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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrett Gingold
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    Brett Gingold — Billing Profile & Reimbursement Data

    NPI 1124090634 · Bend, OR · Sports Medicine (Orthopaedic Surgery) Physician

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    Brett Gingold is a sports medicine (orthopaedic surgery) physician provider located in Bend, Oregon. This profile covers 22 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
    OrganizationBrett Gingold
    Address2200 Ne Neff Rd Ste 200
    CityBend
    StateOR
    ZIP97701
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedFebruary 7, 2006

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

    Payer SourceTotal Paid
    Medicare$120.7K
    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.

    22 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…270$90$23.3K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$810$21.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…320$50$16.2K
    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$13.1K
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,260$10$8.8K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$350$6.7K
    J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose60$100$6.2K
    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…50$120$5.6K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…10$370$4.4K
    99203The 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…40$70$2.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29827104020$1,060$22.3K
    2982882020$1,100$20.9K
    29881172020$910$15.4K
    J732526401,290$10$10.8K
    992148256,07080$70$10.3K
    J7323102060$100$7.4K
    992136505,48060$50$5.7K
    992047702,75030$110$4.4K
    737217811030$80$4.3K
    206101341040$50$3.5K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Charles Health System, Inc.ORFamily Medicine Physician$0$8.6M
    Praxis Health, PCORMulti-Specialty Clinic/Center$0$8.2M
    St. Charles Health System, Inc.ORCritical Access Hospital$0$5M
    St. Charles Health System, Inc.ORGeneral Acute Care Hospital$0$4.4M
    Natasha TiffanyORHematology & Oncology Physician$1.7M$0
    St. Charles Health System, Inc.ORCritical Access Hospital$0$1.4M
    Heather Hansen-dispenzaORRheumatology Physician$726.8K$0
    Russell LewisORHematology & Oncology Physician$569.3K$0
    Steven MichelORDiagnostic Radiology Physician$541.9K$0
    James VerheydenOROrthopaedic Hand Surgery Physician$519.9K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Brett Gingold — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon