K
    992335701,86080$90$13.4K
    992325732,530100$60$13.3K
    992233232,14040$130$8.1K
    99306712050$130$8K
    110428514080$50$7.9K
    992133,3846,47080$50$7.9K
    993053113040$100$6.3K
    9923934078060$90$6.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marshall Medical Center NorthALEmergency Medicine Physician$0$1.9M
    Raymond FernandezALCardiovascular Disease Physician$227.4K$0
    Jeffrey SaylorALFamily Medicine Physician$154K$0
    Enrico GasparALInternal Medicine Physician$108.8K$0
    Rommel GoALFamily Medicine Physician$97.5K$0
    Sukhmanpreet SinghALHospitalist Physician$88.5K$0
    Andrew ChristieALInternal Medicine Physician$85.9K$0
    Rachel PopeALPsychiatry Physician$37.3K$0
    Hilary LooneyALFamily Nurse Practitioner$32K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Occupational Therapy Center, LLCALMulti-Specialty Clinic/Center$0$6.2M
    Rapid Care IncALInternal Medicine Physician$0$4.2M
    Oral Surgery Associates, PCALOral and Maxillofacial Surgery (Dentist)$0$1.3M
    Raymond UffordALFamily Medicine Physician$217.6K$0
    Michael PetersALFamily Medicine Physician$148.8K$0
    Elliott SaltzALFamily Medicine Physician$94.9K$0
    Philip TraynorALPodiatrist$53.2K$570
    Sean EnglishALVascular Surgery Physician$52K$0
    Gayle LombardALFamily Nurse Practitioner$28.4K$0
    John WallaceALChiropractor$21.3K$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. Alabama Distribution
    Gary Calhoun — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama