Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAllen Gee
    Ask Trek AI about this page

    Allen Gee — Billing Profile & Reimbursement Data

    NPI 1083793863 · Cody, WY · Neurology Physician

    Customize your policy alerts

    Sign up for Allen Gee — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Allen Gee is a neurology physician provider located in Cody, Wyoming. This profile covers 16 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAllen Gee
    Address702 Platinum Dr
    CityCody
    StateWY
    ZIP82414
    TaxonomyNeurology Physician
    NPI EnumeratedNovember 3, 2006

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

    Payer SourceTotal Paid
    Medicare$344K
    Medicaid$0

    Key Findings

    This provider’s billing profile is effectively single‑payer: total Medicare revenue is $344K and there is no Medicaid billing on file. That concentration makes the provider’s Medicare coding mix the primary driver of any payer- or network-level risk and utilization reviews.

    Revenue is heavily concentrated in a small set of office-visit and procedure codes: the precomputed top 3 Medicare codes by revenue account for 67.7% of this provider's total Medicare revenue, driven by 99214 ($141.9K, 41.2%), 99205 ($52.3K, 15.2%), and J0585 ($39K, 11.3%). This concentration indicates business dependence on high‑intensity evaluation & management visits plus onabotulinumtoxina administration.

    The code mix is consistent with a neurology practice that combines high‑acuity office visits with procedure and diagnostic services. High-volume E/M codes (99214 and 99205), procedural toxin administration (J0585), electrodiagnostic studies (95886, 95908, 95909, 95910), and neuropsychological testing (96132, 96138, 96139) point to in‑office procedural capability plus cognitive assessment and ongoing management.

    Two of the top revenue drivers are extreme national outliers in volume: 99214 ranks #3128 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 99205 ranks #40 of 66257 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). By contrast, J0585 ranks #1730 of 3636 providers nationally (52th percentile; typical, unremarkable volume for this code), so the provider appears nationally prominent for high‑level office visits but only average for botulinum toxin administration.

    Electrodiagnostic and testing services show above‑typical activity: 95886 is #497 of 6525 providers nationally (92th percentile; typical, unremarkable volume for this code), 95908 is #51 of 1093 providers nationally (95th percentile; notably above typical national volume for this code), and 95910 is #453 of 3046 providers nationally (85th percentile; typical, unremarkable volume for this code). Neuropsych testing (96132 at #302 of 3173, 90th percentile) further signals an on‑site diagnostics and testing footprint that complements high‑intensity office visits.

    Chronic care and care‑plan management codes are used with measurable frequency: 99426 has 341 claims ($15.7K) and ranks #106 of 1130 providers nationally (91th percentile; typical, unremarkable volume for this code), while 99427 has 142 claims ($5.3K) and ranks #62 of 408 providers nationally (85th percentile; typical, unremarkable volume for this code). This pattern indicates delegation to clinical staff for ongoing management of complex chronic conditions and a longitudinal care model beyond episodic visits.

    NPI tenure indicates long-standing presence: NPI enumerated 2006-11-03 (~20 years ago), supporting the conclusion that observed high volumes for certain codes reflect an established practice rather than a recent change in billing behavior. Tenure coupled with the concentrated revenue mix suggests stable service offerings focused on neurology office care and diagnostics.

    For payers and network managers, the profile implies two operational priorities: monitor utilization and payment patterns for high‑intensity E/M visits (given the extreme outlier ranks for 99214 and 99205) and ensure claims adjudication protocols capture the mix of electrodiagnostic and neuropsych testing procedures. The absence of Medicaid billing on file may also warrant outreach or clarification about network participation, contract status, or patient population served.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,580$90$141.9K
    99205The provider sees a new 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 provider…340$150$52.3K
    J0585Injection, onabotulinumtoxina, 1 unit7,800$10$39K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…330$80$25K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…340$50$15.7K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…160$100$15.1K
    99215The 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…80$120$10.4K
    96139A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.300$30$8K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…60$130$7.4K
    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…110$60$6.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05855107,900$1$46.2K
    96139310780$30$17.4K
    96132310170$100$16.9K
    992143780100$80$14.8K
    9588631070$70$10.7K
    99213411850110$60$9.9K
    992155322040$120$8.3K
    9942611060$50$6.8K
    9920518020$150$6.3K
    9590951050$100$6.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northern Ddsp, Inc.WYDevelopmentally Disabled Services Day Training Agency$0$9.1M
    Hands 2 Help, LLC.WYHome Health Agency$0$2.9M
    Big Horn Basin Childrens Clinic PCWYPediatrics Physician$0$997.5K
    West Park Hospital DistrictWYCritical Access Hospital$0$950.8K
    Northern Wyoming Surgical Center, LLCWYAmbulatory Surgical Clinic/Center$865.9K$0
    Guardian Flight LLCWYAir Ambulance$738.8K$0
    West Park Hospital DistrictWYMulti-Specialty Clinic/Center$0$726.1K
    Cailyn DallmanWYCase Manager/Care Coordinator$0$630.7K
    Barry WelchWYOphthalmology Physician$430.2K$0
    Basin Vision Center, P. C.WYOptometrist$0$310.1K

    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. Wyoming Distribution
    Allen Gee — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming