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    OpenPayerNPI Medicare & MedicaidGary Ghiselli
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    Gary Ghiselli — Billing Profile & Reimbursement Data

    NPI 1124011606 · Greenwood Village, CO · Orthopaedic Surgery of the Spine Physician

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    Gary Ghiselli is a orthopaedic surgery of the spine physician provider located in Greenwood Village, Colorado. 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
    OrganizationGary Ghiselli
    Address7800 E Orchard Rd
    CityGreenwood Village
    StateCO
    ZIP80111
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedAugust 30, 2005

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

    Payer SourceTotal Paid
    Medicare$58K
    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
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$680$13.6K
    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…130$100$12.6K
    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…70$140$9.6K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…20$300$7.3K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.30$160$4.4K
    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…50$60$3.1K
    99204The 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…20$120$2.6K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…70$30$2.1K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.40$40$1.4K
    72052In this diagnostic procedure, the provider performs six or more X–ray views of the cervical spine. The goal of this study is to examine the patient's spine for such conditions as abnormal curves,…20$50$800

    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
    22614748060$210$15.9K
    630473810020$530$12.2K
    992142,8798,16080$80$11.3K
    992159833,23040$110$8.1K
    992134,0307,20070$60$6.6K
    992042,3083,67030$110$4.7K
    63048417030$100$3.3K
    7211012830030$30$1.3K
    721009546030$20$880
    7205241020$30$520

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David WeinsteinCOSports Medicine (Orthopaedic Surgery) Physician$315K$0
    Derek PurcellCOOrthopaedic Surgery Physician$289.2K$0
    Derek JohnsonCOAdult Reconstructive Orthopaedic Surgery Physician$280.9K$0
    Grant BaileyCOCardiovascular Disease Physician$270K$0
    Douglas CrowtherCOOrthopaedic Surgery Physician$242.5K$0
    Jamie JordanCOClinical Cardiac Electrophysiology Physician$236.1K$0
    Louis GoldenCODiagnostic Radiology Physician$219.7K$500
    George FreyCOOrthopaedic Surgery of the Spine Physician$219.3K$0
    Michael YungNEDiagnostic Radiology Physician$216.9K$0
    Brian LarkinCOAdult Reconstructive Orthopaedic Surgery Physician$215.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alternative Support IncorporatedCODevelopmentally Disabled Services Day Training Agency$0$39M
    Alfabest Home Care, LLCCOHome Health Agency$0$23.4M
    180 Medical, Inc.CODurable Medical Equipment & Medical Supplies$0$15.7M
    Critical Care & Pulmonary Consultants, PCCOHospitalist Physician$0$12.1M
    Carepoint Anesthesia Group LLCCODental Anesthesiology$0$10.7M
    Newport Health Network IncCOAudiologist$0$8.1M
    Elite Home Care, IncCOHome Health Agency$0$7.2M
    Ability Specialists, Inc.CODevelopmentally Disabled Services Day Training Agency$0$6.5M
    The Child And Family Therapy Center Of Denver LLCCOCounselor$0$4.8M
    Charles NuttingCOVascular & Interventional Radiology Physician$1.1M$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. Colorado Distribution
    Gary Ghiselli — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado